The False Claims Act (FCA) imposes liability on one who, among other things, “knowingly presents, or causes to be presented, a false or fraudulent claim for payment or approval.” While the FCA does ...

The U.S. Department of Health and Human Services (HHS) asked the committee to assess how insurers determine medical necessity. In this session, Dr. Alan Garber, staff physician at the VA Palo Alto ...

One of the great advances for people with disabilities under the Patient Protection and Affordable Care Act is its coverage standards for the individual and small group markets. To be sure, the Act’s ...

In this Federal Civil Enforcement column, Richard Strassberg, Annie Railton and Roger Cohen discuss 'United States ex rel. Polukoff v. St. Mark's Hospital et al.', in which the Tenth Circuit held that ...