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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.

Insights

Client Alert | 8 min read | 04.17.26

CMS Finalizes CY 2027 Medicare Advantage and Part D Rule: Key Implications for Plan Sponsors

On April 6, 2026, the Centers for Medicare & Medicaid Services (CMS) published its final rule governing the Medicare Advantage (Part C) and Prescription Drug Benefit (Part D) programs for Contract Year (CY) 2027. The final rule is effective June 1, 2026, with most provisions applicable to coverage beginning January 1, 2027, and marketing and communications changes taking effect October 1, 2026. Beyond payment, the rule pursues a broad deregulatory agenda aligned with Executive Order 14192, reversing marketing and enrollment safeguards introduced in 2023 and easing documentation and reporting obligations, while introducing new program integrity requirements....