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Polsinelli

A Settlement, Not a Sigh of Relief: What the FTC’s Express Scripts Deal Signals for Enforcement Risk

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The FTC’s newly announced settlement with Express Scripts marks a pivotal moment in the government’s campaign against pharmacy benefit manager pricing practices—and it should be read as more than a single-company resolution....more

Patomak Global Partners

Understanding Regulatory Attention on Private Assets and AI Across Capital Markets and Insurance

Private assets and artificial intelligence (AI) are playing an increasingly prominent role across the financial system, including in capital markets and insurance....more

Conyers

Regulatory & Risk Advisory Outlook 2026: Cayman Islands

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January 2026 opens with continued momentum across the Cayman Islands’ regulatory landscape. Following a year of material developments—including the commencement of virtual asset licensing,...more

Offit Kurman

Telehealth Access for Medicare Patients: Consolidated Appropriations Act Extends Key Policies

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Healthcare providers that rely on telehealth to serve Medicare patients can continue to do so as a result of an extension of the Medicare telehealth rules that were originally implemented during the COVID-19 Public Health...more

Troutman Amin LLP

BIG LAW BIG LOSS: AFLAC Gets Destroyed by Guy Without a Lawyer In TCPA Case After Hiring Big Law to Represent It (Terrible)

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Aww the terrible AFLAC Duck. With college football season behind us– great national championship game BTW– I probably won’t hear from that terrible annoying duck for a while....more

Phelps Dunbar

CMS Updates Pay, Price Rules and Adds New Quality Steps for 2026

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The Centers for Medicare & Medicaid Services (CMS) are required to update and publish payment policies and rates for hospital outpatient departments and ambulatory surgery centers (ASCs) annually. In November 2025, CMS...more

Shumaker, Loop & Kendrick, LLP

"How Coverage Counsel Can Drive Successful Settlements"

Mediations and settlement conferences often begin with a focus on liability and damage, but they rarely end there. In complex cases, discussions quickly shift to insurance coverage: Who is funding the settlement? Which...more

Polsinelli

Texas Regulatory Action Underscores Insurer Accountability for TPA Compliance

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Key Takeaways: A Florida-based insurer was recently fined by the Texas Department of Insurance for failing to ensure the competent administration of its programs by working with an unlicensed TPA and failing to conduct...more

Orrick, Herrington & Sutcliffe LLP

NCUA announces fifth round of deregulatory proposals

On February 10, the NCUA announced a fifth round of proposed regulatory changes under its ongoing “Deregulation Project” seeking to reduce administrative burden and eliminate duplicative requirements for federally insured...more

McDermott+

McDermott+ Check-Up: February 13, 2026

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Senate committees continue to examine fraud in federal and state programs. Discussions spanned social services, public benefits, and immigration-related enforcement....more

Orrick, Herrington & Sutcliffe LLP

Judge trims mortgage lender’s fraud suit against title insurer, allows key claims to move forward

On February 9, the U.S. District Court for the Western District of North Carolina granted in part and denied in part a title insurer’s motion to dismiss in a real estate fraud case, where a mortgage lender alleged it suffered...more

Carlton Fields

Eighth Circuit Rules That Concealment or Fraud Provision Can Bar Coverage for False Facts, Even Absent Knowledge by Insured or...

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In Hiscox Dedicated Corporate Member Ltd. v. Taylor, the Eighth Circuit Court of Appeals recently affirmed the right of an insurer under Arkansas law to void a policy based on a misrepresentation in an application, even if...more

Davis Wright Tremaine LLP

HIPAA Privacy Notice Upcoming Deadline

Employers with group health plans need to confirm that their HIPAA Privacy Notices are updated no later than February 16, 2026, to reflect changes required by the 2024 Privacy Rule....more

Morrison & Foerster LLP

Fund Finance Association 2026 Global Fund Finance Symposium: Key Takeaways from Miami

The Fund Finance Association (FFA) held its 15th Annual Global Fund Finance Symposium at the Fontainebleau in Miami Beach, Florida on February 2-4, and brought together fund managers, lenders, investors, insurers, rating...more

McCarter & English, LLP

Highlights and Shortfalls of Recent PBM Legislation

There have been a series of court cases and federal legislation targeting the spread pricing model often used by pharmacy benefit managers (PBM). Spread pricing involves two points of time in prescription drug transactions....more

Blank Rome LLP

Reimagining Employer-Sponsored Healthcare with Jack Hill of Nomi Health

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Season 2, Episode 2: Reimagining Employer-Sponsored Healthcare with Jack Hill of Nomi Health In this episode of BRight Minds in Healthcare Delivery, host Eric Tower speaks with Jack Hill, Senior Vice President of Enterprise...more

Marshall Dennehey

Ohio Supreme Court Enforces Broad Arbitration Clause in Insurance Policy, Extending to Bad Faith Claims

Marshall Dennehey on

U.S. Acute Care Solutions, L.L.C. v. Doctors Company Risk Retention Group Insurance Company, --- N.E.3d ---, 2025-Ohio-5010 (Ohio 2025) - In this medical malpractice lawsuit filed against an emergency services provider, the...more

Alston & Bird

Health Care Week in Review | Energy and Commerce Health Subcommittee Reviews the Prescription Drug Supply Chain; HHS Releases...

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Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and congressional committee action; reports, studies,...more

Rivkin Radler LLP

Renewed Federal Focus On Abuses in Home Health Industry

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Last month, Dr. Mehmet Oz, Administrator of the Centers for Medicare & Medicaid Services (“CMS”), accompanied by other CMS officials, visited with home health and hospice providers and related industry associations to discuss...more

Skadden, Arps, Slate, Meagher & Flom LLP

Bermuda Proposes New Parametric Special Purpose Insurance Class

On 21 January 2026, the Bermuda Monetary Authority (BMA) released a consultation paper (Consultation Paper) proposing the introduction of a new category of special purpose insurance called the parametric special purpose...more

Ropes & Gray LLP

The HHS Office of Inspector General Speaks: Direct-to-Consumer Discount Drug Programs under the Federal Anti-Kickback Statute

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On January 27, 2026, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) issued a special advisory bulletin applying the federal Anti-Kickback Statute to a pharmaceutical manufacturer’s offer...more

Ropes & Gray LLP

Hospital and Health Systems Reimbursement Check - February 2026

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In 2026, each state will receive a federal award through the Rural Health Transformation (“RHT”) Program, a five-year program authorized by Congress in 2025....more

Morgan Lewis - Health Law Scan

Virtual Direct Supervision Allowed for ‘Incident to’ Medicare Billing and Other Telehealth Updates

The Centers for Medicare & Medicaid Services (CMS) allows the use of real-time, two-way audio/video communications technology to satisfy the direct supervision requirement for most Medicare Part B services. This development,...more

McGuireWoods Consulting

President Trump Announces the “Great Healthcare Plan”

On Jan. 15, 2026, President Trump announced his “Great Healthcare Plan.” The plan focuses on four priority areas: lowering drug prices, lowering insurance premiums, holding big insurers accountable and maximizing price...more

Paul Hastings LLP

HM Treasury Consults on Wide-Ranging Reforms to the Appointed Representatives Regime — Implications for Principals and ARs

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HM Treasury has just published a consultation paper seeking views on proposed legislative changes to the appointed representatives (AR) regime under the Financial Services and Markets Act 2000 (FSMA). The regime, which allows...more

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