Articles and Blogs

NATIONAL 5 new things to know about the No Surprises Act: GAO report Amazon expands Health AI beyond the One Medical platform Amazon launches health AI agent on its website, expands free virtual care to 200M Prime members Big Pharma Gets Win in RFK Jr. Vaccine Pause, Unsure If It Lasts Bipartisan bill introduced... READ MORE

The Tenth Circuit recently issued two companion decisions confirming the Occupational Safety and Health Administration’s (“OSHA”) authority to cite employers for workplace violence hazards under the General Duty Clause of the Occupational Safety and Health Act, 29 U.S.C. § 654(a)(1) (“General Duty Clause”). In both cases, the Tenth Circuit upheld OSHA’s enforcement actions and the... READ MORE

Once again, 2025 was a busy year for health care data privacy. Ensuring up-to-date and compliant data privacy and security programs and being able to assess, understand and adapt to the risk of evolving technologies will remain critically important in 2026. We continue to await updated regulations under both the Health Insurance Portability and... READ MORE

On March 11, 2026, the Centers for Medicare & Medicaid Services (“CMS”) issued a Quality, Safety & Oversight (“QSO”) memorandum and related updates to the State Operations Manual (“SOM”) interpretive guidance clarifying and reinforcing existing responsibilities of organ procurement organizations (“OPOs”) and donor hospitals throughout the organ donation process. While the memorandum largely reiterates... READ MORE

NATIONAL 84% of primary care providers say they have key role in mental healthcare: Survey Aetna to pay $118M to settle Medicare Advantage upcoding claims A.I. Chatbots Want Your Health Records. Tread Carefully. Epic sued over claims MyChart fragments patient medical records Federal Medicaid fraud probe spreads to 10 states FDA vaccine chief to... READ MORE

The U.S. Department of Health & Human Services Office of Inspector General (“OIG”) has long been the north star for health care entities seeking guidance on creating and implementing an effective compliance program. As the author of the General Compliance Program Guidance (“GCPG”), OIG has used its years of investigative and oversight experience with... READ MORE

The Centers for Medicare and Medicaid Services (“CMS“) issued a wide-ranging Request for Information (“RFI”) on February 26, which could reshape current program integrity efforts to prevent and detect fraud, waste and abuse in government health care programs. CMS, under its new Comprehensive Regulations to Uncover Suspicious Healthcare (“CRUSH”) initiative, is seeking stakeholder input... READ MORE

NATIONAL 8 “Cs” drive physician buy-in to high-value patient care 14 payers recently fined by states Aetna fined $550K for mental health parity violations AHA warns of Cisco cybersecurity vulnerability AMA creates new maternity care coding system Amazon launches Amazon Connect Health Amid fast-moving Medicaid changes, CMS vet offers providers and states advice Antikickback... READ MORE

UPDATE: March 10, 2026 – The dispute between Novo Nordisk (“Novo”) and Hims & Hers (“Hims”) appears to have been resolved very quickly. On March 9, the companies announced an agreement allowing Hims to offer FDA-approved Wegovy® and Ozempic®, including the recently released tablets, through its telehealth platform at the same self-pay prices as... READ MORE

Congress recently enacted the Consolidated Appropriations Act of 2026, which includes new Medicare conditions of payment for off-campus hospital outpatient departments. Beginning January 1, 2028, Medicare payments will not be made for items and services furnished by an off-campus department unless the hospital satisfies new requirements related to location-specific National Provider Identifiers (“NPIs”) and... READ MORE