Kathy Roe, Managing Attorney, Health Law Consultancy, speaks with Helaine Fingold, Partner, Epstein Becker Green PC, and Laurie Poulos, General Counsel and Chief Compliance Officer, TRANZACT, about the tension between the Centers for Medicare & Medicaid Services (CMS) and state insurance departments over Medicare Advantage (MA) marketing. They discuss where things stand now and how Medicare Advantage Organizations and agents/brokers can navigate this environment. They also discuss what CMS has had to say about artificial intelligence (AI) and MA marketing, and where CMS and state insurance departments may have concerns about the application of AI to MA marketing. Helaine co-authored a Health Law Connections article about this topic. From AHLA’s Payers, Plans, and Managed Care Practice Group.

Watch this episode: https://www.youtube.com/watch?v=dD4LVRU4zLg

Read Helaine’s Health Law Connections article: https://www.americanhealthlaw.org/content-library/connections-magazine/2026/may-june-2026/managed-care-who-calls-the-shots-state-and-federal 

Learn about AHLA’s Payers, Plans, and Managed Care Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/payers-plans-and-managed-care 

Essential Legal Updates, Now in Audio

AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Stay At the Forefront of Health Legal Education

Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/. 

Greg Etzel, Partner, Morgan Lewis & Bockius LLP, and Eric Lucas, Managing Director, Baker Tilly, discuss the latest trends and developments related to Medicare cost reporting and appeals. They cover why the Medicare cost report still matters and how it has changed over the years, recent litigation surrounding the cost report, how the wage index impacts hospital reimbursement, issues related to CMS’ low wage index policy and1985 budget neutrality adjustment, the biggest procedural traps for hospitals, and reopening old cost reports. Greg and Eric spoke about this topic at AHLA’s 2026 Institute on Medicare and Medicaid Payment Issues in Baltimore, MD.

Watch this episode: https://www.youtube.com/watch?v=fYR5n1JL-8A

Learn more about AHLA’s 2026 Institute on Medicare and Medicaid Payment Issues: https://www.americanhealthlaw.org/medicaremedicaid

Learn more about AHLA’s 2026 Medicare and Medicaid eProgram: https://educate.americanhealthlaw.org/local/catalog/view/product.php?productid=1759 

Essential Legal Updates, Now in Audio

AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Stay At the Forefront of Health Legal Education

Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/. 

Ken Field, Health Care Antitrust Practice Leader, Hogan Lovells Cadwalader, speaks with Amanda Wait, Partner, Michael Best & Friedrich LLP, about hospital merger review and the role remedies play in getting deals through a very challenging antitrust environment. They discuss why the remedies question is currently so important for hospital and health system transactions, the impact of multi-jurisdictional review, what’s changed at the federal level regarding remedies, the differences between structural and behavioral remedies, the concept of “litigating the fix” and considerations around using that strategy, the kinds of behavioral remedies that are showing up at the state review level, and practical takeaways for hospitals and health systems. Amanda recently authored a Health Law Connections article about this topic. From AHLA’s Antitrust Practice Group.

Watch this episode: https://www.youtube.com/watch?v=pCSjgr8sDnk

Read Amanda’s Health Law Connections article: https://www.americanhealthlaw.org/content-library/connections-magazine/2026/may-june-2026/hospital-mergers-under-pressure-the-remedies-that 

Learn more about AHLA’s Antitrust Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/antitrust 

Essential Legal Updates, Now in Audio

AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Stay At the Forefront of Health Legal Education

Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/. 

Rob Gerberry, Adjunct Faculty, University of Notre Dame, speaks with Michael Peregrine about emerging health care workforce issues that require the Board’s attention and how a Board’s human capital/human resources committee can best exercise oversight of these issues. They discuss how these committees can “retool” to address emerging workforce issues, issues related to employee burnout, why retraining employees is a governance issue, the concept of the “degradation of the quality of work,” and concerns around the impact of artificial intelligence on employee loyalty and hiring practices.

Watch this episode: https://www.youtube.com/watch?v=nFY-yc9v5xs

Essential Legal Updates, Now in Audio

AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Stay At the Forefront of Health Legal Education

Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/. 

Medicaid payment suspensions are one of the most powerful tools the government has in the health care enforcement space, and the current administration has taken a robust approach to their use. Sarah Hall, Partner, Epstein Becker & Green PC, speaks with Clifford Barnes, Managing Partner, Clifford E. Barnes Esq. & Associates LLC, and Tom Barnard, Shareholder, Baker Donelson Bearman Caldwell & Berkowitz PC, about the rise of Medicaid payment suspensions targeting behavioral health providers in Washington, DC.  They discuss the mechanics of a Medicaid payment suspension, the specific trends they have recently seen regarding DC Medicaid, and what Medicaid providers can do to prevent suspension.

Watch this episode: https://www.youtube.com/watch?v=E-qoKEEiMeQ

Essential Legal Updates, Now in Audio

AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Stay At the Forefront of Health Legal Education

Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/. 

Sean Sullivan, Partner, Alston & Bird LLP, Alisa Chestler, Shareholder, Baker Donelson Bearman Caldwell & Berkowitz PC, and Betsy Hodge, Partner, Akerman LLP, discuss what health care providers should consider when contracting for AI-enabled tools or other advanced digital health tools like remote patient monitoring platforms and interoperability software. They discuss the current digital health and AI vendor landscape, the legal and regulatory framework, transactional challenges and strategies, and the future of these kinds of deals. Sean, Alisa, and Betsy spoke about this topic at AHLA’s 2026 Health Care Transactions conference in Nashville, TN.

Watch this episode: https://www.youtube.com/watch?v=LIwramBG3lw

Learn more about AHLA’s 2026 Health Care Transactions conference: https://www.americanhealthlaw.org/healthcaretransactions

Learn more about AHLA’s 2026 Health Care Transactions eProgram: https://educate.americanhealthlaw.org/local/catalog/view/product.php?productid=1779 

Essential Legal Updates, Now in Audio

AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Stay At the Forefront of Health Legal Education

Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/. 

Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Robert S. Salcido, Partner, Akin Gump Strauss Hauer & Feld LLP, about the current landscape of the False Claims Act (FCA) in the health care industry. They discuss the “falsity” element and the interaction between the FCA and the Stark Law and Anti-Kickback Statute, the constitutionality of the FCA’s qui tam provisions and possible Supreme Court intervention, the uptick in FCA investigations and other enforcement developments, the legacy of the SuperValu case and the impact on how FCA actions are litigated, and potential emerging government enforcement priorities. Robert is the author of AHLA’s False Claims Act & The Health Care Industry: Counseling & Litigation, Sixth Edition. From AHLA’s Fraud and Abuse and Hospitals and Health Systems Practice Groups.

Watch this episode: https://www.youtube.com/watch?v=U_YfcwE9PJk

Learn more about AHLA’s False Claims Act & The Health Care Industry: Counseling & Litigation, Sixth Edition: https://store.lexisnexis.com/ahla/products/ahla-false-claims-act-the-health-care-industry-counseling-litigation-ahla-members-grpussku69720.html 

Learn more about AHLA’s Fraud and Abuse Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/fraud-and-abuse 

Learn more about AHLA’s Hospitals and Health Systems Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/hospitals-and-health-systems 

Essential Legal Updates, Now in Audio

AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Stay At the Forefront of Health Legal Education

Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/. 

Emily J. Cook, Partner, McDermott Will & Schulte, and Kelsey Bagheri, Principal Counsel, UCSF Health, discuss how covered entities and their legal counsel can navigate the current legal and compliance risks associated with the 340B program. They cover recent developments in the 340B program, top 340B compliance myths, the role of pharmacies in 340B oversight, how covered entities can ensure that 340B risks are understood across the entire organization, issues related to vendor arrangements and manufacturer inquiries, and how in-house counsel can make the greatest impact. Emily spoke about this topic at AHLA’s 2026 Institute on Medicare and Medicaid Payment Issues in Baltimore, MD.

Watch this episode: https://www.youtube.com/watch?v=ci7l-2c6e60 

Learn more about AHLA’s 2026 Institute on Medicare and Medicaid Payment Issues: https://www.americanhealthlaw.org/medicaremedicaid

Learn more about AHLA’s 2026 Medicare and Medicaid eProgram: https://educate.americanhealthlaw.org/local/catalog/view/product.php?productid=1759 

Essential Legal Updates, Now in Audio

AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Stay At the Forefront of Health Legal Education

Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/. 

When patient data becomes the raw material for AI, who actually governs it and for whose benefit? Mir Masud-Elias, Counsel, Arnold & Porter, and Mala Sahai, Senior Director, Intellectual Property and Legal Affairs, Gladstone Institutes, discuss the shift from data sharing as an administrative function to data licensing as a regulated risk transfer. They cover the multiple regulatory regimes (from state to federal to international); data types and classification risks; ownership, control, and governance; the three HIPAA pathways; core contract architecture; AI clauses, bias, validation, audit, and lifecycle risk; federated learning; patent versus trade secret strategy; and direct versus indirect monetization. Mir authored a Health Law Weekly article on this topic.

Watch this episode: https://www.youtube.com/watch?v=IkKVzg0VPJM

Read Mir’s Health Law Weekly article: https://www.americanhealthlaw.org/content-library/health-law-weekly/2026/april/3/who-owns-the-pulse-what-health-system-lawyers-need 

Essential Legal Updates, Now in Audio

AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Stay At the Forefront of Health Legal Education

Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/. 

Jennifer Hutchens, Partner, Dechert LLP, and Thomas Spellman, Associate General Counsel & Vice President, Fresenius Medical Care, discuss the role that joint ventures are currently playing in the health care industry and what to expect when engaging in a joint venture. They cover why joint ventures are so popular right now and issues related to the corporate practice of medicine, the Stark Law and Anti-Kickback Statute, antitrust, financial provisions and reporting rights, and restrictive covenants. They also share some hot spots they have seen in their own practices. Jennifer and Thomas spoke about this topic at AHLA’s 2026 Health Care Transactions conference in Nashville, TN.

Watch this episode: https://www.youtube.com/watch?v=FXSAG3bWKVc

Learn more about AHLA’s 2026 Health Care Transactions conference: https://www.americanhealthlaw.org/healthcaretransactions

Learn more about AHLA’s 2026 Health Care Transactions eProgram: https://educate.americanhealthlaw.org/local/catalog/view/product.php?productid=1779 

Essential Legal Updates, Now in Audio

AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Stay At the Forefront of Health Legal Education

Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/.