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In 2002, Medicare started using the concept of the “never event” ' events that occur in a medical facility that are considered preventable and of concern to the public. As the idea evolved and expanded, Medicare decided that it would not pay for care and treatment related to never events. The concept has since found its way into the Affordable Care Act and related legislation.
Now, medical malpractice practitioners are questioning whether the presence or absence of never events, and their related payment issues, is admissible into evidence at trial. What is the current state of the law, and what issues can we anticipate will come up in the future?
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The DOJ's Criminal Division issued three declinations since the issuance of the revised CEP a year ago. Review of these cases gives insight into DOJ's implementation of the new policy in practice.
The parameters set forth in the DOJ's memorandum have implications not only for the government's evaluation of compliance programs in the context of criminal charging decisions, but also for how defense counsel structure their conference-room advocacy seeking declinations or lesser sanctions in both criminal and civil investigations.
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