Expert Analysis

$95M Caremark Verdict Should Put PBMs On Notice

A Pennsylvania federal judge’s recent ruling that pharmacy benefits manager CVS Caremark owes the government $95 m... (more story)

DOJ Actions Signal Rising Enforcement Risk For Health Cos.

The U.S. Department of Justice's announcement of a new False Claims Act working group, together with the largest h... (more story)

Spotlight On Medicare Marketing Practices Enforcement Trend

Recent U.S. Department of Justice actions, including its recent Medicare kickback allegations in Shea v. eHealth, ... (more story)

Deals & Corporate Governance More

SEC Fraud Suit Against Ex-Online Pharmacy Execs Advances

A New York federal judge has declined to dismiss a majority of the U.S. Securities and Exchange Commission's claims against former executives of a now-defunct online pharmacy called Medly, finding the agency a... (more story)

Accolade Faces $4.8M Suit Over Pre-Merger Profit Claims

Personalized healthcare solutions company Accolade Inc. was hit with an investor suit Thursday accusing it and its CEO of making false statements about its profitability to prop up share prices before announci... (more story)

11th Circ. Says Ex-Quest Diagnostics Worker's FCA Suit Fails

The Eleventh Circuit declined to revive a former Quest Diagnostics Inc. compliance officer's False Claims Act suit against the lab testing company, ruling she had failed to allege a specific claim of medical b... (more story)

McKesson Disputes Rite Aid Trust's Antitrust Claim Demands

Medicine supplier McKesson Corp. disputed that it has to assign its antitrust claims against drug manufacturers to the bankruptcy trust from the first Chapter 11 case of Rite Aid Corp., which has argued that t... (more story)

8th Circ. Sends Part Of OptumRx Pricing Fight To Arbitration

The Eighth Circuit partially reversed a ruling Wednesday that denied pharmacy benefits manager OptumRx's bid to send a drugstore's proposed class action over generics prescription reimbursements to arbitration... (more story)

Hims & Hers Brass Face Suit Over 'Knockoff' Wegovy Sales

Executives and directors of telehealth company Hims & Hers Health Inc. have been hit with a shareholder derivative suit in California federal court accusing them of allowing the company to exploit its now-term... (more story)

Digital Health & Technology More

Stanford Trims Roche IP Suit, But Others Face Most Claims

Stanford University was let out of all but one claim brought by subsidiaries of F. Hoffmann-La Roche AG over alleged trade secret theft, but a California federal judge allowed most claims to move forward again... (more story)

Google Notches Deal With Flo Users Ahead Of Privacy Trial

Google and users of the menstrual cycle tracking app Flo have reached a deal to resolve claims that the tech giant used a data analytics tool to unlawfully retrieve their sensitive health data, releasing the c... (more story)

Chicago Nabs Early Win In City Workers' Genetic Bias Suit

The city of Chicago defeated allegations that the genetic information of two employees was taken when their spouses took part in a wellness program, with an Illinois federal judge finding that evidence does no... (more story)

IRhythm IPR Denial Raises Key PTAB Discretion Questions

By giving the passage of time a dispositive role in denying institution of five inter partes review petitions filed by iRhythm Technologies, the U.S. Patent and Trademark Office has upended the strategic consi... (more story)

The AI Red Flags In DOJ Fraud Investigations

The Trump administration's embrace of artificial intelligence and data analytics to pursue healthcare fraudsters is raising new concerns about the reliability and transparency of these tools.

The Firms That Won Big At The Supreme Court

The number of law firms juggling three or more arguments before the U.S. Supreme Court this past term nearly doubled from the number of firms that could make that claim last term.

Policy & Compliance More

21 States Fight ACA Rule They Say Guts Health Coverage

A 21-state coalition led by the attorneys general of California, Massachusetts and New Jersey sued the U.S. Department of Health and Human Services and the Centers for Medicare and Medicaid Services on Thursda... (more story)

Senators Float 'Patent Thicket' Bill To Limit Generic Litigation

A bill floated in the U.S. Senate would limit the use of so-called patent thickets that are asserted by major pharmaceutical companies in litigation to restrict generic competition.

Insurer, Urology Practices Beat Puerto Rico Antitrust Suit

A Puerto Rico federal judge threw out an antitrust lawsuit accusing insurer Triple-S Salud and two urology firms of colluding to exclude rival practices from the commonwealth's government-run healthcare progra... (more story)

Ex-CEO Agrees To $27.5M Judgment In Medicare Fraud Case

A day before his trial was set to begin, the former CEO and owner of the now-defunct laboratory Premier Medical Inc. agreed to a $27.5 million consent judgment, acknowledging he was likely to be found liable i... (more story)

Fla. AG, Sandoz Clash With Other Enforcers Over 'Done' Deal

Sandoz and Florida's attorney general pressed a Connecticut federal judge Wednesday to let them settle out of sweeping price-fixing litigation against generic-drug makers, contending that federal civil procedu... (more story)

4th Circ. Orders New Trial After Doc Acquitted In Fraud Case

A Fourth Circuit panel ordered a new trial for a doctor who received a judge's acquittal after a jury found him guilty of alleged healthcare fraud, finding that the jury had sufficient evidence to convict, but... (more story)