News & Analysis as of

Healthcare Costs

Weber Gallagher Simpson Stapleton Fires &...

Legislation Planned to Address Excessive Costs for Prescription Topical Drugs in Workers' Compensation

Most employers and their insurance resources are aware of the abusive cost structures associated with prescription compound topical drugs/creams being sold to our Commonwealth’s injured workers. The central objection about...more

McDermott+

Healthcare Preview for the Week of: March 9, 2026

McDermott+ on

It will likely be a slow healthcare week in Washington, DC. The House is out of session this week, and while the Senate is in session, most of its attention will be on immigration-related hearings, pending nominations, and...more

Foley Hoag LLP - White Collar Law &...

Congressional Investigations: Year in Preview and What to Expect in 2026

This is the fifth installment in our 2026 Year in Preview series examining important trends in white collar law and investigations in the coming year. We will be posting further installments in the series throughout the next...more

Robinson+Cole Health Law Diagnosis

Medicare Part B Lab Spending Increased in 2024: Here’s what the Latest OIG Report Reveals

Introduction On January 28, 2026, the U.S. Department of Health and Human Services Office of Inspector General (OIG) released a new report analyzing Medicare Part B (Part B) spending on laboratory tests in 2024....more

Chambliss, Bahner & Stophel, P.C.

How Higher Medicare Costs Will Affect Older Adults in 2026

The Centers for Medicare & Medicaid Services (CMS) announced increases to Medicare Part A and Part B premiums and deductibles for 2026. The standard Medicare Part B monthly premium will increase to $202.90 (up $17.90),...more

Fisher Phillips

Top 2026 Predictions for Employee Benefits and Tax

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One of our Employee Benefits and Tax thought leaders pulled together his top predictions for the new year so that employers can get a running start to 2026....more

McGuireWoods LLP

Maternal Health: Where Mission Meets Margin in a Transforming Market

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The market for maternal healthcare offers providers, payors and investors an opportunity to address pressing social needs while unlocking business growth and expansion. U.S. maternal mortality remains unacceptably high while...more

Mintz - Health Care Viewpoints

The BALANCE Model and a New Wave of CMS Drug Pricing Models

On December 23, 2025, the Centers for Medicare & Medicaid Services (CMS) announced the Better Approaches to Lifestyles and Nutrition for Comprehensive hEalth (BALANCE) Model, a voluntary, alternative payment model (APM),...more

Gallagher

Building a Thriving HSA Program, from Enrollment to Engagement

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Heath savings accounts (HSAs) are proving to be a way for many employers and employees to better control health care costs, thanks to their tax benefits, lower premiums, and long-term investment opportunities. Learn how to...more

McDermott+

Healthcare Preview for the Week of: December 8, 2025

McDermott+ on

The biggest item on the agenda this week is continued discussion of the expiring enhanced advanced premium tax credits (APTCs). As part of the deal to reopen the government last month, Senate Majority Leader Thune (R-SD)...more

McDermott Will & Schulte

Key takeaways from the Life Sciences Investment Forum 2025

On November 13, 2025, the Life Sciences Investment Forum brought together more than 180 leaders in the life sciences investment community for a day of dynamic conversations and strategic insights....more

Sheppard

A Look Ahead: Major Industry Trends Our Healthcare Team is Tracking

Sheppard on

Leaders from across Sheppard Mullin’s national healthcare team gathered in Dana Point, California, for a day-long strategy session led by Co-Leaders, Eric Klein and Amanda Zablocki, to discuss the most impactful trends...more

Smart & Biggar

PMPRB releases Annual Public Drug Plan Expenditure Report (2022/23)

Smart & Biggar on

On October 21, 2025, the Patented Medicine Prices Review Board (PMPRB) announced the release of CompassRx (10th edition), an annual report that analyzes factors driving prescription drug expenditures in Canadian public drug...more

Troutman Pepper Locke

California Hospital Association Files Petition to Challenge State Cost Targets and Seek Relief from Alleged Regulatory Overreach

Troutman Pepper Locke on

On October 15, the California Hospital Association (CHA) filed a petition against the California Office of Health Care Affordability (OHCA) and related entities. The petition challenges the imposition of stringent cost...more

Quarles & Brady LLP

Massachusetts Law Permitting Pharmacies and Pharmaceutical Manufacturers to Offer Drug Discounts to Consumers Extended to January...

Quarles & Brady LLP on

The Massachusetts law permitting pharmacies and pharmaceutical manufacturers to offer drug discounts to consumers, which was set to expire on January 1, 2026, has recently been extended to January 1, 2031....more

Rivkin Radler LLP

Elder Law Is for Everyone Part 1: Long-Term Care Planning

Rivkin Radler LLP on

Notwithstanding the concept of a “youth culture,” we all want the chance to grow old and live life on our terms, which takes thoughtful planning. Elder law planning is as important as having a healthy lifestyle and planning...more

King & Spalding

Vermont Enacts Two Landmark Health Care Laws Targeting Drug Prices and Hospital Oversight

King & Spalding on

On June 12, 2025, Vermont Governor Phil Scott signed into law two major healthcare reform bills — H.266 and S.126 — marking a coordinated legislative effort to curb healthcare spending and enhance regulatory oversight in the...more

McDermott+

Inpatient Prospective Payment System (IPPS) Data Dashboard (UPDATED)

McDermott+ on

What is the cost of a knee implant in the inpatient setting? How much does Medicare pay for different types of cardiac valve procedures? How have Medicare inpatient volumes changed over time for inpatient hip and femur...more

McDermott+

Inpatient Prospective Payment System (IPPS) Data Dashboard

McDermott+ on

Updated to include Medicare claims data thru Q4 2024. What is the cost of a knee implant in the inpatient setting? How much does Medicare pay for different types of cardiac valve procedures? How have Medicare inpatient...more

J.S. Held

All Is Not What It Seems, Or When Is A Dollar A Dime?

J.S. Held on

Welcome to the strange and mysterious world of medical billing. If ever there was an industry in which the charges and the payments have no correlation, the medical industry is it. Medical billing can indeed be quite...more

Arnall Golden Gregory LLP

Healthcare Authority Newsletter - May 2025 #1

News Briefs - Hospitals Lose Supreme Court HHS Payment Case - The U.S. Supreme Court sided with the U.S. Department of Health and Human Services in a lawsuit brought by more than 200 hospitals that serve low-income...more

Foley & Lardner LLP

California Agency Cracks Down on High-Cost Hospitals

Foley & Lardner LLP on

California’s Office of Health Care Affordability (OHCA) is moving beyond broader policy-setting and into direct intervention at the provider level — a shift all hospitals and health systems across the state should take...more

Arnall Golden Gregory LLP

Healthcare Authority Newsletter - April 2025 #4

News Briefs - High Court to Hear Case Challenging ACA Free Preventive Care - The Supreme Court is set to hear arguments in a case challenging a provision of the Affordable Care Act that requires private insurers to cover...more

Rumberger | Kirk

Florida Legislature Seeks To Rescind Restrictions On Medical Malpractice Damages

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With another legislative session nearing the end, many continue to keep a keen eye on certain legislative efforts meant to expand the extent of damages available in medical malpractice lawsuits. The sweeping legislation,...more

McDermott+

Inpatient Prospective Payment System (IPPS) Data Dashboard

McDermott+ on

Updated to include Medicare claims data thru Q3 2024. What is the cost of a knee implant in the inpatient setting? How much does Medicare pay for different types of cardiac valve procedures? How have Medicare inpatient...more

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