Bipartisan Bill Seeks To Strengthen Oversight Of Medicare Advantage
Lawmakers introduced the Medicare Advantage Improvement Act of 2026 to tighten prior authorization rules, boost transparency, and curb practices that delay care.
AMA Calls On Congress To Improve Safeguards For AI Mental Health Chatbots
The American Medical Association is urging Congress to add safeguards for AI mental health chatbots amid safety concerns, while noting their potential to expand access.
Legal Is Changing. And NeoSummit Is Where The Future Is Being Built.
Legal and operational leaders are gathering May 6–7 in Fort Lauderdale to confront the questions the industry hasn't answered—with a keynote from Amanda Knox setting the tone.
How The DOJ Is Tackling Fraud In The ACA Marketplace
At the Medicarians Conference, Ricardo Carcas, assistant special agent in charge of the Office of Investigations, discussed cases of fraud in the ACA and how the DOJ is combatting it.
Policy Expert Believes CMS Is Taking ‘Adversial Posture’ To Medicare Advantage
A consultant who has analyzed healthcare policy over many decades declares that MA is in the middle of a fundamental reset both in terms of market headwinds and federal scrutiny.
Heartflow Sues Cardiac AI Rival Cleerly Over Alleged IP Theft
HeartFlow, which makes AI tools to analyze cardiac images, sued its rival Cleerly, alleging infringement on six patents. Cleerly is pushing back.
New Bill Seeks To Lower Out-Of-Pocket Drug Costs
Rep. Greg Murphy introduced a bill that would require out-of-pocket prescription drug spending to count toward patients’ deductibles and out-of-pocket maximums regardless of where the drugs are purchased.
LexisNexis Practical Guidance Rolls Out Dedicated Practice Area for AI & Technology
The new generation of AI-related legal issues are inherently cross-disciplinary, implicating corporate law, intellectual property, data privacy, employment, corporate governance and regulatory compliance.
Biglaw Associate Donates Kidney To Partner In Remarkable Act Of Generosity
The lawyers had never met before, which makes this story all the more touching.
‘A Significant Assault On Our Health’: Healthcare Policy Leaders Condemn Trump’s Budget Proposal
President Donald Trump’s 2027 budget proposes deep healthcare cuts, raising concerns about harm to patients and research.
Inside The DOJ’s Hospital Contracting Crackdown: What Message Are The Feds Sending?
The cases mark a broader push by regulators to scrutinize how health systems use 'all-or-nothing' contracts to shape insurance networks and patient access.
Jefferson Health Sues Aetna As Providers’ Frustration With MA Grows
The case highlights a broader clash between providers and Medicare Advantage plans over 'downcoding' short hospital stays and controlling costs.
Has Legal Industry Upheaval Changed Your Career Goals?
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Why 131 Hospitals Are Suing HHS Over Alleged Underpayment
A group of 131 hospitals has sued HHS over a CMS policy they say improperly reduces Medicare disproportionate share hospital (DSH) payments. The lawsuit is the latest in a decade-long legal battle over how the agency counts patient days and calculates payments for safety net hospitals.
The Drug Companies Avoiding Trump’s Tariffs — For Now
Generic medicines face no tariffs, though the Trump administration reserves the right to revisit that in the future. Some branded drugmakers face a reduced tariff rate, but that could change if they don’t reach a so-called most-favored nation drug price deal.
DOJ Cracks Down On Unfair Contracts With New Lawsuit Against NewYork-Presbyterian
The Department of Justice filed an antitrust lawsuit against NewYork-Presbyterian, alleging the hospital used ‘all-or-nothing’ contracts that blocked lower-cost plans and limited competition.
‘This Is Crazy’: Health Experts Call For Changes To The No Surprises Act
Industry leaders say the No Surprises Act is protecting patients from surprise bills, but its Independent Dispute Resolution system is being overused and exploited, driving up costs and prompting calls for reform.
Could There Be A ‘Soft Opening’ Of H.R. 1 Medicaid Changes?
Experts are split on whether H.R. 1 Medicaid changes in 2027 will roll out gradually or on schedule.