Stewart Kameen, Partner, Bass Berry & Sims PLC, Brandon Helms, Shareholder, Hall Render Killian Heath & Lyman PC, and Matthew Westbrook, Senior Counsel, Proskauer Rose LLP, discuss some of the key health care fraud and abuse trends from 2025 and what to expect in 2026. They cover the current landscape; Administration priorities; general trends; and key settlements, cases, and advisory opinions. From AHLA's Fraud and Abuse Practice Group. Watch this episode: https://www.youtube.com/wat...
Judith Waltz, Partner, Foley & Lardner LLP, Faraz Siddiqui, Assistant General Counsel, Memorial Sloan Kettering Cancer Center, David Lazarus, Partner, Foley Hoag LLP, and John Hood, Associate, Akerman LLP, discuss some of the key health law developments from 2025 and what to expect in 2026. They cover a wide range of legislative, regulatory, and judicial issues, focusing on Medicare and Medicaid, public health, civil and criminal enforcement, and drug development. Waltz, Siddiqui, Lazarus...
Kathy Roe, Managing Attorney, Health Law Consultancy, speaks with Christine Burke Worthen, Member, Epstein Becker & Green PC, about two important yet not always well understood areas of the health care ecosystem, the health care claim lifecycle and medical coding. They discuss why it is important for health law professionals to have a basic understanding of these topics, the role that artificial intelligence is playing, and AHLA’s recently released Health Care Claim Life Cycle 101 & M...
In this follow-up to their August 2025 podcast, Lisa Diehl Vandecaveye, Of Counsel, Epstein Becker Green, and Priya Bathija, Founder & CEO, Nyoo Health, discuss how health law professionals can plan for success going into 2026. They share some of the challenges faced by the health care industry in 2025, how they are setting their intentions for 2026, managing the pace of change in the health law profession, and the “icing on the cake” moments they are looking forward to in the new year. W...
Health care is one of the top industries for workplace violence injuries. Sarah R. Skubas, Principal, Jackson Lewis PC, speaks with Jonathan C. Bumgarner, Partner, Hall Render Killian Heath & Lyman PC, about the factors that contribute to workplace violence in the health care industry. They discuss the role of OSHA and other regulatory bodies, state law trends, legal risks and penalties, what’s on the horizon, and top action items to keep employees and patients safe. Jonathan co-authored ...
Jason Krisza, Shareholder, Wilentz Goldman & Spitzer PA, and Michael Schaff, Shareholder, Wilentz Goldman & Spitzer PA, speak with Sidney Welch, Partner, Bradley Arant Boult Cummings LLP, Lymari Cromwell, Partner, Bass Berry & Sims PLC, and Ashley Creech, Associate, Epstein Becker & Green PC, about three cutting-edge topics that are of increasing importance when representing physicians: private equity transactions, non-compete agreements, and medical spas. They discuss how pri...
John F. Banghart, Senior Director for Cybersecurity Services, Venable LLP, speaks with Errol S. Weiss, Chief Security Officer, Health-ISAC, Inc., about the unique challenges associated with information sharing in the health care sector. They discuss what an ISAC is; what information sharing means in the context of the health care sector and why it is important; legal, regulatory, and compliance risks; risk mitigation strategies; the impact of the Cybersecurity Information Sharing Act of 2015;...
As 2025 closes, the implications of the One Big Beautiful Bill Act (now rebranded as the Working Families Tax Cut Act) on Medicaid continue to ripple through the health care industry. CMS has issued major guidance, and state Medicaid agencies and health care providers are scrambling to implement this guidance at an operational level. Harsh P. Parikh, Partner, Nixon Peabody LLP, Lloyd A. Bookman, Founding Partner, Hooper Lundy & Bookman PC, and Anne Winter, Senior Managing Director, FTI Co...
Kathy Roe, Managing Attorney, Health Law Consultancy, speaks with Dorothy DeAngelis, Senior Managing Director, Ankura Consulting, and Richelle Marting, Attorney, Marting Law, about the latest trends and developments related to prior authorization, from both the payer and provider angles. They discuss what prior authorization is and why it engenders scrutiny, approaches to easing prior authorization’s administrative burden, the responsible use of artificial intelligence, the impact of the new ...
In this special two-part series, Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Schulte, about the health care corporate governance oversight of artificial intelligence (AI). In Part Two, they discuss what an AI governance framework might look like, the board/management dynamic, the role of an AI subcommittee, oversight of workforce issues, and whether AI can support board functions. Watch this episode: h...
In this special two-part series, Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Schulte, about the health care corporate governance oversight of artificial intelligence (AI). In Part One, they discuss the board’s core role regarding AI, the specific details of that role, and the board’s connection to AI deployment decisions. Watch this episode: https://www.youtube.com/watch?v=kKLPJAv0vGQ Watch Part Two: h...
How can attorneys better navigate the business realities behind health care transactions, manage compliance pressures, and work with valuation experts in a practical way? Rob Holland, Director, HMS Valuation Partners, speaks with Eric Neff, President, Neff Associates, Ragini Acharya, Partner, Husch Blackwell, and Kyle Faget, Partner, Foley & Lardner, about their “behind the scenes” experiences with fair market value and health care transactions and the tips and strategies they have learne...
Shad Ritchie, Senior Consultant, Stroudwater Associates, and Stacy Gerber Ward, Shareholder, von Briesen & Roper, discuss the various aspects of a successful physician compensation redesign. They cover anchoring the compensation redesign in compliance, working with legal counsel, starting the compensation redesign process, determining fair market value, structuring and implementing an effective compensation plan, and longer-term governance issues. Sponsored by Stroudwater. Watch this epis...
Rural health care has been facing significant headwinds, and that was before the passage of the One Big Beautiful Bill Act (OBBBA), which has introduced additional uncertainty. Donn Herring, Partner, Spencer Fane LLP, speaks with Lori Wightman, CEO, Bothwell Regional Health Center, and Jon Doolittle, President, Missouri Hospital Association, about the unique challenges facing rural health facilities and how government policy has a disproportionate impact on them, focusing on the journey of Wi...
Amanda Hayes-Kibreab, Partner, King & Spalding LLP, and DeAngelo Norris, Senior Associate General Counsel, Grady Health System, discuss best practices for litigating health care disputes. They cover in-house and outside counsel collaboration, handling the pre-dispute process, using contracts to manage disputes, going to trial/arbitration, identifying and working with expert witnesses, and engaging in mediation. Amanda and DeAngelo spoke about this topic at AHLA’s 2025 In-House Counsel Pro...
As health care organizations rapidly adopt advanced technologies, including artificial intelligence (AI), they face complex challenges around health care delivery and accountability. Christi Grimm, Managing Director, BDO, and Julie Taitsman, Managing Director, BDO, discuss how AI is showing up in clinical care and the business of health care, from helping physicians manage information to transforming the revenue cycle process, and how technology is supporting government efforts to protect pub...
Vendor relationships and data breaches are usually found very high on the risk heat map for anyone working in health care and technology. Andrew Mahler, Vice President of Privacy, Compliance, and Audit Services, Clearwater, speaks with Shalyn Watkins, Associate, Holland & Knight, about how health care organizations can better manage third-party vendors, respond to data breaches, and navigate the evolving legal landscape of privacy and security compliance. Shalyn spoke about this topic at ...
Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Schulte, about the release of a new report by the National Association of Corporate Directors on “Building a High-Trust Board-CEO Relationship.” They discuss the issues and concerns the report is trying to address, along with the report’s recommendations. Michael recently authored an article for AHLA's Health Law Weekly on this topic. Watch this episode:...
Kathy Roe, Managing Attorney, Health Law Consultancy, speaks with Annie Shieh and Judith Waltz, Partner, Foley & Lardner, about the impact of recent changes to Medicare Advantage (MA) compliance on plans and providers. They discuss what plans and providers are responsible for when it comes to MA compliance, the current MA landscape, MA compliance changes from a plans perspective (including the current Administration and the 2026 Final Rule), MA compliance changes from a provider perspecti...
Compliance officers and privacy leaders are facing a rapidly changing health care landscape, including new state laws, evolving federal guidance, and heightened expectations for data breach preparedness. Melissa Andrews, Senior Manager of Consulting Services, Clearwater, speaks with Roy Wyman, Partner, Bass Berry Sims, about what makes an effective compliance program, how organizations can overcome emerging challenges, and practical steps leaders can take to strengthen their compliance postur...