Concierge Practices: Getting Started and Staying Compliant
Hospice Insights Podcast - Hospital to Hospice: Managing Referrals and Relationships
AGG Talks: Government Insight for Life Sciences Leaders | How Medicare Regulations Could Affect Access to Gender-Affirming Care: Implications for Life Sciences Companies
Hospice Insights Podcast - If Only I Knew… Avoiding the Most Common Mistakes with the 855
Exploring Long-Term Home Care Solutions with Albert Eshoo & Joyce Barocas
Taking the Pulse, A Health Care and Life Sciences Video Podcast | Episode 253: The Rise of Ambulatory Surgery Centers with Mark Wainner of ASCA
Taking the Pulse, A Health Care and Life Sciences Video Podcast | Episode 252: Navigating Policy and Technology Shifts in MedTech with Bobby Patrick of AdvaMed
Hospice Insights Podcast - Let’s Face (to Face) It: Important Changes to Hospice Face-to-Face Attestation Requirements and Other Tidbits from the 2026 Hospice Final Rule
Hospice Insights Podcast - Hospice Audit Updates: Hospices Fare Well in Federal Court
HHS OIG’s Nursing Facility: Industry Segment-Specific Compliance Program Guidance
Podcast - Innovations and Insights in the Palliative Care Space
Hospice Insights Podcast - Hospice Audit Updates: David Beats Goliath
False Claims Act Insights - Trump DOJ Sharpens Its Focus on Healthcare Fraud
UPIC Audits
AGG Talks: Home Health & Hospice Podcast - Episode 10: Anti-Kickback Compliance for Hospice and Skilled Nursing Providers
Healthcare Industry Segment-Specific Compliance Program Guidances (ICPGs)
Hospice Insights Podcast - One Size Doesn’t Fit All: Figuring Out What is Your Hospice+
AGG Talks: Cross-Border Business Podcast - Episode 27: U.S. Healthcare Reimbursement Guidance for Foreign Life Sciences Companies
AGG Talks: Home Health & Hospice Podcast - Episode 8: Hospice Special Focus Program: Pumping the Brakes
Hospice Insights Podcast - Meet the New Laws, Same as the Old Laws: Overpayment Recoupment Update
The Centers for Medicare & Medicaid Services (CMS) released its Fiscal Year 2026 (FY26) State Performance Standards System (SPSS) Guidance on January 13, 2026. This system evaluates State Survey Agencies (SAs) on their...more
On February 2, 2026, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued its long-anticipated Industry Segment-Specific Compliance Program Guidance (ICPG) for the Medicare Advantage (MA)...more
Introduction and Summary - As part of the Consolidated Appropriations Act, Congress established new identification and attestation requirements for off-campus outpatient departments of acute care hospitals. Although Medicare...more
Healthcare workers, billing specialists, and medical professionals frequently encounter fraudulent practices that drain billions of dollars from Medicare programs annually. Yet many individuals who witness these schemes...more
U.S. Congress will largely return to normal operations this week, following passage of an appropriations package on February 3, 2026, that will fund the vast majority of federal agency operations through the end of 2026. ...more
On Feb. 3, 2026, President Donald Trump signed into law the FY 2026 appropriations bill, the Consolidated Appropriations Act of 2026, which extends pandemic-era Medicare telehealth flexibilities through Dec. 31, 2027....more
On January 21, 2026, the Office of Inspector General (“OIG”) for the U.S. Department of Health and Human Services (“HHS”) submitted its Fall 2025 Semiannual Report to Congress, identifying investigative outcomes relating to...more
CMS issued an Advance Notice of Proposed Rulemaking on January 29, 2026 soliciting public input on how to incentivize Medicare participating hospitals’ participation in buying PPE and essential medicines from domestic...more
Last week, the OIG posted two important issuances on Direct to Consumer drug programs, including TrumpRx – a Special Advisory Bulletin and a Request for Information (RFI)....more
2025 was an incredibly busy year for digital health, and 2026 is likely to be no different. This edition of Vital Signs covers numerous developments, along with a look to 2026 in Industry Insights. Thank you to our Jones Day...more
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
Our Drug Pricing and Market Access team tracks recent developments in healthcare reform, the Medicaid Drug Rebate Program, the 340B Program, Medicare, and state law....more
The submission of an attestation to a hospital’s and its off-campus outpatient department’s compliance with Medicare’s provider-based rules has long been voluntary under the Centers for Medicare & Medicaid Services’ (“CMS’”)...more
Congress passed a package that funds the US Department of Health and Human Services through fiscal year 2026 and includes health extenders and additional bipartisan health policies....more
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
Every sector of the healthcare industry relies upon laboratory testing. Lab tests are used to diagnose virtually all illnesses and conditions ranging from the common flu to cancer. The average American receives their first...more
During January 28, 2026, remarks at the American Conference Institute’s Advanced Forum on False Claims and Qui Tam Enforcement, Deputy Assistant Attorney General Brenna Jenny, the U.S. Department of Justice’s (DOJ) top civil...more
DOJ Secures Conviction in $197 Million Health Care Fraud Scheme Targeting Seniors and Veterans - A federal jury in the Middle District of Florida recently convicted the owner of a marketing company for his role in a...more
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
President Trump has signed the Consolidated Appropriations Act, 2026 (CAA, 2026), extending Medicare telehealth flexibilities through December 31, 2027, and Acute Hospital Care at Home authorities through September 30, 2030....more
Trending in Telehealth highlights monthly state legislative and regulatory developments that impact healthcare providers, telehealth and digital health companies, pharmacists, and technology companies that deliver and...more
On February 3, 2026, a comprehensive fiscal year (FY) 2026 appropriations package advanced through the US House of Representatives, finishing the legislative process for five of the six remaining appropriations bills....more
As a follow-up to our post earlier this week, President Trump has signed into law the Consolidated Appropriations Act, 2026 (CAA). The law extends key COVID-19 era Medicare telehealth flexibilities through December 31, 2027...more
The Inflation Reduction Act (IRA), signed into law on August 16, 2022, allows the federal government to negotiate prices for some high-cost drugs covered under Medicare. ...more
On January 22, 2026, the Department of Justice (DOJ or the Department) Criminal Fraud Section issued its 2025 Year in Review summary (YIR Summary). Our more detailed analysis of the full YIR Summary can be found here. DOJ’s...more