Last summer, I wrote about the DOJ and HHS relaunching their joint False Claims Act Working Group, with Medicare Advantage risk adjustment fraud listed as one of its top enforcement priorities. The Aetna settlement announced earlier this month is a direct example of that initiative delivering results. What HappenedAetna has agreed to pay $117.7 million
Tucker Arensberg, PC Blogs
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Artificial Intelligence: Preparing for the Next Governance Challenge
Artificial intelligence is no longer a futuristic concept; it is already reshaping how municipalities operate and deliver services to their communities. From drafting communications to analyzing policy documents, AI tools are increasingly being used by borough officials and staff to improve efficiency.
But as these technologies become more common in local government operations, they also
AI in the Exam Room: What WVU Medicine’s Abridge Rollout Means for Physicians
Artificial Intelligence continues to move quickly into the clinical workflow.WVU Medicine recently announced that it is expanding its use of Abridge, an AI-powered transcription platform designed to generate clinical documentation during patient encounters. What began as a small pilot program in 2025 has now grown to more than 1,200 physicians, nurse practitioners, and physician assistants
Presentation at PBI Health Law Institute on Telehealth, AI, and Physician Contracting: A Recap
I recently had the opportunity to speak at the Pennsylvania Bar Institute’s Health Law Institute in Philadelphia on the topic of “Navigating New Frontiers in Physician Practice: Telehealth, Artificial Intelligence, and Contracting.”Healthcare law is entering a period of rapid change. Telehealth, artificial intelligence, and remote care models are reshaping how physicians deliver care, while
New CMS Model Targets Inefficient Medicare Spending Through AI and Clinical Oversight
The Centers for Medicare & Medicaid Services (CMS) has launched the WISeR Model (Wasteful and Inappropriate Service Reduction) to modernize and streamline Medicare’s prior authorization process. By partnering with tech companies, CMS will test the use of modern tools, such as artificial intelligence, to reduce unnecessary or low-value services that drive up costs and pose
Oracle, Cleveland Clinic, and G42 Announce Strategic Partnership to Launch AI-Based Global Healthcare Delivery Platform
In attempt to deliver more effective and affordable care, Oracle, Cleveland Clinic, and G42 have announced a strategic partnership that will build a global AI-powered healthcare platform (see news release here).
Per the news release published by Cleveland Clinic, the platform will: (i) deliver an AI-driven healthcare infrastructure rooted in data privacy, clinical quality,
Pennsylvania Joins the Digital Age and Enacts Article 12 of the Uniform Commercial Code
By Beverly Weiss Manne, Esq. bmanne@tuckerlaw.com, (412) 594-5525 – July 11, 2024©
On July 1, 2024, the Commonwealth of Pennsylvania joined twenty-three other states in adopting Uniform Commercial Code Article 12 and the accompanying amendments to the Pennsylvania Uniform Commercial Code.
The Business Law Section of the Pennsylvania Bar Association (PBA) established a