Articles and Blogs

NATIONAL 21 states sue over Trump’s attacks on gender-affirming care insurance coverage 82% of physicians work for corporate entities: 6 notes As elective surgical volumes drag in 2026, health system execs say solid demand is still in sight AMA releases CPT 2027 code set with 299 new codes, 10 for AI Bill would put... READ MORE

The U.S. Court of Appeals for the Second Circuit (the “Court”) recently ruled that a False Claims Act (“FCA”) relator can satisfy Rule 9(b) without identifying every false claim underlying an alleged fraudulent scheme—but left open whether Rule 9(b) applies to certain reverse FCA claims at all. In United States ex rel. Gallian v.... READ MORE

The U.S. Department of the Treasury (“Treasury”) and the IRS recently proposed regulations that would deny § 501(c)(3) tax-exempt status to private schools that maintain race-based admissions, scholarship or related programs. While the proposal is directed at educational institutions, the preamble contains important lessons for health care foundations and other charitable organizations managing donor-restricted... READ MORE

The Wisconsin Division of Quality Assurance (“DQA” or the “agency”) recently issued Wisconsin – 26-001, which addresses surveyor access to provider records during assisted living surveys. The guidance applies to Adult Family Homes (“AFHs”), Community-Based Residential Facilities (“CBRFs”) and Residential Care Apartment Complexes (“RCACs”). DQA’s memo confirms that providers utilizing electronic record systems must... READ MORE

On August 11, 2026, the Health Resources and Services Administration (“HRSA”) released its Health Center Program Scope of Project Policy Manual (“Scope Manual”), providing comprehensive guidance on what constitutes a health center’s approved scope of project under Section 330 of the Public Health Service Act. The Scope Manual became effective immediately upon release. Federally... READ MORE

NATIONAL $50B Rural Health Transformation Program needs more transparency, groups say 5 340B court updates to know CareCloud data breach affects 3.8M patients DOJ steps up crackdown on Medicare Advantage upcoding Express Scripts, Prime Therapeutics face more antitrust allegations HHS awards $77M for behavioral health: 9 things to know HIMSSCast: Investment in ambulatory surgery... READ MORE

The Indiana Court of Appeals (the “Court”) reversed a trial court’s temporary commitment order, holding the evidence did not clearly and convincingly establish the patient was gravely disabled. Although the evidence supported the patient suffered from mental illness and exhibited symptoms associated with a manic episode, the Court concluded the evidence did not demonstrate... READ MORE

On August 27, 2026, the Office for Civil Rights (“OCR”) at the U.S. Department of Health and Human Services (“HHS”) announced its resolution of an investigation into a California-based health care provider’s potential violation of the Health Insurance Portability and Accountability Act (“HIPAA”) Privacy Rule’s right of access provisions. This resolution brings the total... READ MORE

On May 20, 2026, the Department of Health and Human Services Office of Inspector General (“OIG”) posted a favorable opinion, AO 26-11, regarding an arrangement in which a precision oncology company (“Requestor”) offers eligible patients undergoing a colorectal cancer screening test (“CRC Screening Test”) a free supplemental report (“Supplemental Report”) to identify risk of... READ MORE

On August 27, 2026, the Centers for Medicare & Medicaid Services (“CMS”) announced that the moratorium on accepting Medicare supplier enrollment applications for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (“DMEPOS”) suppliers, which went into effect on February 27, 2026, has expired. The National Provider Enrollment Contractors are once again accepting initial enrollment applications... READ MORE