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Polsinelli

CMS Expands Consequences of Medicare Revocation: What You Need to Know

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Key Takeaways - CMS maintains its authority to impose Medicare reenrollment bars: CMS emphasizes its ability to apply reenrollment bars when a provider’s Medicare billing privileges are revoked, affecting all enrollments...more

Eversheds Sutherland (US) LLP

Benefits Catch-Up - Q3 2025

With so much happening in the employee benefits world, we bring you Benefits Catch-Up, our catch-up contribution to help you keep up with recent developments....more

Ropes & Gray LLP

Finalized Changes to Medicare Payment Rules: Key Takeaways for Life Sciences Companies

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The Centers for Medicare & Medicaid Services (“CMS”) recently finalized a Medicare payment rule with significant implications for life sciences companies, particularly biotech and pharmaceutical manufacturers....more

Fenwick & West LLP

U.S. Tax Court Holds that § 7701(o) Requires Threshold Relevancy Determination Before Applying Two-Prong Economic Substance Test

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In Patel v. Commissioner, the United States Tax Court held on November 12, 2025, that the economic substance doctrine, as codified by § 7701(o) of the Internal Revenue Code, requires a relevancy requirement, noting that...more

Barnea Jaffa Lande & Co.

Amendment 13 : Guidance for Insurance Agents and Agencies

Barnea Jaffa Lande & Co. on

The Israeli Privacy Protection Law was recently amended, and, like all organizations, insurance agencies must comply with its provisions. A supervisory report conducted by the Privacy Protection Authority (PPA) in the...more

Zelle  LLP

Texas Court Upholds Suit Limitation Clause Despite Post-Denial Appraisal Demand

Zelle LLP on

In Texas, once a claim denial has been issued, the clock starts ticking for an insured to file a lawsuit. In Texas, the default statute of limitations for breach of contract claims is four years. ...more

A&O Shearman

UK legislation to implement Berne Financial Services Agreement published

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The Financial Services and Markets Act 2023 (Mutual Recognition Agreement) (Switzerland) Regulations 2025 have been published, accompanied by an explanatory memorandum. The Regulations will make changes to UK legislation to...more

Ballard Spahr LLP

NFIP Reauthorization Included In Spending Bill

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The legislation reopening the government signed by President Trump, H.R. 5731, also reauthorizes the National Flood Insurance Program (NFIP) until January 30, 2026, the same day the spending measure lapses. The...more

Brownstein Hyatt Farber Schreck

Derivative and Secondary Liability for Copyright Infringement: Knowledge vs. Control

One may be liable for copyright infringement by another under theories of contributory infringement or vicarious infringement. Where there are multiple infringers of a copyright, all infringers are jointly and severally...more

Orrick, Herrington & Sutcliffe LLP

European Commission Makes Significant Changes to Securitisation Capital Rules for Insurers

On 29 October, the European Commission adopted a Delegated Regulation amending Commission Delegated Regulation (EU) 2015/35 (the “Solvency II Delegated Act”). The Solvency II Delegated Act makes significant changes to...more

Woodruff Sawyer

The Compensation Clawback Rules: The Rules That Haven’t Changed Much of Anything

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Section 954 of the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 required the Securities and Exchange Commission (SEC) to issue rules mandating the recovery of incentive-based compensation in the case of a...more

McDermott+

What to expect (from CMS) when you’re expecting (an end to the government shutdown)

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The end of the longest government shutdown in US history is finally here, with the president having signed a continuing resolution (CR) that funds the government through January 30, 2026....more

Bradley Arant Boult Cummings LLP

CMS Tests Prior Authorization for Ambulatory Surgery Centers: Preparing for the 2025 Demonstration

CMS is launching a five-year Prior Authorization Demonstration for certain ambulatory surgical center (ASC) services beginning December 15, 2025, in 10 states, including Georgia, Florida, Tennessee, and Texas....more

McDermott Will & Schulte

IRS announces 2026 employee benefit plan limits

McDermott Will & Schulte on

The Internal Revenue Service (IRS) has announced the cost-of-living adjustments to the applicable dollar limits for various employer-sponsored retirement and welfare plans for 2026....more

Paul Hastings LLP

First Healthcare Non-Prosecution Agreement Under Revised DOJ Corporate Enforcement Policy: Key Takeaways

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The Department of Justice’s recent non-prosecution agreement (NPA) with a Medicare Advantage company marks a first-of-its-kind healthcare resolution under the revised Corporate Enforcement Policy (CEP) — and the first to...more

Fox Rothschild LLP

Tax Court Economic Substance Ruling is a Mixed Bag for Taxpayers

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Yesterday the Tax Court issued its much awaited opinion in Patel v. Commissioner. After the Court disallowed deductions attributable to Patel’s captive insurance arrangement, it ordered briefing on the applicability of the...more

Wiley Rein LLP

No Coverage for Failure to Warn of TCE Contamination Plume

Wiley Rein LLP on

The Missouri Court of Appeals, applying Missouri law, held that insurers had no duty to defend or indemnify a defense contractor in connection with a class action alleging failure to warn of groundwater contamination. Certain...more

Morris James LLP

You Have Been Hurt in a Truck Accident. What’s Next? Do You Need a Lawyer?

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Truck accidents are often catastrophic events. These accidents involve heavy vehicles that are typically hauling even heavier cargo loads. Although any road accident has the potential to cause serious injury, when large...more

Epstein Becker & Green

42 CFR Part 2 Final Rule: What’s Changing and What Do You Need to Know? – Diagnosing Health Care Video Podcast

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By early 2026, substance use disorder (SUD) providers, health plans, clinicians, health information exchanges (HIEs), and vendors must meet new federal privacy standards for SUD treatment records or face Health Insurance...more

McGuireWoods LLP

Fifth Circuit Issues Pro-Policyholder Ruling that ADR Proceeding Triggered Insurer’s Duty to Defend and Indemnify

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On October 20, 2025, the United States Court of Appeals for the Fifth Circuit issued a significant decision clarifying that an insurer’s duty to defend under Texas law extends to a contractually mandated alternative dispute...more

Troutman Pepper Locke

CY 2026 Medicare Physician Fee Schedule: What Payors and Insurers Need to Know

Troutman Pepper Locke on

On October 31, CMS finalized the CY 2026 Medicare Physician Fee Schedule (PFS) rule (CMS-1832-F), effective January 1, 2026. While primarily directed at Medicare providers, the rule’s changes have clear downstream effects for...more

Nossaman LLP

Is Inverse Condemnation Reform on the Table in California?

Nossaman LLP on

We recently detailed Assembly Bill 254, which overhauls California’s approach to wildfires. In addition to promoting new transmission facilities, replenishing the wildfire fund, streamlining the siting process and exempting...more

Woodruff Sawyer

RWI Limits: Rethinking the 10% Rule

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“How much limit should we buy?” This is a perennial question in the world of reps and warranties insurance (RWI). For years, the shorthand answer has been: 10% of enterprise value. But as with many rules of thumb, it’s worth...more

McDermott Will & Schulte

This Week in 340B: October 28 – November 3, 2025

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Find this week’s updates on 340B litigation to help you stay in the know on how 340B cases are developing across the country. Each week we comb through the dockets of more than 50 340B cases to provide you with a quick...more

Vinson & Elkins LLP

Investing in Resilience: How Extreme Weather Is Reshaping Infrastructure Investment and Risk

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Across sectors and jurisdictions, the data point to a world facing more frequent and intense physical disruptions. Extreme heat, heavy rainfall, rising sea levels, and prolonged droughts are no longer regional anomalies; they...more

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