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Foley Hoag LLP

CMS Announces ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model

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Key Takeaways: The ACCESS Model1 tests an outcome-aligned payment (OAP) approach designed to give people with Original Medicare new options to improve their health and prevent and manage chronic disease with...more

Woodruff Sawyer

Can Shareholders Just Agree Not to Sue Directors and Officers?

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In recent years, you may have seen an apocryphal quote that says something like: “There are decades when nothing happens, and years when decades happen.” For the legal frameworks that matter to D&O litigation risk—federal...more

Conyers

AM Best Finalises Updates to its Cell Company Rating Criteria: What Changed and What it Means for SPCs

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In our summer briefing we discussed global credit ratings agency AM Best’s proposal to overhaul how it rates cell company structures, including segregated portfolio companies (SPCs)....more

McDermott+

CMS releases 2027 policy and technical changes to Medicare Advantage and Part D proposed rule

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On November 25, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that puts forth policy and technical changes to the Medicare Advantage (MA) and Part D programs for 2027 and beyond....more

McDermott+

The 2027 MA and Part D proposed rule: What’s in and what’s out

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Last week, right before you enjoyed your Thanksgiving feast, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that lays out policy and technical changes to the Medicare Advantage (MA) and Part D...more

Chartwell Law

New York Finalizes Uniform Hurricane Deductible Regulations

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In 2024, the New York State Legislature directed the Superintendent of the Department of Financial Services (“DFS”) to issue regulations establishing uniform standards for the operation of hurricane deductibles in homeowners’...more

Troutman Pepper Locke

Employee Benefits and Executive Compensation Preparing for 2026 – Mandatory Roth and Optional Super Catch-Up Contributions —...

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In this installment of our Employee Benefits and Executive Compensation Preparing For 2026 series, hosts Constance Brewster and Jeff Banish walk employers through the new rules on mandatory Roth catch-up contributions and the...more

Benesch

CMS Finalizes Mandatory Ambulatory Specialty Model for Heart Failure and Low Back Pain Specialists

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On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) finalized the Ambulatory Specialty Model (ASM) in the CY 2026 Medicare Physician Fee Schedule (PFS) final rule. ...more

A&O Shearman

EIOPA Publishes New Q&A Under DORA

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The European Insurance and Occupational Pensions Authority (EIOPA) has published a Q&A under the Digital Operational Resilience Act (DORA) on the interpretation of Article 13 of Commission Delegated Regulation (EU) 2024/1774...more

Seyfarth Shaw LLP

Agencies Release 2026 Out-of-Pocket Limits and 2025 Limits for Health FSAs  

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Recently the IRS issued Rev. Proc. 2025-32 and 2025-61, announcing the cost-of-living adjustments to certain welfare and fringe benefit plan limits for 2026 and applicable dollar amounts for the remainder of 2025. 2026...more

Harris Beach Murtha PLLC

Reducing Seller Impersonation Fraud

Fraudulent transactions involving vacant properties are on the rise and are a significant source of claims for title insurance companies. While seller impersonation fraud may involve any type of real property, it is more...more

King & Spalding

CMS Issues CY 2026 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final...

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On November 21, 2025, CMS made available the Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system final rule for calendar year 2026 (the Final Rule). In the...more

Troutman Pepper Locke

Ninth Circuit Reaffirms Broad ERISA Preemption Regardless of Concurrent ERISA Claim

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On November 24, the Ninth Circuit issued an unpublished memorandum disposition in Dedicato Treatment Center, Inc. v. Aetna Life Insurance Co., affirming dismissal of an out-of-network provider’s state-law claims as preempted...more

Stikeman Elliott LLP

Regulation of Preferred Pharmacy Networks in Ontario

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Changes to the Insurance Act will create an “Any Willing Provider” framework that will require group insurance providers to allow any pharmacy to dispense drugs that it reimburses on the same terms as it offers to other...more

Epstein Becker & Green

NYDFS Cybersecurity Crackdown: New Requirements Now in Force—Are You Compliant?

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As cybersecurity breaches grow more complex and frequent, regulators are increasingly focused on organizational compliance....more

Hogan Lovells

Strengthening Intelligent (智能) Supervision of Excessive Prescription: Regulatory Update and Strategic Implications for...

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China has intensified regulatory oversight of excessive prescription practices, as evidenced by the recent notice issued by the National Healthcare Security Administration (NHSA) and the implementation of the Insurance Fraud...more

Wiley Rein LLP

Pre-Retroactive Date Conduct Forecloses Coverage for BIPA Lawsuit

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The Appellate Court of Illinois, applying Illinois law, has held that a cyber insurer had no duty to defend or indemnify its insured where the alleged misconduct occurred prior to the policy’s retroactive date. The...more

Gould + Ratner LLP

Federal Agencies Clarify Pathways for Fertility Benefits Offered by Employers

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On October 16, 2025, the Departments of Treasury, Labor, and Health and Human Services (the “Departments”) issued FAQs clarifying ways employers can offer fertility benefits in compliance with existing excepted benefits rules...more

Lowenstein Sandler LLP

SDNY Confirms $11M Award in Flextronics v. Allianz, Delivering a Major Win for Policyholders

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A recent decision from the Southern District of New York provides D&O policyholders with favorable precedent on allocation, best-efforts obligations, and insurability. In Flextronics International Ltd. v. Allianz Global...more

Tarter Krinsky & Drogin LLP

A Primer on Construction-Related Insurance Products

With increasing frequency, at Tarter Krinsky & Drogin, we find our attorneys assisting owners and developers in connection with assessing and procuring the necessary policies of insurance associated with their construction...more

Blake, Cassels & Graydon LLP

Cinq facteurs à considérer pour réduire les risques liés aux régimes de retraite

Les administrateurs de régimes de retraite sont plus que jamais à la recherche de stratégies de réduction des risques pour gérer les différents risques liés aux régimes de retraite à prestations déterminées. Dans un contexte...more

Goodwin

Health Headlines: November 2025

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Your monthly Rx for private equity, regulatory and compliance, and digital health updates....more

Sheppard Mullin Richter & Hampton LLP

Happy Holidays? CMS Contract Year 2027 Medicare Advantage and Part D Proposed Rule Has Winners and Losers

On November 25, 2025, CMS released the Contract Year (“CY”) 2027 Medicare Advantage (“MA”) and Part D proposed rule (the “Proposed Rule”). The Proposed Rule would make significant changes to the MA and Part D programs,...more

Ice Miller

Tobacco Surcharge Litigation Update

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Last year, we notified employers about recently filed class action lawsuits related to wellness programs that impose a “smoker’s surcharge” on employee health plan premiums. We are now revisiting that litigation ahead of 2026...more

McGuireWoods LLP

The Breach That Won’t Die: Navigating Post-Closing Conduct and RWI Coverage Disputes

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Representations and warranties insurance (RWI) has become a fixture in today’s M&A landscape, offering buyers and sellers a mechanism to shift risk and streamline negotiations. Yet, as the RWI market matures, certain...more

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