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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FDA Issues Draft Guidance on Payor Communications to Address Statutory Changes

On June 2, 2026, the U.S. Food and Drug Administration (FDA) issued draft guidance on how drug and device companies may communicate health care economic information (HCEI) with payors (e.g., health insurance companies),...more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

ArentFox Schiff on

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

Freeman Mathis & Gary

[Webinar] Preserving Error for Appeal - June 25th, 2:00 pm - 3:00 pm EDT

Freeman Mathis & Gary on

At the end of this course, participants should be able to understand preservation of error on appeal, identify key stages of litigation where preservation of error can be used to evaluate further case strategy and damages...more

Nelson Mullins Riley & Scarborough LLP

Evolving Fertility Benefits: Proposed Regulations and What They Mean for Employers

The Departments of Labor, Health and Human Services, and Treasury recently published proposed regulations aimed at expanding employer-provided access to fertility benefits. The Proposed Regulations implement President Donald...more

J.S. Held

Restructuring a Lab: What to Test For

J.S. Held on

This article provides a practitioner-driven framework for diagnosing and restructuring financially distressed clinical laboratories operating in an increasingly hostile reimbursement and regulatory environment. Originally...more

Skadden, Arps, Slate, Meagher & Flom LLP

PRA Publishes Policy Statement on Insurance Third-Country Branches: Policy Implementation and Other Updates

On 21 May 2026, the Prudential Regulation Authority (PRA) published Policy Statement PS13/16 (“Insurance Third-Country Branches: Policy Implementation and Other Updates”), along with several appendices, finalising reforms to...more

Skadden, Arps, Slate, Meagher & Flom LLP

The Standard Formula: Encyclopaedia of Prudential Solvency – Chapter 11: Prudential Solvency Regimes in Latin America

This chapter discusses select prudential solvency regimes in Latin America, covering Brazil, Chile, Mexico, Argentina and Colombia. These five jurisdictions offer instructive comparative perspectives on the trajectory of...more

McDermott+

Medicare Advantage encounter data: Its time has come

McDermott+ on

Medicare Advantage (MA) encounter data is no longer just a reporting requirement for health plans. As more than half of all Medicare beneficiaries are enrolled in MA, CMS is increasingly relying on encounter data to inform...more

Wiley Rein LLP

No Voluntary Payments Clause Bars Coverage for Unapproved Discovery Expenses

Wiley Rein LLP on

The United States District Court for the Central District of California, applying California law, held that a no voluntary payments clause in an employment practices liability policy barred coverage for post-tender discovery...more

Fisher Phillips

What a $2.25M NY Cybersecurity Settlement Means for Businesses: Your 4-Step Action Plan

Fisher Phillips on

A recent $2.25 million settlement between an insurance company and the state of New York presents a cautionary tale for businesses in the Empire State. The New York State Department of Financial Services (NYDFS) found that...more

Goldberg Segalla

[Webinar] The Duty to Defend Additional Insureds in New York: Guidance from Recent Cases - June 24th, 12:00 pm - 1:00 pm EDT

Goldberg Segalla on

Join Goldberg Segalla partner Ashlyn Capote for an important discussion on the risk-transfer issues New York insurance practitioners constantly encounter in the Empire State. Sometimes, the insurer is looking for...more

Freeman Mathis & Gary

[Webinar] Click, Transfer, Claim: The Intersection of Cyber Fraud & Malpractice - June 24th, 2:00 pm - 3:00 pm EDT

Freeman Mathis & Gary on

Cyber incidents can trigger legal, operational, and professional liability challenges. Understanding how litigation strategy, privilege, forensic investigation, and insurance coverage intersect is essential to effectively...more

Cozen O'Connor

Court Bars Coverage for Late Notice and Pre-Notice Repairs

Cozen O'Connor on

In Global Approach, Inc. v. Scottsdale Insurance Co., 2026 WL 1513430 (S.D. Fla. June 1, 2026), the United States District Court for the Southern District of Florida granted summary judgment to the insurer, holding that the...more

Hinshaw & Culbertson - Insights for Insurers

New York’s Sweeping Motor Vehicle Tort Law Reforms: More Than Meets the Eye

Effective for all actions commenced on or after May 26, 2026, Assembly Bill A10008 enacts sweeping changes to New York’s motor vehicle tort law. While broadly characterized as pro-defendant, these reforms present a more...more

Epstein Becker & Green

Non-Network Plans May Be on the ACA Exchanges: What the Final 2027 Payment Notice Means for Health Plans and Providers

On May 15, 2026, the Centers for Medicare & Medicaid Services (CMS) issued the final 2027 Notice of Benefit and Payment Parameters (the “NBPP” or “final rule”), which establishes a notable structural change to the Affordable...more

Katten Muchin Rosenman LLP

If You’re Buying SpaceX, Can You Insure the Elon Musk Risk?

The forthcoming SpaceX initial public offering presents an unusual opportunity to examine an underexplored corner of insurance law. Under Texas law, which governs as the jurisdiction of Elon Musk’s domicile, every investor...more

Katten Muchin Rosenman LLP

Federal Agencies Propose New “Excepted Benefits” Category for Fertility Coverage

On May 10, 2026, the Departments of Labor, Health and Human Services, and Treasury (the “Departments”) jointly proposed a rule that would create a new category of “excepted fertility benefits” under federal law (the “Proposed...more

Phelps Dunbar

Eleventh Circuit Won’t Hear Georgia Sex Trafficking Coverage Dispute Without Final Judgment From District Court

Phelps Dunbar on

The United States Court of Appeals for the Eleventh Circuit recently declined to hear an insurer’s appeal of a Georgia federal court’s decision on the insurer’s duty to defend its insured against a sex-trafficking suit in...more

ArentFox Schiff

Investigations Newsletter: New DOJ Health Care Fraud Unit Secures Six Trial Convictions Totaling Over $1.1 Billion

ArentFox Schiff on

New DOJ Health Care Fraud Unit Secures Six Trial Convictions Totaling Over $1.1 Billion - The US Department of Justice (DOJ) announced on June 4 that the National Fraud Enforcement Division’s Health Care Fraud Unit secured...more

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