Author

Zack Buck

  • Health Care Finance

    Cost Control’s Growing Complexity

    By Zack Buck A paper entitled “The Price Ain’t Right? Hospital Prices and Health Spending on the Privately Insured” has a number of health policy experts talking this week. Authors Zack Cooper, Stuart Craig, Martin Gaynor,…

    Cost Control’s Growing Complexity

  • Health Care Finance

    The Record-Breaking Resolution of a Groundbreaking Fraud Investigation

    By Zack Buck After more than four years of investigation, and 70 separate agreements, the Department of Justice (DOJ) announced news Friday of a massive $257 million settlement, covering a record-breaking 457 hospitals, for the…

    The Record-Breaking Resolution of a Groundbreaking Fraud Investigation

  • Health Care Finance

    Fiduciary Duty and the Payer-Provider Relationship

    By Zack Buck Even though the Centers for Medicare and Medicaid Services (CMS) has set an ambitious goal to move the reimbursement paradigm away from a fee-for-service model for half of all Medicare services by…

    Fiduciary Duty and the Payer-Provider Relationship

  • Health Care Finance

    Doubling Down on Prosecutorial Discretion

    By Zack Buck Health care entities should be “on high alert” following the Southern District of New York’s decision in Kane v. Continuum Health Partners that I blogged about here earlier this month. The case, which…

    Doubling Down on Prosecutorial Discretion

  • Health Care Finance

    Clarity for an “Unforgiving” and “Potentially Unworkable” Rule

    By Zack Buck In a case previously blogged about here, last week, the Southern District of New York denied Defendants’ motion to dismiss in U.S. ex rel. Kane v. Continuum Health Partners, No. 11-2325, in…

    Clarity for an “Unforgiving” and “Potentially Unworkable” Rule

  • Health Care Finance

    A Test For Overpayment Liability

    By Zack Buck The eyes of practitioners, compliance officers, and providers have been trained on the Southern District of New York as many await a decision on a motion to dismiss in Kane v. Continuum…

    A Test For Overpayment Liability

  • Health Care Finance

    The Robust But Unsatisfying State Of Health Care Fraud Enforcement

    By Zack Buck Earlier this spring, the U.S. Department of Health and Human Services and Department of Justice reported they had recovered nearly $28 billion as a result of anti-health care fraud efforts in FY…

    The Robust But Unsatisfying State Of Health Care Fraud Enforcement

  • FDA

    Medicare’s Costly Drug Problem

    By Zack Buck Last week, Dr. Salomon Melgen, an ophthalmologist who practices in North Palm Beach, Florida, was indicted on Medicare fraud charges. Melgen was charged with a variety of crimes, with prosecutors alleging he falsely diagnosed…

    Medicare’s Costly Drug Problem

  • FDA

    The Newest Twist in the State Regulation of Off-Label Marketing

    By Zack Buck The newest chapter in the legal drama involving Johnson & Johnson, Inc. (“J&J”) and its subsidiary Janssen Pharmaceutical, Inc. (and a subsidiary previously known as Ortho-McNeil-Janssen Pharmaceuticals, Inc.) (“Janssen”) was written late…

    The Newest Twist in the State Regulation of Off-Label Marketing