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Welcome to the Mondaq Food, Drugs, Healthcare, Life Sciences homepage, here you will find thought leadership articles, podcasts, videos and webinars providing insights covering topics such as Food and Drugs Law, Healthcare, Life Sciences, Biotechnology and Nanotechnology.
Article
How Zocdoc Broke Regulatory Ground As An Online Healthcare Resource
When digital health marketplace Zocdoc sought to shift from flat-fee subscriptions to variable pricing per patient booking, the move risked violating federal Anti-Kickback Statute regulations that could have forced exclusion of Medicare and Medicaid patients. How did strategic legal counsel transform this regulatory obstacle into a competitive advantage that enabled mission-driven growth while maintaining full compliance?
United States Healthcare
SR
McDermott Will & Schulte
Article
Podcast - Healthcare Real Estate And The Future Of Outpatient Care
Healthcare real estate rewards lawyers who understand the business strategy behind the asset, not just the documents that close the deal. In this episode of "Counsel That Cares," Morgan Ribeiro speaks with John Bryant, the recently retired general counsel of Healthcare Realty Trust, about the evolution of outpatient care, risk management in large-scale growth and what in-house teams need from outside counsel.
United States Healthcare
HK
Holland & Knight
Article
White House And DOJ Gain Early Traction In Campaign Against Restrictive Hospital-Payor Contract Terms With OhioHealth Settlement
The Trump administration has intensified scrutiny of hospital-payor contracts through coordinated policy and enforcement actions, targeting provisions that allegedly limit patient choice and inflate healthcare costs. A White House economic analysis estimates that banning anti-steering, anti-tiering, and all-or-nothing contracting provisions could reduce hospital prices by up to 18% in certain markets, while the Department of Justice has secured its first settlement with OhioHealth and pursues similar litiga
United States Anti-trust
GP
Goodwin Procter LLP
Article
FDA Advisory Committee Votes In Favor Of Moderna Flu Vaccine Benefit-Risk Profile
Moderna's investigational mRNA influenza vaccine, mRNA-1010, received unanimous support from the FDA's advisory committee based on Phase 3 clinical trial data involving over 40,000 participants. The committee determined that the vaccine's benefits outweigh its risks for adults aged 50 and older, marking a significant milestone in the regulatory review process. The FDA will now consider this recommendation as part of its evaluation, with a decision expected by August 2026.
United States Healthcare
GP
Goodwin Procter LLP
Article
DOJ's Health Care Fraud Takedown Spotlights AI And Data Analytics
The Department of Justice is now deploying artificial intelligence and advanced data analytics to detect health care fraud in real time, fundamentally changing how quickly the government can identify suspicious billing patterns and bring criminal charges. With new cloud-computing infrastructure inside CMS data systems and interagency data-sharing agreements breaking down traditional silos, federal prosecutors are moving from anomaly detection to indictment in a matter of months rather than years.
United States Healthcare
BS
Ballard Spahr LLP
Article
DOJ’s $6.5 Billion National Health Care Fraud Takedown Signals A New Era Of Data-Driven Enforcement
The Department of Justice announced its largest National Health Care Fraud Takedown in history, charging 455 defendants in schemes involving over $6.5 billion in alleged false claims. This unprecedented enforcement action demonstrates the government's evolving strategy of using sophisticated data analytics to identify fraud patterns and deploying coordinated criminal, civil, and administrative tools to disrupt entire fraud ecosystems before payments are made.
United States Healthcare
BB
Bass, Berry & Sims
Article
Pandemic Era Telehealth Fraud Under The False Claims Act
The COVID-19 pandemic transformed Medicare's telehealth landscape, removing geographic restrictions and expanding service eligibility almost overnight. While these changes improved patient access, they also created unprecedented opportunities for fraud involving prescription medications, billing schemes, and contractor misclassification. Recent high-profile cases reveal how fraudsters exploited regulatory gaps to generate hundreds of millions in fraudulent claims, prompting increased government scrutiny and
United States Healthcare
MS
Miller Shah
Article
DOJ Announces 2026 National Health Care Fraud Takedown: 455 Defendants Charged In $6.5 Billion Enforcement Action
The Department of Justice's 2026 National Health Care Fraud Takedown charged 455 defendants in connection with $6.5 billion in alleged fraud schemes, marking an unprecedented scale of enforcement action. This whole-of-government approach leverages advanced data analytics and international cooperation to combat healthcare fraud across Medicare, Medicaid, and other federal programs. The enforcement action demonstrates heightened scrutiny of providers, aggressive asset forfeiture, and a focus on cases involvin
United States Criminal
B
Benesch Friedlander Coplan & Aronoff LLP
Article
Emerging Trends In Managed Care Enforcement: The “Advantage” Of Strong Governance And Compliance
Medicare Advantage enforcement has shifted from scattered whistleblower actions into a predictable regulatory pattern driven by encounter data analytics. Former HHS Inspector General Christi Grimm and federal prosecutor Giselle Joffre examine how reverse false claim theories now anchor enforcement, why compliance programs frequently fail, and what the accelerating use of AI and data analytics means for health plans facing systematic scrutiny of risk adjustment practices.
United States Healthcare
AP
Arnold & Porter
Article
Care Under Subpoena: The New Enforcement Front In Gender-Affirming Care For Minors
Federal enforcers are deploying aggressive new investigative tactics against providers of gender-affirming care for minors, using misbranding theories and sweeping subpoenas that raise serious questions about data use and prosecutorial purpose. As courts push back on some federal overreach, hospitals find themselves caught between antidiscrimination mandates and physician autonomy, with the Colorado Children's case illustrating the impossible bind providers now face.
United States Healthcare
AP
Arnold & Porter
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