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California Enacts SB 351: New Restrictions on Private Equity and Hedge Fund Involvement in Physician and Dental Practices

On October 6, 2025, after multiple rounds of amendments, California Governor Gavin Newsom signed into law Senate Bill 351 (SB 351), a significant measure that strengthens restrictions on the corporate practice of medicine...more

CMS Announces “WISeR” Model: New Prior Authorization Pilot Targeting “High-Risk” Medicare Part B Services

On June 27, 2025, the Centers for Medicare & Medicaid Services (“CMS”) announced the introduction of the Wasteful and Inappropriate Service Reduction (“WISeR”) Model, a six-year Medicare Part B pilot program that will...more

HHS OIG Flags Explosive Part B Spending on Skin Substitutes Signaling Heightened Fraud, Waste, and Abuse Risk and Imminent Payment...

On September 5, 2025, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Office of Evaluation and Inspections (OEI) released a Data Snapshot (OEI-BL-24-00420) finding that Medicare Part B...more

CMS Proposes Overhaul of Skin Substitute Reimbursement Policy Beginning January 2026 - Implications for Providers, Manufacturers,...

On July 16, 2025, the U.S. Department of Health and Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS) published its CY 2026 Medicare Physician Fee Schedule (PFS) Proposed Rule, which includes a sweeping...more

DOJ and HHS Launch Joint False Claims Act Working Group: Heightened Enforcement Risk Ahead for Healthcare and Government-Funded...

The U.S. Department of Justice (DOJ) and the U.S. Department of Health and Human Services (HHS) have formed a new False Claims Act (FCA) Working Group, according to a joint announcement issued by DOJ on July 2, 2025....more

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