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Marshall Dennehey

NJ Workers' Compensation Legislation Update

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A couple more bills were introduced for the 2026-27 session. Any updates since February have been highlighted in bold....more

Baker Donelson

CMS Finalizes Federal IDR Operations Rule: Key Changes to the No Surprises Act Dispute Resolution Process for Providers

Baker Donelson on

The U.S. Departments of Health and Human Services, Labor, and Treasury (the "Departments") and the Office of Personnel Management released a Final Rule on May 28, 2026, significantly restructuring the Federal Independent...more

Stotler Hayes Group, LLC

Medicaid MythBusters: What’s Fact, What’s Fiction, and What It Means for You

Medicaid is an essential source of health coverage for millions of Americans, but it is also widely misunderstood. Misconceptions about who qualifies, what services are covered, and how Medicaid affects personal assets can...more

Herbert Smith Freehills Kramer

Resilient Infrastructure - When infrastructure breaks down

How legal, financial and stakeholder pressures shape outcomes - Infrastructure failures are rarely simple. When failure occurs, attention shifts from anticipating risk to managing consequences. It is that response which...more

Herbert Smith Freehills Kramer

'A huge education piece is needed' - The role of insurance in financing and infrastructure resilience

With the scope to combine historical knowledge and data with innovation, the insurance industry has an under-utilised role ensuring assets survive environmental and political change - As part of our Resilient...more

Goldberg Segalla

New York Third Department Revisits PEO Coverage Disputes

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As we have discussed in prior updates, the law surrounding workers’ compensation coverage disputes involving Professional Employer Organizations (PEOs) continues to evolve. The New York Third Department’s recent decision in...more

Ogletree, Deakins, Nash, Smoak & Stewart,...

World Cup Fever at Work: Does German Workers’ Compensation Cover Injuries During Staff Soccer?

Germany’s Hanover Social Court (Sozialgericht Hannover) ruled on April 16, 2026 (Ref. No. S 22 U 120/25, not yet final) that a torn cruciate ligament sustained during an employer‑organized soccer tournament was not a...more

Kennedys

A ‘sting’ in the tail: courts close in on insurance cover for civil penalties

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A recent judgment against the CEO of oil and gas supplier Qteq for cartel conduct becomes the latest example of regulators seeking to prevent directors and officers from turning to their insurance to pay their civil penalty,...more

Kennedys

UAE Civil Code 2026: liquidated damages in construction

Kennedys on

The new UAE Civil Code - Federal Decree-Law (No. 25 of 2025) - effective from 1 June 2026, represents the most wide-ranging changes in decades. This bulletin addressing changes to the provisions of the Code dealing with...more

McCarter & English, LLP

New Jersey 2025 Regulatory Updates: Part 3

Part 3 of our 2025 New Jersey Regulatory Update highlights additional recently adopted rules and amendments impacting healthcare providers, long-term care facilities, residential operators, and licensed professionals. These...more

Wiley Rein LLP

Release of Insured in Bankruptcy Bars Coverage for Later Judgment

Wiley Rein LLP on

In a declaratory judgment action, the U.S. District Court for the Middle District of Georgia held that an insurer had no obligation to indemnify an insured for a post-bankruptcy state court judgment where the claimants had...more

Ropes & Gray LLP

Hospital and Health Systems Reimbursement Check - June 2026

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For many hospitals, off-campus provider-based facilities have long served as a vehicle for expanding access to care, achieving operational and clinical integration of services, and supporting eligibility for programs such as...more

Kennedys

Novitas Loans Limited v AmTrust Specialty Limited [16.03.26]: What does this mean for law firms and their insurers?

Kennedys on

Law firms specialising in volume consumer litigation face increasing challenges due to rising costs and stricter regulatory requirements. Of the 129 regulated firms in England and Wales pursuing these claims, 76 were under...more

Cozen O'Connor

AG James Multistate Coalition Secures $36.5 Million from CVS in Medicaid Fraud Settlement

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New York AG Letitia James has joined a bipartisan coalition of 36 AGs, and the United States Department of Justice (DOJ) has secured a $36.5 million settlement from CVS Pharmacy Inc (CVS) for fraudulently overbilling Medicaid...more

Morgan Lewis - Health Law Scan

CMS Proposes Significant Limits on Medicaid State Directed Payments

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would significantly limit Medicaid managed care State Directed Payments (SDPs) and certain fee-for-service payments. These changes seek to...more

JAMS

12 Ways to Help You “Win” at Your Next Mediation

JAMS on

Whether you're representing a plaintiff, defendant, business owner or insurer, thoughtful preparation can significantly increase the likelihood of a successful outcome. The following checklist highlights 12 practical ways to...more

Sheppard, Mullin, Richter & Hampton LLP

Why Insurance Transactions Fail: A Structural Analysis of Regulatory, Licensing, and Operational Risk

Insurance and insurance-adjacent transactions—particularly those involving managing general agents (MGAs), program administrators, third-party administrators (TPAs), brokers, and insurtech platforms—do not typically fail...more

Ogletree, Deakins, Nash, Smoak & Stewart,...

Final IDR Rules Could Give Employers Some Relief, Eventually

Employers frustrated by the rising costs of out-of-network claims covered by the No Surprises Act may have some relief on the horizon under final regulations for the Independent Dispute Resolution (IDR) system published June...more

Bass, Berry & Sims PLC

No Surprises in Dispute Resolution: Final Rule Improves IDR Process for Providers

Bass, Berry & Sims PLC on

On May 28, the Departments of Health and Human Services (HHS), Labor and the Treasury (collectively, the Departments), along with the Office of Personnel Management, released a final rule updating the federal Independent...more

Parker Poe Adams & Bernstein LLP

OIG Guidance Warns Physician Practices of Compliance Risks Associated With Medicare Advantage Plan

The U.S. Department of Health and Human Services Office of Inspector General (OIG) updated its compliance guidance for the Medicare Advantage program in a February 2026 Industry Segment-Specific Compliance Program Guidance...more

Akin Gump Strauss Hauer & Feld LLP

FDA Issues Draft Guidance on Payor Communications to Address Statutory Changes

On June 2, 2026, the U.S. Food and Drug Administration (FDA) issued draft guidance on how drug and device companies may communicate health care economic information (HCEI) with payors (e.g., health insurance companies),...more

A&O Shearman

ESAs 2025 report on major ICT-related incidents

A&O Shearman on

The European Supervisory Authorities (the European Banking Authority, the European Insurance and Occupational Pensions Authority and the European Securities and Markets Authority) have published their first annual report on...more

Mintz - Health Care Viewpoints

Clover Health Decision Raises Significant Questions for CMS Star Ratings Framework

On May 27, 2026, Judge Wood (S.D. Ga.) issued a summary judgment decision in Clover Ins. Co. v. Dep’t of Health and Human Servs., 2:25-cv-00142 (S.D. Ga.) addressing the methodology used by CMS to calculate Medicare Advantage...more

ArentFox Schiff

Proposed Health Care Supports in the 2027 DC Budget

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The 2027 DC budget proposes substantial investments in health care access, behavioral health services, and public health infrastructure across the District of Columbia. Nearly four in 10 DC residents depend on Medicaid, the...more

ArentFox Schiff

Pay(or) Attention, Drug and Device Makers: FDA’s New Guidance for Talking to Health Plans

ArentFox Schiff on

On June 3, the US Food and Drug Administration (FDA) released a revised draft guidance on what drug and device manufacturers can say to health insurers, pharmacy benefit managers (PBMs), formulary committees, and similar...more

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