3+ hour, 30+ min ago  (9+ words) CMS Final Rule on Health Care-Related Taxes'JD Supra...

3+ hour, 36+ min ago  (393+ words) The Centers for Medicare & Medicaid Services ("CMS") unveiled the Long-term Enhanced Accountable Care Organization ("ACO") Design ("LEAD") model, which aims to expand provider participation, increase beneficiary involvement in preventive care, and modernize financial benchmarking for long-term stability....By: Jones Day…...

6+ hour, 43+ min ago  (1659+ words) Years of debate and halting efforts to enact pharmacy benefit manager (PBM) reform came to a head in early 2026 with three independent but related federal actions, bringing with them substantial PBM reform. For employers faced with health care costs that…...

9+ hour ago  (413+ words) The Consolidated Appropriations Act of 2026 (CAA 2026), signed into law on February 3, 2026, includes provisions that reform how group health plans contract with pharmacy benefit managers (PBMs). The legislation is designed to enhance transparency, strengthen fiduciary oversight, and ensure plan fiduciaries have…...

1+ day, 5+ hour ago  (729+ words) All hospitals operating off-campus outpatient provider-based departments (HOD) must be aware of and prepare for upcoming new requirements imposed by Section 6225 of the Consolidated Appropriations Act of 2026 (CAA). Specifically, under the CCA, as of January 1, 2028, Medicare will no longer make…...

1+ day, 7+ hour ago  (417+ words) On February 20, 2026, the Supreme Court held that the International Emergency Economic Powers Act "does not authorize the President to impose tariffs." A key issue to watch is which of the tariffs that President Trump has announced were based on this…...

1+ day, 21+ hour ago  (343+ words) Key Takeaways - FinCEN's Geographic Targeting Order requires banks and money transmitters in Hennepin and Ramsey Counties, Minnesota, to report certain international funds transfers of $3,000 or more from Feb. 12 through Aug. 10, 2026....By: Polsinelli FinCEN Order on Suspected Minnesota Fraud Takes Effect…...

2+ day, 1+ hour ago  (520+ words) The MA ICPG is only the second ICPG to be issued since OIG announced its "Modernization of Compliance Program Guidance Documents" initiative in April 2023. Its release underscores that managed care oversight is a top priority of OIG, as Medicare and…...

2+ day, 7+ hour ago  (464+ words) Headlines that Matter for Companies and Executives in Regulated Industries Insurance Executives Sentenced to 20 Years for $233 Million ACA Enrollment Fraud Scheme Both defendants were convicted in November 2025 on charges including conspiracy to commit wire fraud, wire fraud, and conspiracy to…...

2+ day, 11+ hour ago  (171+ words) The ICPG addresses several risk areas central to the MA industry, noting that OIG's discussion of a particular practice or activity "is not intended to imply that the practice or activity is necessarily illegal[.]" Additionally, OIG notes that strategies to…...