Author: Jacob Hunt

Ex-MLB Pitcher Hit With Prison Sentence Over Healthcare Fraud

Ex-MLB Pitcher Hit With Prison Sentence Over Healthcare Fraud A former Major League Baseball pitcher was recently sentenced in a Florida federal court to forty-six months in prison for his involvement in a multi-million dollar healthcare fraud. Justin Wayne, who last played for the Florida Marlins, along with his brother and a medical lab company the two created, were involved in a scheme that paid kickbacks to substance abuse treatment centers in exchange for providing their patients with medically unnecessary urinalysis tests. Smart Lab, LLC, the Palm Beach Gardens, Florida-based lab company started and owned by Wayne and his...

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Insurer Pays Record Settlement Due To Data Breach

Insurer Pays Record Settlement Due To Data Breach Anthem, the nation’s second-largest insurer, is set to pay an enormous sum to the U.S. Department of Health and Human Services (“HHS”) to settle claims over a data breach that was discovered in 2015. The data breach, which affected almost 79 million individuals, is the largest ever to be reported to HHS. The HHS Office of Civil Rights (“OCR”), which investigates such breaches, has reportedly settled Anthem’s violations of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) for $16 million, which is $11.5 million more than the previous largest...

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Nation’s Strictest Data Privacy Law Takes Effect January 1, 2020

Nation’s Strictest Data Privacy Law Takes Effect January 1, 2020 The California Consumer Privacy Act of 2018 (“CCPA”), passed on June 28, 2018, established what is being considered the strictest and most comprehensive data privacy law in the Unites States. The CCPA includes the following consumer rights: (1) the right to know what personal information is collected from them by businesses they deal with; (2) the purposes for which such information is to be used; (3) to whom that information is disclosed or sold; (4) the right to opt out of the sale of personal information; and (5) the...

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340B Program Lobbying Intensifies As Midterms Near

340B Program Lobbying Intensifies As Midterms Near The 340B Drug Discount Program (“340B Program”) was created by Congress in 1992 to help low-income people obtain needed drugs. The 340B Program requires that drug manufacturers provide certain outpatient drugs to eligible health care organizations and covered entities at significantly reduced prices. Now sixteen years after the 340B Program’s inception, both sides of the political spectrum as well as hospitals and Big Pharma are pressing for changes to the program. As the lobbying intensifies between hospitals and drug manufacturers, it is unclear what substantial changes the program may undergo. The chasm...

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Department of Labor Rule Would Allow Small Business Health Plans

Department of Labor Rule Would Allow Small Business Health Plans On June 19, the U.S. Department of Labor (“DOL”) published a final rule on association health plans, which relaxes the requirements for small businesses and the self-employed to join together in creating healthcare plans capable of sidestepping certain requirements of the Affordable Care Act (“ACA”).  In a move that has been largely lauded by Republicans and criticized by Democrats, the Trump Administration cites the new final rule as working towards fulfilling a campaign pledge of lowering insurance costs. In stressing what was ultimately the main purpose of the ACA,...

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