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Primary Care Providers Win Challenge of CMS Interpretation of Enhanced Payment Law

With the help and support of the Tennessee Medical Association, 21 Tennessee physicians of underserved communities joined together and retained Bass, Berry & Sims to file suit against the Centers for Medicare & Medicaid Services to stop improper collection efforts. Our team, led by David King, was successful in halting efforts to recoup TennCare payments that were used legitimately to expand services in communities that needed them. Read more

Tennessee Medical Association & Bass, Berry & Sims

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Thought Leadership

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Thought Leadership Spotlight

Healthcare Transactions: Year in Review 2018Last year, CVS Health Corp. (NYSE: CVS) announced it would purchase health insurer Aetna Inc. (NYSE: AET) for $67.5 billion, a transaction that would be one of the biggest healthcare mergers in the past decade. The transaction raises an intriguing question: is this the beginning of a transformational shift in healthcare?

Recently, members of our healthcare group authored the Healthcare Transactions: Year in Review outlining 2017 M&A activity and drivers in the following hot healthcare sectors:

• Managed Care
• Hospitals
• Post-Acute Care—Home Health & Hospice
• Ambulatory Surgery Centers (ASCs)
• Healthcare Information Technology (HIT)
• Behavioral Health
• Physician Practice Management

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Associate Attorney General Sheds Light on the DOJ's Application of Individual Liability and Corporate Cooperation Credit in FCA cases

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Publications

June 27, 2016

Since September 2015, United States Deputy Attorney General Sally Yates's Memorandum (Yates Memo) has been the topic of intense discussion within the legal community, generating a wide range of views on its impact on FCA investigations and litigation. Acting Associate Attorney General Bill Baer recently delivered remarks at the ABA's 11th National Institute on Civil False Claims Act and Qui Tam Enforcement, which addressed the Yates Memo and some of the questions it has generated. 

Baer opened his speech by highlighting trends in FCA enforcement. The Government and relators filed more than 630 new qui tam matters in 2015 and more than 4,700 qui tam matters since 2009. Since 2009, the Government has recovered over $29.5 billion for all FCA matters, and relators have received awards topping $3 billion for identifying and helping to prosecute FCA violations. Baer used these statistics not only to reaffirm the DOJ's commitment to FCA enforcement, but also to segue into a deeper discussion of the application of the Yates Memo.

Inside the FCA blog

 

To continue reading the content in this article on the firm's Inside the FCA blog, please click here to view the post.

Bass, Berry & Sims' Inside the FCA blog features news, commentary and thought leadership covering FCA, healthcare fraud and procurement fraud.

 


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