Articles and Blogs

The results of the 2026 National Health Care Fraud Takedown (the “Takedown”) were announced on June 23, 2026; the Department of Justice (“DOJ”) charged 455 individuals in connection with alleged health care fraud schemes involving over $6.5 billion in false claims. Ninety of the charged individuals were physicians or other medical professionals. The Takedown,... READ MORE

Earlier this year, Congress enacted Section 6225 of the Consolidated Appropriations Act, 2026 (“CAA”), establishing a new Medicare condition of payment for off-campus hospital outpatient departments beginning January 1, 2028. As discussed in our prior alerts (here and here), the statute generally prohibits Medicare payment for services furnished by an off-campus hospital outpatient department... READ MORE

New York’s Medical Aid in Dying Act (“MAID Act”), introduced in the New York Senate in January 2025 and amended, in part, by the State Assembly in February 2026, will take effect on August 5, 2026, creating a new statutory pathway for qualifying terminally ill adults to request and self-administer medication to end their... READ MORE

On Monday, June 22, 2026, the U.S. Department of Health and Human Services (“HHS”) announced Operation TrialBlazer, a coordinated department-wide initiative aimed at promoting clinical research leadership and engagement in the United States. The initiative emphasizes the growth of early-stage clinical research overseas, with HHS acknowledging the threat to “America’s position as a global... READ MORE

National 20 largest healthcare data breaches reported in 2026 so far 4 healthcare laws, rules taking effect July 1 26 states sue CMS over final Medicaid work requirements rule AHA comments on legislation adding reporting requirements for nonprofit hospitals American Hospital Association taps Steve Walsh as next CEO Clinicians’ compensation rose 4.3% across 2025:... READ MORE

Buried in the July 1, 2026, proposed rule for the Home Health Prospective Payment System (“Proposed Rule”), the Centers for Medicare & Medicaid Services (“CMS”) proposed changes to provider enrollment and a provider’s ability to obtain and maintain Medicare billing privileges. Notably, the changes to provider enrollment regulations at 42 CFR Part 424, Subpart... READ MORE

In two recent civil antitrust complaints, the Antitrust Division of the U.S. Department of Justice (“DOJ”) alleged that hospital systems used payer contracting provisions—so‑called steering restrictions that require hospitals to be included in nearly all of an insurer’s commercial networks at the most favored level of benefits—to restrict health insurers’ ability to offer narrow... READ MORE

The U.S. Department of Health and Human Services (“HHS”) Office of Inspector General (“OIG”) has issued a meaningful Request for Information (“RFI”) seeking stakeholder input on potential new or modified Anti-Kickback Statute (“AKS”) regulatory safe harbors and Beneficiary Inducements Civil Monetary Penalty (“CMP”) exceptions for remuneration to clinical trial participants. The RFI was published... READ MORE

National 1.4 million patients, 7 health systems caught in AI company data breach 4 hospital groups call for federal action as Eli Lilly strips 340B discounts AHA files amicus brief in case challenging HHS, CMS on provider taxes AMA overhauls maternity care billing codes for 2027 Amazon One Medical faces proposed class-action lawsuit over... READ MORE

The Gap Between FDA Authorization and Medicare Coverage In April 2026, the Centers for Medicare & Medicaid Services (“CMS”) and the U.S. Food and Drug Administration (“FDA”) announced a proposed initiative, the Regulatory Alignment for Predictable and Immediate Device (“RAPID”) pathway, intended to expedite Medicare coverage of certain Class II and Class III devices... READ MORE