Charting a Course for Collections: Diagnosing Compliance and Privacy Risks in Medical Debt — The Consumer Finance Podcast
Concierge Practices: Getting Started and Staying Compliant
The No Surprises Act: A Cost Saving Opportunity for Employer Plan Sponsors
Surprise! What Hospices Need to Know About the No Surprises Act
The No Surprises Act (NSA), enacted in 2020, was designed to protect patients from unexpected medical bills in certain healthcare settings. The law primarily applies when a patient receives emergency care at either an...more
News Briefs - CMS, FDA Announce RAPID Pathway for Breakthrough Medical Devices - The Centers for Medicare & Medicaid Services has introduced a new coverage pathway for Medicare beneficiaries to get expedited coverage for...more
In this episode of The Consumer Finance Podcast, Chris Willis is joined by Troutman Pepper Locke Partners Stefanie Jackman and Brent Hoard to take a close look at the world of medical debt collection. The discussion covers...more
Recent litigation and regulatory challenges surrounding the Independent Dispute Resolution (IDR) process—including the Halo complaint and similar actions brought by managed care organizations—highlight growing scrutiny of...more
Employer-sponsored group health plans operate at the intersection of multiple federal regulatory frameworks — ERISA, the ACA, COBRA, HIPAA, the Mental Health Parity and Addiction Equity Act (MHPAEA), and more....more
Effective January 1, 2026, Anthem (also known as Elevance Health) implemented its Facility Administrative Policy: Use of a Nonparticipating Care Provider for the states of Colorado, Connecticut, Georgia, Indiana, Kentucky,...more
In Worldwide Aircraft Services Inc. v. Anthem Insurance Companies Inc., the U.S. District Court for the Middle District of Florida addressed a motion to dismiss filed on behalf of defendant Anthem BCBS to dismiss a petition...more
As States Change Nursing Home Deal Process, Buyers Move On - The collapse of a nursing home deal in Western New York after nearly three years is a prime example of how drawing out and complicating state-level change of...more
The Indiana General Assembly concluded its work for the year on February 27th, bringing an end to a session that began in December with the failed effort to draw new Congressional maps, and concluded with lawmakers trying to...more
Welcome to our third issue of 2026 of The Health Record -- our healthcare law insights e-newsletter. In this edition, we look at the call on the Department of Education to broaden the definition of “professional”...more
On March 4, the IRS issued an information collection request under the Paperwork Reduction Act (“PRA”) regarding the ACA’s external review process’ notice and disclosure requirements and the No Surprises Act (“NSA”). The PRA...more
Senate HELP Committee Chair Cassidy releases report on FDA reform. The report reflects Senate Health, Education, Labor, and Pensions (HELP) Committee Chair Cassidy’s (R-LA) priorities for the modernization of the US Food and...more
The push to health care transparency continues. During the first Trump administration, the Centers for Medicare and Medicaid Services (“CMS”), with the Department of Labor (“DOL”) and the Department of the Treasury/Internal...more
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
The DOL recently announced the overhaul of its national enforcement projects for fiscal year 2026 (the “DOL Release”). The DOL will prioritize any cases related to cybersecurity, barriers to mental health and substance use...more
Your monthly Rx for private equity, regulatory and compliance, and digital health updates....more
In this episode of the #HealthLawHotSpot, host Ericka Adler is joined by Roetzel shareholder Christina Kuta to discuss the growing trend of concierge practices and the initial steps to start a concierge practice. Ericka and...more
On January 15, 2026, the U.S. Department of Labor’s Employee Benefits Security Administration (“EBSA”) unveiled its national enforcement projects for fiscal year 2026. Key areas of focus include cybersecurity, mental health...more
Passage of a multi-bill appropriations package now looks to potentially be in jeopardy, following events over the weekend in Minneapolis. U.S. Senate Minority Leader Chuck Schumer (D-N.Y.) issued a statement following a law...more
On Jan. 15, 2026, the White House released a fact sheet outlining healthcare priorities (the Fact Sheet) and calling on Congress to turn those priorities into law. Congress is also including a health policy package in...more
Using a multi-pronged approach, the federal government is aggressively promoting greater transparency and understanding of costs and pricing in the healthcare and health insurance market. Indeed, last month, the U.S....more
The U.S. Supreme Court has declined to review a Fifth Circuit decision addressing whether the No Surprises Act permits providers to bring private lawsuits to enforce independent dispute resolution (IDR) awards against...more
On January 12, 2026, the U.S. Supreme Court declined to review whether providers have a private right to enforce Independent Dispute Resolution (IDR) awards under the No Surprises Act (NSA). This leaves in place the June 2025...more
In Plastic & Reconstructive Surgery Group v. Aetna, Inc., the U.S. District Court for the District of Connecticut addressed a motion filed by petitioner Plastic & Reconstructive Surgery Group to allow discovery of the reasons...more
The US Department of Labor’s Employee Benefits Security Administration (EBSA) has announced updated enforcement priorities for fiscal year 2026. These changes signal where EBSA will focus its investigative and enforcement...more