Articles and Blogs

NATIONAL $14.6 billion Justice Department ‘takedown’ includes allegations of healthcare, narcotics fraud in assisted living 8 Hospitals Chosen for First Cohort of Rural Hospital Stabilization Program 3 recent updates to noncompete laws A ‘perfect storm’ strains rural hospitals AHA backs bill to expand physician residencies AHA supports legislation adding 14,000 residency slots to address... READ MORE

Health care continues to drive private equity (“PE”) activity, creating opportunities for investors and traditional health care providers. Transactions in the health care space are especially complicated, layering health care regulatory and reimbursement considerations on top of a complex securities, antitrust, privacy and security framework. Hall Render’s PE team of attorneys and advisors leverage... READ MORE

On June 27, 2025, the Center for Medicare & Medicaid Innovation (“CMMI”) announced the Wasteful and Inappropriate Service Reduction (“WISeR”) Model, its latest model focused on reducing clinically inappropriate and low-value services in traditional Medicare. Unlike prior CMMI models, WISeR stands out for its exclusion of traditional health care providers, such as hospitals and... READ MORE

NATIONAL 22 state attorneys general reaffirm hospitals’ EMTALA abortion obligation following CMS’ pulled guidance 5 healthcare laws, rules taking effect July 1 20 states sue Trump administration over health data sharing 2025 is becoming the year of AI agents in healthcare 16 states sue over $1B in canceled school mental health funding ACA cuts... READ MORE

In In Re: Commitment of M.C., the Indiana Court of Appeals (the “Court”) dismissed M.C.’s appeal as moot because M.C. failed to demonstrate a particularized collateral consequence of his commitment or that the Indiana Constitution compelled the Court to hear his appeal on the merits. No. 24A-MH-1364, 2025 WL 658771 (Ind. Ct. App. Feb. 28, 2025).... READ MORE

On April 30, 2025, the Centers for Medicare and Medicaid Services (“CMS”) released the Fiscal Year 2026 Inpatient Prospective Payment System (“IPPS”) Proposed Rule (the “Proposed Rule”) containing several impactful changes to reimbursement for medical, nursing and allied health education programs at teaching hospitals. These CMS developments include: Proposing to revise the calculations for... READ MORE

The Senate passed President Trump’s “One Big Beautiful Bill,” and by the time this newsletter is published, the bill is expected to have made its way through the House. The current version of the bill, if passed, would cut roughly $1.1 trillion in health-care spending over the next decade, according to the nonpartisan Congressional... READ MORE

On June 30, 2025, the Department of Justice (“DOJ”) announced that it was combating over $14.6 billion in alleged fraud as a result of the 2025 National Health Care Fraud Takedown (“Takedown”). The Takedown is a coordinated effort led by the Health Care Fraud Unit of the DOJ Criminal Division’s Fraud section, partnering with... READ MORE

On November 27, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule (“Final Rule”) updating the Medicare Conditions of Participation (“CoPs”) for hospitals subject to 42 CFR Part 482 and critical access hospitals (“CAHs”) subject to 42 CFR Part 485. These updates establish a progressive rollout of nationwide standards for both... READ MORE

The Corporate Practice of Medicine doctrine (“CPOM”) generally prohibits non-licensed individuals from practicing medicine or employing physicians to provide medical services. Although CPOM laws vary by state, a general strategy that allows non-physician entities to be involved in health care operations without violating CPOM is to form an MSO structure (sometimes also referred to... READ MORE