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Cooley LLP

Will TEMPO Accelerate Your Market ACCESS and Reimbursement? FDA’s New Pilot Program Offers Enforcement Discretion for Certain...

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In a move aimed at tying reimbursement to patient outcomes, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced the “Advancing Chronic Care with Effective Scalable Solutions” (ACCESS) model, a...more

Bradley Arant Boult Cummings LLP

Relationship Limits: 11th Circuit Reins in Scope of “Relating To” in Insurance Policy Exclusions

Insurers often rely on introductory phrases in exclusions, such as the phrase “relating to,” to expand the scope of exclusions beyond all reasonable bounds. The Eleventh Circuit recently reaffirmed that insurance exclusions —...more

Cohen Seglias Pallas Greenhall & Furman PC

Surviving Spouse's Checklist

Losing a spouse is an overwhelming experience, and the practical tasks that follow can feel especially daunting. While every estate is different, having a clear roadmap of what to address and when can help you stay organized...more

Quarles & Brady LLP

Countdown to 2026: New Year Changes in Telehealth Impacting Medicare Providers

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The manner in which services are provided via telehealth has the potential to look very different for healthcare providers—particularly those providing services to Medicare patients—in 2026. As 2025 draws to a close, the...more

Jones Day

Commissioner's National Priority Voucher Program and Coverage Considerations

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On June 17, 2025, FDA Commissioner Marty Makary launched a new priority review pilot program intended to accelerate FDA review for drug and biologic companies supporting U.S. national interests. Specifically, the...more

ArentFox Schiff

Investigations Newsletter: DOJ Once Again to Corporate Community: White Collar Criminal Enforcement Not Slowing Down

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DOJ Once Again to Corporate Community: White Collar Criminal Enforcement Not Slowing Down - On December 9, at the Practising Law Institute White Collar Crime symposium in New York City, New York, Acting Chief Counselor of...more

Troutman Pepper Locke

Colorado Law Adopting Uniform Utilization Review Standards for Behavioral Health Treatment Goes into Effect January 1, 2026

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Colorado House Bill 25-1002, effective January 1, 2026, amends Colorado Revised Statutes § 10-16-104(5.5) to require health benefit plans to use nationally recognized, not-for-profit clinical criteria when making coverage and...more

Troutman Pepper Locke

December 2025 Developments in the Insurance Industry

Troutman Pepper Locke on

Please take note of the following December 2025 developments in the insurance industry. •NAIC Elections: On December 11, 2025, the National Association of Insurance Commissioners (NAIC) elected the following chief state...more

Troutman Pepper Locke

Demystifying Surplus Lines Group Insurance

Troutman Pepper Locke on

In this episode, John and Zachary unpack one of the hottest regulatory topics in surplus lines: group insurance. Learn how affiliated and unaffiliated groups are treated under the NRRA, why “home state” determination drives...more

Epstein Becker & Green

The Next Chapter of Medicare Advantage and Part D: Key Takeaways from the 2027 Proposed Rule

Epstein Becker & Green on

On November 25, 2025, the Centers for Medicare & Medicaid Services (CMS or the “Agency”) released the 2027 Medicare Advantage and Part D Proposed Rule (the “Proposed Rule”)....more

Haynes Boone

Insuring Equality: Three Tips for Preserving Coverage for DEI Enforcement Actions

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At the beginning of this year, the Trump administration issued a series of executive orders rewriting federal policy on employment programs addressing diversity, equity and inclusion (DEI). Executive orders 14151 and...more

Morgan Lewis - ML Benefits

Clearing the Smoke: Insights from the Williams v. Bally’s Tobacco Use Surcharge Dismissal

In Williams v. Bally Management Group, LLC, the US District Court for the District of Rhode Island became the first court to grant a motion to dismiss in a class action challenging Bally Management Group’s (Bally) tobacco...more

Bricker Graydon LLP

Year-end Tax Challenges for Benefits While on Leave

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We get questions on administering benefits for employees on approved leaves year-round. But with the new year approaching, it is important to understand the tax issues affected by your administration of group health plan...more

Zelle  LLP

I Missed the Northern Lights Again, But the Insurance Industry Should Be Watching Carefully

Zelle LLP on

On November 11 at 9:18 p.m., my phone erupted with the dings of incoming text messages advising me to go outside and “look north.” Those texts were soon followed by photos of the brilliant night sky above my small...more

Nelson Mullins Riley & Scarborough LLP

New Bipartisan Bill Seeks to Expand Medicare ACO Assignment Rules

U.S. Senators Sheldon Whitehouse (D-RI) and John Barrasso (R-WY) have introduced bipartisan legislation to expand access to high-quality, coordinated health care. The ACO Assignment Improvement Act aims to increase...more

McDermott+

Healthcare Preview for the Week of: December 15, 2025

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Republican leaders in the House released the text of their latest healthcare legislation, which would not extend the advanced premium tax credits (APTCs) that are set to expire on December 31, 2025....more

Fishman Haygood LLP

California Court Certifies Narrow Class for Damages Under ERISA and RICO Related to Inflated Balance-Billing Practices

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The U.S. District Court for the Northern District of California recently certified a narrow damages class under ERISA and RICO in L.D. v. United Behavioral Health, a case involving allegations of inflated balance-billing...more

Wiley Rein LLP

Court Upholds 100% Allocation Based on Insured’s “Best Efforts” and Insurer’s Failure to Meet “Relative Exposure” Burden

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The United States District Court for the Southern District of New York, applying New York law, upheld an arbitration award allocating 100% of amounts incurred jointly by insured individuals and non-insured entities to covered...more

Robinson+Cole Data Privacy + Security Insider

Cyber Insurer Offers Product for Deepfakes

Deepfakes continue to be problematic for organizations and individuals. They are hard to detect and hard to respond to when used in an attack against a company....more

Herbert Smith Freehills Kramer

NAIC Addresses Risk Transfer Criteria For Combination Life Reinsurance Contracts

In a closely followed development, the National Association of Insurance Commissioners (NAIC) has adopted rules governing when a life reinsurance contract combining both yearly renewable term (YRT) and coinsurance components...more

Wiley Rein LLP

Insurer Liable for Pollution Settlement After Denial of Defense Based on Extrinsic Evidence in Clean Water Act Suit

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The United States District Court for the Western District of Washington, applying Washington state law, has held that an environmental liability insurer breached its duty to defend in bad faith by relying on extrinsic...more

Wiley Rein LLP

Payroll Overpayments Were Not “Necessarily Incurred” and Thus Not Extra Expense Under Cyber Policy

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An Illinois Appellate Court, applying Illinois law, has held that an insured’s payroll overpayment following a ransomware attack on the insured’s payroll service provider was not “necessarily incurred,” such that coverage was...more

Shumaker, Loop & Kendrick, LLP

"Florida Targets AI Risks: Consumer Rights and Infrastructure Accountability"

Florida Governor Ron DeSantis has unveiled an ambitious proposal to establish an Artificial Intelligence Bill of Rights and to curb public subsidization of hyperscale AI data centers. Against the backdrop of a national debate...more

DLA Piper

How the insurance arbitrator is affecting product documentation – news from IVASS

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On 3 December 2025, the Italian Insurance Regulatory Authority (IVASS) published Order no. 163/2025. It introduces new information obligations for insurance companies and intermediaries regarding their precontractual...more

Conyers

Conyers Coverage Issue 14 – Winter Edition 2025

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Welcome to the Winter edition of our Conyers Coverage newsletter. As always, we are pleased to bring you a jam-packed edition with timely legal and regulatory insights and details on industry developments from the Cayman...more

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