Hospice Insights Podcast - Hospice Audit Updates: Hospices Fare Well in Federal Court
Hospice Insights Podcast - Election Inspection: Be Proactive to Avoid Costly Election Statement Denials
(Podcast) California Employment News – Key Rules for California Employers: Business Expense Reimbursement
California Employment News – Key Rules for California Employers: Business Expense Reimbursement
AGG Talks: Home Health & Hospice - Reimbursement Audits and Appeals
Podcast: Direct Access Laboratory Testing: Reimbursement & Compliance – Diagnosing Health Care
Podcast: Owner's Outlook: Maximize and Safeguard Reimbursement Through Design - Diagnosing Health Care
HealthLaw HotSpot - A Look at Alternative Reimbursement Models in Value-Based Care
The Important and Thriving Role of Private Medical Practices
Value-Based Care and Its Impact on Providers
The Year Ahead: Litigation Hot Spots at a Glance
Teleworking: Amazing or amazingly complex?
(Video) Reimbursement of College Tuition and Fees After COVID-19
Value-based health care: compliance infrastructure
K&L Gates Triage: 340B Eligibility - Hospital Covered Entities
Value-based health care: fraud & abuse laws
Value-based health care: issues for pharmaceutical companies
Condo Water Invasion: Potential Medical Liability?
On Oct. 31, the Centers for Medicare and Medicaid Services (CMS) released the 2026 Physician Fee Schedule Final Rule (Final Rule), which outlines the changes to payments under the Medicare Physician Fee Schedule (PFS) for...more
Canada’s Drug Agency (CDA-AMC) published data on Canada’s drug system as part of the Data Systems and Analytics program. The new data cover the following information for oncology and non-oncology drugs from 2020-2024...more
On December 1, the Centers for Medicare & Medicaid Services (CMS) announced the Advancing Chronic Care with Effective, Scalable Solutions Model (ACCESS), a 10-year voluntary alternative payment model (APM) that will pay...more
The Centers for Medicare & Medicaid Services (“CMS”) final rule for Medicare payment for services provided in hospital outpatient departments (paid under the Outpatient Prospective Payment System or “OPPS”) and ambulatory...more
As kids woke to naughty elves on their shelves on 1 December, ministers also provided UK-based pharmaceutical companies a shot-in-the-arm behind door #1 of their advent calendars. The UK government announced on Monday, 1...more
A coalition of hospital associations and individual safety‑net providers recently filed suit in the U.S. District Court for the District of Maine challenging the Health Resources and Services Administration’s (HRSA) newly...more
In principle, employees who undergo compulsory training within the meaning of Article 7:611a of the Dutch Civil Code do not have to repay any fees for such training; their employer bears all the costs of course fees, books,...more
The Centers for Medicare & Medicaid Services (“CMS”), through the CMS Innovation Center (“CMMI”), has announced the ACCESS Model—Advancing Clinical Care, Equity and System Sustainability, a national demonstration model...more
The number of private prosecutions in the UK has skyrocketed in the past decade, increasing the risk of costly legal proceedings for companies and individuals alike. A new High Court judgment may put a dampener on things. ...more
Changes to the Insurance Act will create an “Any Willing Provider” framework that will require group insurance providers to allow any pharmacy to dispense drugs that it reimburses on the same terms as it offers to other...more
Anthem recently announced that effective January 1, 2026, it intends to reduce reimbursement and may terminate commercial network agreements with participating facilities that continue to use nonparticipating providers to...more
Legislatures in several states overhauled their warranty reimbursement statutes in 2025, which generally require OEMs to pay “reasonable” reimbursement to dealers for labor performed by service technicians for repairs to...more
Key Takeaways - CMS launches Drug Acquisition Cost Survey beginning Jan. 1, 2026. OPPS hospitals must submit NDC-level pricing data for both 340B and non-340B drugs, which CMS will use to inform CY 2027 reimbursement...more
Generally, the Employee Retirement Income Security Act of 1974 (ERISA) prohibits discrimination based on a plan participant’s health status-related factor, such as a medical condition, medical history, or genetic information....more
The recent government shutdown caused multiple Medicare statutory payment provisions to lapse on October 1, 2025, due to the absence of Congressional action. With the passage of the Continuing Appropriations, Agriculture,...more
The digital health and health tech sectors are undergoing a period of accelerated transformation amidst a fragmented regulatory landscape. Companies are looking within and to peers to determine how to pursue innovation while...more
November 19, 2025 Energy Law The search for a reliable source of electricity to power data centers has led developers to explore self-generation options, virtual or real power purchase agreements, or the restart of...more
We are still waiting for the Centers for Medicare & Medicaid Services (CMS) to issue the remaining three calendar year (CY) 2026 Medicare payment rules....more
On October 30, HRSA announced that it had selected eight drug manufacturers to participate in its 340B Rebate Model Pilot Program, spanning 10 drugs representing a range of widely used therapies. These include...more
AGG Healthcare attorneys Bill Dombi and Jason Bring and Litigation & Dispute Resolution attorney TC Ogletree filed an amicus (or “friend of the court”) brief on behalf of the National Alliance for Care at Home (the...more
Key Takeaways - Congress restores Medicare telehealth and Hospital-at-Home flexibilities through Jan. 30, 2026: The extension, signed into law Nov. 12, reverses the lapse in coverage that began Oct. 1 and ensures continued...more
Private equity firms are increasingly acquiring nursing homes, which can lead to quality-of-care issues, staffing cuts, reduced services and supplies, and financial strategies that prioritize profit over resident care. ...more
On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2026 Medicare Physician Fee Schedule (PFS) final rule. The final rule,1 which was published in the Federal Register on...more
As Bradley previously reported, statutory telehealth flexibilities previously passed in response to the COVID-19 pandemic expired on September 30, meaning that, effective October 1, 2025, Medicare telehealth services became...more
As payer audits become more frequent and complex, laboratories and healthcare providers must be equipped to respond effectively. Labs are especially vulnerable due to high-cost services and billing complexity. Triggers...more