Articles: 1-10 of 111
The “Break Up Big Medicine Act”: Potential Impacts for Healthcare Investors
USA - February 26 2026 A newly-introduced Senate Bill called the “Break Up Big Medicine Act” proposes a federal prohibition on both new and existing common ownership or…
OIG’s Fall 2025 Semiannual Report to Congress Signals Key Regulatory Enforcement and Compliance Priorities
USA - February 10 2026 On January 21, 2026, the Office of Inspector General (“OIG”) for the U.S. Department of Health and Human Services (“HHS”) submitted its Fall 2025…
Sign‑On Bonuses to Employees: OIG Warns of Heightened Risk
USA - January 28 2026 The Office of Inspector General (“OIG”) recently issued Advisory Opinion 25‑12 (“the Opinion”), which addresses a home care agency’s plan to…
No Surprises Here! Air Ambulance Providers Petition Supreme Court to Review Fifth Circuit’s No Surprises Act and ERISA Standing Decision
USA - December 29 2025 In another development in the ongoing litigation over the enforceability of Independent Dispute Resolution (“IDR”) awards issued under the No…
No Surprises Here! Shareholder Derivative Lawsuit Challenging Provider Use of No Surprises Act IDR Process Portends New Corporate Governance Risks
USA - October 6 2025 On September 8, 2025, a shareholder of Nutex Health, Inc. (“Nutex”) filed a derivative action in the Southern District of Texas that places the No…
No Surprises Here! New York and Florida Courts Reject Provider Suits to Enforce NSA IDR Awards, Heightening Pressure for Appellate Review
USA - September 15 2025 In a pair of recent back-to-back rulings, Federal district courts in Florida and New York have held that the No Surprises Act (“NSA”) does not permit…
No Surprises Here! Payers Push Back on IDR Submissions, Opening New Front in NSA Implementation Landscape
USA - July 23 2025 On May 27, 2025, Blue Cross Blue Shield Healthcare Plan of Georgia (“BCBSGA”) sued several emergency physician groups and their billing agent, Halo…
DOJ Targets Gender‑Affirming Care under FDCA and FCA: Scrutinizes Off‑Label Drug Use and False Diagnosis Codes
USA - July 16 2025 Last month, the United States Department of Justice (“DOJ”) issued its “Civil Division Enforcement Priorities” memorandum, memorializing a shift from…
No Surprises Here! Fifth Circuit Holds NSA Provides No Private Right of Action to Enforce IDR Awards, Deepening Judicial Divide on Award Enforcement Mechanisms
USA - June 30 2025 In a recently issued opinion, the Fifth Circuit has added yet another chapter to the growing debate over whether providers may seek judicial…
No Surprises Here! Connecticut District Court Confirms IDR Awards Are Enforceable Under the NSA, Deepening Judicial Divide Over Award Enforcement Mechanisms
USA - June 12 2025 The U.S. District Court for the District of Connecticut has become the latest court to weigh in on whether Independent Dispute Resolution (“IDR”)…
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