Law & Malpractice

MGMA's government affairs team walked through the fee schedule, MIPS, value-based care, Medicaid, Medicare Advantage and the year-end spending fight.

A $20.5 million CVS settlement over web tracking shows how AI and data tracking without patient consent invite lawsuits and enforcement.

Florida's proposed school vaccine rule also rewrites DH 680, DH 681 and the Florida SHOTS forms and provider agreements.

The 11th Circuit upheld the False Claims Act's qui tam provisions, and a $541.5 million settlement shows the value of self-disclosure.

HIPAA treats paid third-party access to patient records as marketing. Without a separate signed authorization, it can carry criminal penalties.

Texas SB 1318 applies to noncompetes entered or renewed after Sept. 1, 2025. The statute never defines renewal, and that is the problem.

Florida has no corporate practice of medicine doctrine and skipped the 2026 wave of transaction-review bills. What's left is the Health Care Clinic Act, a fee-splitting statute and whatever the management agreement says.

Federal fraud flags start with peer comparison, and the first consequence is a payment hold. Here's what you need to check in your own claims data.

Buyers judge transferability, risk concentration and what runs without you. Start looking at your practice through their lens years before a deal.

The FTC, California and Utah sued Hims & Hers, alleging the telehealth company misled consumers on privacy and subscriptions.

CMS says its Medicaid Fraud War Room stopped $203 million and flagged 50 providers in 88 days, all surfaced by billing analytics.

The HIPAA Security Rule won't be final until July 2027, but the HIPAA Privacy Rule's final rule is expected in August 2026.

Rachel V. Rose, J.D., MBA, breaks down a Federal Circuit ruling on penile implants that draws bright lines between trade secrets and patents.

Rachel V. Rose, J.D., MBA, on the False Claims Act risk created when a biller assumes who rendered the care on a claim.

Rachel V. Rose breaks down three June False Claims Act settlements and what they signal for practice compliance programs.

MGMA's government affairs team on what’s already changed in 2026 and what’s still to come.

AI is transforming medicine faster than the legal and clinical frameworks governing it, raising new questions about liability, deskilling and the standard of care.