How (in) the Health?

Sam Hoff, a Foley Hoag attorney specializing in healthcare compliance, joins Edo Banach and Caroline Farrell in the latest episode of How (in) the Health, to explain how corporate practice of medicine rules shape healthcare investments and management arrangements. They also discuss anti-kickback compliance, and how AI is changing payer reviews, reimbursement risks, and patient access to care.

Topics include:

• Corporate Practice of Medicine and MSO-PC structures
• Fraud and Abuse Compliance: AKS and more
• The AI vs AI "arms race"

Learn more about Foley Hoag's Healthcare Department

Credits:

Hosts: Edo Banach and Caroline Farrell

Guest: Sam Hoff

Producer: Brian Markowitz and Gary Silver

Editor and Sound Engineer: Gary Silver

Research: Brian Markowitz

Additional assistance: Emily Freeman, Shivangi Mehta and Jessica Murphy

Music: Phil Dodge

In this episode of How (in) the Health, Edo and Caroline speak with Dave Lazarus, a partner in the firm’s White Collar Crime & Government Investigations practice, who specializes in False Claims Act and healthcare fraud litigation. They discuss the status of False Claims Act enforcement under the Trump Administration, and current DOJ enforcement priorities.

Topics include:

• The False Claims Act under the Trump Administration
• DOJ enforcement priorities and the use of data and AI
• Crackdown on hospice fraud and payment suspensions

Learn more about Foley Hoag’s False Claims Act practice.

Find out more about Foley Hoag’s Healthcare Department.

Credits:

Hosts: Edo Banach and Caroline Farrell

Guest: Dave Lazarus

Producer: Brian Markowitz and Gary Silver

Editor and Sound Engineer: Gary Silver

Research: Brian Markowitz

Additional assistance: Emily Freeman, Shivangi Mehta and Jessica Murphy

Music: Phil Dodge

In the second episode of How in the Health, Edo Banach and Caroline Farrell speak with Jesse Alderman and Mike McQueeny, co-chairs of Foley Hoag’s Cannabis and Hemp practice, about the fast-moving legal landscape surrounding cannabis rescheduling and the industry as a whole. They discuss:

• The origin of Foley Hoag’s cannabis practice
• How cannabis law has become increasingly specialized
• Current developments in cannabis rescheduling and business considerations
• Experimental Medicaid and Medicare care pathways
• Cannabis vs. hemp
• Tensions in state vs. federal regulations
• Predictions for cannabis regulation and legalization

Find out more about Foley Hoag’s Cannabis and Hemp practice: https://foleyhoag.com/industries-practices/cannabis-and-hemp/

Find out more about Foley Hoag’s Healthcare Department: https://foleyhoag.com/industries-practices/healthcare/

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Credits:

Hosts: Edo Banach and Caroline Farrell

Producer: Brian Markowitz and Gary Silver

Editor and Sound Engineer: Gary Silver

Research: Brian Markowitz

Additional assistance: Emily Freeman, Shivangi Mehta and Jessica Murphy

Music: Phil Dodge

In the first episode of our new healthcare podcast, How (in) the Health, Edo Banach and Caroline Farrell trace the winding paths that brought them together—first at CMS as Affordable Care Act hires, and now as colleagues at Foley Hoag. Their origin stories double as a primer on the forces shaping American healthcare: Medicaid enrollment battles, the dual-eligible population, hospice and palliative care, and the Affordable Care Act's unfinished promises.

From there, Edo and Caroline zero in on two mega-themes they believe will dominate the next decade: coverage preservation in the face of Medicaid changes under the One Big Beautiful Bill Act, and Medicare's shift toward non-medical supports delivered in the home and community. They then preview future episodes that will feature in-depth conversations on these and other topics, with experts from across the industry.

If you want to understand why so many of today's healthcare headlines feel like déjà vu, this conversation lays the groundwork.