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Polsinelli

OIG’s New Medicare Advantage Program Compliance Guidance: What Providers Need to Know

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Key Takeaways - OIG’s new Medicare Advantage Industry Segment-Specific Compliance Program Guidance (MA ICPG) highlights major compliance risk areas and provides practical guidance for MA plans and other parties....more

Akerman LLP - Health Law Rx

The No Surprises Act: Key Developments to Watch in 2026

As the No Surprises Act (NSA) enters 2026, federal agencies are expected to focus on three key issues: finalizing delayed rulemaking, issuing guidance to address operational challenges in the Independent Dispute Resolution...more

Morgan Lewis - Health Law Scan

Medicare Advantage Agent and Broker Agreements: 2025 in Review

2025 was an important year for Medicare Advantage (MA) plans that pay state-licensed agents and brokers to market their plans and engage in lead generation, subject to complex federal regulations. As we previously discussed...more

Conyers

Key Insurance Regulatory Updates

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We are only a few weeks into the start of 2026 and already there are new and important updates relevant to certain stakeholders operating in Bermuda’s insurance and reinsurance industry....more

Bass, Berry & Sims PLC

From 1999 to Prime Time: OIG Revamps Medicare Advantage Guidance for Today’s—and Tomorrow’s—Evolving Market

On February 3, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued new Medicare Advantage Industry Segment-Specific Compliance Program Guidance (MA ICPG) for the MA industry and...more

Allen Matkins

California Environmental Law & Policy Update 2.6.26

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State legislation proposed this week, known as Senate Bill 982, the Affordable Insurance Recovery Act, would authorize California’s attorney general to sue fossil fuel companies to recover losses from climate-induced...more

Carlton Fields

Sixth Circuit Rules Against Nonprofit Organization in Insurance Dispute Over Replacement Cost of Outdated Building

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The Sixth Circuit Court of Appeals recently affirmed summary judgment in favor of an insurance carrier regarding a coverage dispute over the replacement cost of a building....more

DLA Piper

CMS proposes to exclude unlinked diagnoses from Medicare Advantage risk adjustment: An opportunity for plan-provider value-based...

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The Centers for Medicare & Medicaid Services (CMS) published its “Advance Notice of Methodological Changes for Calendar Year (CY) 2027 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies” on...more

Epstein Becker & Green

OIG Greenlights Cost-Sharing Waiver for Commercially Insured Patients

On January 16, 2025, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) posted Advisory Opinion 26-01, offering clarity as to whether a manufacturer may waive patient cost-sharing amounts for...more

Alston & Bird

President Signs 2026 Spending Package to End Brief Shutdown; Trump Administration Launches TrumpRX

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On February 2, 2026, the Health Resources and Services Administration (HRSA) released a request for public comment entitled, Request for Public Comment on the Updated Criteria for Determining Maternity Care Health...more

Goodwin

FDIC Rescinds Enhanced Digital Signage Requirements

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In January 2026, the Federal Deposit Insurance Corporation (FDIC) revised its digital-signage requirements, relaxing the guidelines that dictate where and how FDIC-insured labeling must appear online....more

Cozen O'Connor

Court Says Ensuing Loss Requires More Than Increased Susceptibility

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In Stella Property Development and Event Production, LLC v. Auto-Owners Insurance Company, 2026 WL 221489 (W.D. Pa. 2026), the United States District Court for the Western District of Pennsylvania denied summary judgment as...more

Tucker Arensberg, P.C.

Reminder: HIPAA Notices of Privacy Practices Must Be Updated By February 16, 2026

As we move closer to the February 16 deadline, this is a reminder for HIPAA covered entities to confirm they are on track to update their Notice of Privacy Practices (“NPP”) to comply with the finalized federal requirements...more

Foley & Lardner LLP

Medicare Advantage: New OIG Compliance Guidance Has Implications for Providers

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On February 3, 2026, the U.S. Department of Health & Human Services, Office of Inspector General (OIG), published the long-awaited Medicare Advantage Industry Segment-Specific Compliance Program Guidance (Medicare Advantage...more

Mintz - Health Care Viewpoints

Congress Passes Landmark PBM Reform in 2026 Spending Bill

On February 3, 2026, Congress passed – and the President signed – the Consolidated Appropriations Act, 2026 (2026 CAA). The legislation includes a long‑anticipated and far‑reaching package of PBM reforms. These reforms draw...more

Mintz - ML Strategies

2026 US Health Care Policy Outlook: Affordability Pressures, TrumpRx, and ACA Uncertainty

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Health care policy will be at the center of Washington’s agenda in 2026. The midterm elections this November are already shaping the federal landscape and influencing Congress’s priorities. Affordability remains a top voter...more

Ankura

[Webinar] What’s Next for Venezuela: Political, Economic, and Energy Outlook Live Executive Briefing | Panel Discussion & Q&A -...

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As political and policy decisions in Caracas begin to materially influence U.S. policy, regional stability, global energy markets, and private‑sector engagement, organizations with exposure to Venezuela and the broader Latin...more

Haynes Boone

When “Skin in the Game” Meets Uninsurable Risk: Rethinking “Knock-for-Knock” Carve Outs

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In the offshore oil and gas sector, procurement contracts have long served as sophisticated risk management tools designed to promote commercial certainty by clearly defining parties’ obligations and allocating risks in a...more

Nossaman LLP

Key Takeaways from the California Public Utilities Commission SB 254 Wildfire Report

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The California Public Utilities Commission (Commission) recently issued its Senate Bill 254 Information and Recommendations (Report) in response to Executive Order N-34-25 and the recent Senate Bill 254 (Becker, 2025) (SB...more

Saul Ewing LLP

The Friday Five: Five ERISA Litigation Highlights - February 2026

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This month’s Friday Five explores decisions reviewing what evidence is necessary to prove that a condition like long COVID is “sufficiently disabling”, what standard of review applies to benefits under FEGLI, whether an...more

Weber Gallagher Simpson Stapleton Fires &...

Not Our Week: Three NY Third Dept. Decisions, All Headwinds for the Defense

Two new 3rd Dept. workers’ compensation cases this week plus one Unemployment Insurance decision on independent contractor status. None of them are good for the defense....more

Freeman Mathis & Gary

2025 FMG Insurance Coverage Annual Report

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A summary of the year’s important insurance coverage and extra-contractual cases within FMG’s footprint across the country. State Farm Automobile Ins. Co., v. Orlando - In vacating the Court of Appeals’ opinion, the...more

BCLP

FCA Enforcement Watch and Beyond - Five Headline Trends for 2026

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The FCA’s launch of its inaugural Enforcement Watch newsletter provides fresh visibility into the regulator’s enforcement caseload, priorities and approach. Coupled with the High Court’s recent two-part judgment endorsing the...more

Blake, Cassels & Graydon LLP

Supreme Court of Canada Decision Provides Guidance for Interpreting Insurance Policies

Overview - In Emond v. Trillium Mutual Insurance Co., the Supreme Court of Canada (SCC) has provided updated guidance on the interpretation of insurance policies. The SCC reaffirmed its longstanding approach that insurance...more

Troutman Pepper Locke

Ninth Circuit Upholds Administrator’s Denial of Residential Mental Health Benefits Under ERISA

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In an unpublished memorandum decision, the Ninth Circuit in R.R. v. California Physicians’ Service d/b/a Blue Shield of California, affirmed the insurer and administrator’s denial of benefits for a dependent’s residential...more

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