Government Health Care Programs
Overview
Under complex federal health care programs, clients with contracts or grants must simultaneously navigate the highly technical requirements of government contract law and the equally challenging statutes and regulations governing federal health care programs. Crowell & Moring's government health care programs practice includes lawyers who understand both of these areas and can guide clients through the detailed and unique requirements of federal health care programs. Over the course of many years, Crowell & Moring has developed one of the nation's largest and most renowned government contract health care benefit practices.
Insights
Podcast | 03.27.25
This week’s episode features a deep dive on the President’s Executive Order, Eliminating Waste and Saving Taxpayer Dollars by Consolidating Procurement, which directs the consolidation of certain types of “domestic federal procurement” under the General Services Administration in an effort to “eliminate waste and duplication.” This episode is hosted by Peter Eyre and Yuan Zhou. Crowell & Moring's "Fastest 5 Minutes" is a biweekly podcast that provides a brief summary of significant government contracts legal and regulatory developments that no government contracts lawyer or executive should be without.
Firm News | 9 min read | 06.06.24
Client Alert | 5 min read | 05.16.24
CMS Finalizes Contested Rule on Nursing Home Staffing and Facility Assessments
Publication | 03.15.23
Representative Matters
- Recovering hundreds of millions of dollars for a government health care contractor in actions against OPM for underpaying premiums for members of plans and defense against FEHBP plan audits and False Claims Act investigations.
- Defeating a hospital class action seeking hundreds of millions of dollars from a TRICARE contractor, in which the Delaware suit alleged that our client underpaid for outpatient services to CHAMPUS/TRICARE beneficiaries; the U.S. Court of Appeals for the Third Circuit upheld the district court's dismissal on the basis that prudential exhaustion should be upheld
- Securing recovery of underpayment claims for clients participating in the FEHBP program
- Successful defense of a Medicare administrative contract award
- Litigation of complex cost accounting disputes before the Board of Contract Appeals on behalf of experience-rated FEHBP carriers
- Dismissal of fraud and false claims allegations against a Medicare HMO contractor
Insights
Podcast | 03.27.25
This week’s episode features a deep dive on the President’s Executive Order, Eliminating Waste and Saving Taxpayer Dollars by Consolidating Procurement, which directs the consolidation of certain types of “domestic federal procurement” under the General Services Administration in an effort to “eliminate waste and duplication.” This episode is hosted by Peter Eyre and Yuan Zhou. Crowell & Moring's "Fastest 5 Minutes" is a biweekly podcast that provides a brief summary of significant government contracts legal and regulatory developments that no government contracts lawyer or executive should be without.
Firm News | 9 min read | 06.06.24
Client Alert | 5 min read | 05.16.24
CMS Finalizes Contested Rule on Nursing Home Staffing and Facility Assessments
Publication | 03.15.23
Insights
California State Whistleblower Claim Nets $30 Million Anti-Kickback Settlement from Life Sciences Company
|07.25.16
Crowell & Moring's Whistleblower Watch
'SGR Fix' Law Adds Program-Integrity Tools, Exempts Gainsharing From Penalties
|04.20.15
Report on Medicare Compliance
ACO Compliance Is Spotty as Waiver Rule Is Extended; COs Navigate Other Challenges
|11.03.14
Report On Medicare Compliance
Hospital at Home Programs Extended, But Final Push Is Needed
|01.25.23
Crowell & Moring’s Health Law Blog
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11.09.20
Crowell & Moring’s Health Law Blog
Medicaid Managed Care Final Rule: Prevention of Fraud, Waste, and Abuse
|08.04.16
Crowell & Moring's Health Law Blog
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07.07.16
Crowell & Moring’s Health Law Blog
Department of Veterans Affairs Announces Shift in Trade Agreements Act Policy
|04.25.16
Crowell & Moring’s Health Law Blog
Next Generation ACO Model Enters its Second & Final Application Cycle
|03.23.16
Crowell & Moring's Health Law Blog
Professionals
Insights
Podcast | 03.27.25
This week’s episode features a deep dive on the President’s Executive Order, Eliminating Waste and Saving Taxpayer Dollars by Consolidating Procurement, which directs the consolidation of certain types of “domestic federal procurement” under the General Services Administration in an effort to “eliminate waste and duplication.” This episode is hosted by Peter Eyre and Yuan Zhou. Crowell & Moring's "Fastest 5 Minutes" is a biweekly podcast that provides a brief summary of significant government contracts legal and regulatory developments that no government contracts lawyer or executive should be without.
Firm News | 9 min read | 06.06.24
Client Alert | 5 min read | 05.16.24
CMS Finalizes Contested Rule on Nursing Home Staffing and Facility Assessments
Publication | 03.15.23