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DOJ Reports $4.7B in FCA Recoveries in FY16

Client Alert | less than 1 min read | 12.16.16

On December 14, 2016, DOJ reported that it recovered more than $4.7 billion in settlements and judgments from civil FCA cases in FY16, making it the third highest annual recovery in FCA history. Of the FY16 recoveries, $2.5 billion related to health care fraud, $1.7 billion related to the financial industry, and the remaining $500M related to higher education, procurement, and other federal programs.

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Client Alert | 7 min read | 01.30.26

CMS Proposes CY 2027 Growth Rate and Changes to Risk Adjustment for Medicare Parts C and D

On January 26, 2026, the Centers for Medicare and Medicaid Services (CMS) circulated the Calendar Year (CY) 2027 Advance Notice to communicate proposed changes to Medicare Advantage (MA) capitation rates and Parts C and D payment policies.  The changes are expected to be finalized in April 2026 but may be delayed. The following is a summary of the most significant proposals, with further details below:...