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All's Not Fair in FCA Wars

Client Alert | 1 min read | 05.28.13

In U.S. ex rel. Hartpence v. Kinetic Concepts, Inc. (C.D. Cal. May 20, 2013), the district court disqualified relators' counsel for using privileged materials taken by the relators when they left the employ of the defendant to craft their claims and pleadings. The court found that (1) the relators' counsel were put on notice by the government of the potentially privileged nature of the documents and had an obligation to take reasonable remedial actions before using the materials; (2) the use of the privileged materials to craft claims was alone sufficient to show a risk of prejudice; (3) no showing of bad faith is required for disqualification, but the fact that relators' counsel decided to quote the documents in pleadings without seeking guidance from the court was "tantamount to bad faith;" and (4) even if defendant provided final copies of the materials that were almost identical to the privileged draft versions, as relators' counsel claimed, that did not excuse their obligation to take reasonable remedial actions regarding the privileged versions.

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Client Alert | 4 min read | 04.10.26

CMS Finalizes Rate Notice for Medicare Parts C and D (CY 2027)

On April 6, 2026, the Centers for Medicare and Medicaid Services (CMS) circulated the Announcement of Calendar Year (CY) 2027 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the CY 2027 Rate Announcement) to communicate Medicare Advantage (MA) capitation rates and Parts C and D payment policies. The Rate Announcement announces decisions regarding proposals initially published on January 26, 2026, in CMS’s CY 2027 Advance Notice for MA and Part D. The following is a summary of the most significant issues in the Rate Announcement, with further details below: ...