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DOJ Reports Record Haul in FY14 FCA Recoveries of Nearly $6 Billion

Client Alert | less than 1 min read | 11.21.14

On November 19, 2014, DOJ reported that it had obtained a record $5.69 billion in recoveries (settlements and judgments) from civil FCA cases in FY14, the first time recoveries have exceeded $5 billion, and that this brings total recoveries from January 2009 through the end of FY14 to $22.75. Of the FY14 recoveries, $3.1 billion related to housing and mortgage fraud, $2.3 billion related to health care fraud, and the remainder related to procurement and other federal programs.


Insights

Client Alert | 6 min read | 04.29.26

CMS Seeks to Expand Interoperability Requirements to Drug Pre-Authorization (FAQ)

On April 10, 2026, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule (2026 CMS Interoperability Standards and Prior Authorization for Drugs, or CMS-0062-P) outlining the agency’s plans to impose new interoperability requirements on payors participating in certain Medicare and Medicaid programs. As described by the agency in a recent press release, the proposed rule “builds on” prior rulemaking by clarifying and enhancing interoperability requirements for payors’ prior authorization processes, specifically those associated with coverage requests for pharmaceutical therapies....