Medicare Advantage

Wound Care Under the Microscope: DOJ’s Data-Driven National Takedown Targets Fraudulent Reimbursements and Kickback Schemes

By Danielle Tangorre & Guest Contributor on August 13, 2026

Posted in Department of Justice, Fraud and Abuse, Government Enforcement, Hospitals and Health Systems, Medicare Advantage

This post is co-authored by Seth Orkand, co-chair of Robinson+Cole’s Government Enforcement + White-Collar Defense Team, and Abigail Salcedo, a 2026 Summer Associate at Robinson+Cole. Abigail is not admitted to practice law.

On June 23, 2026, the U.S. Department of Justice (DOJ) announced that it charged 11 defendants in connection with over two billion…

OIG Advisory Opinion Allows PHO Network Hospitals to Give 100% Discount on Medigap-Covered Inpatient Deductibles, with Savings Shared as a Premium Credit to Patients

By Robinson+Cole's Health Law Group on August 22, 2018

Posted in Advisory Opinions, Fraud and Abuse, Managed Care, Medicare Advantage, Medicare and Medicaid

The Office of Inspector General (OIG), Health and Human Services, issued an Advisory Opinion allowing an arrangement between a licensed offeror of Medicare Supplemental Health Insurance policies (Medigap Offeror) and a preferred hospital organization (PHO) having network hospitals across the U.S. (the “Arrangement”). Under the Arrangement, the PHO’s network hospitals would provide discounts of up…

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Medicare Advantage

Wound Care Under the Microscope: DOJ’s Data-Driven National Takedown Targets Fraudulent Reimbursements and Kickback Schemes

OIG Advisory Opinion Allows PHO Network Hospitals to Give 100% Discount on Medigap-Covered Inpatient Deductibles, with Savings Shared as a Premium Credit to Patients

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