Episodios

  • Operation Brace Yourself, Part One: Advising DME Clients
    Jun 10 2025

    Operation Brace Yourself, a massive 2019 Department of Justice operation involving the durable medical equipment (DME) industry, was one of the largest health fraud enforcement actions in history and had major legal and compliance repercussions for DME companies. In this two-part series, Stephen Lee, Solo Practitioner, Law Office of Stephen Chahn Lee, recounts the true story of one DME company that unwittingly found itself in the crosshairs of this massive government enforcement action.

    In part one, Stephen speaks with Michael Silverman, Lawyer, Silverman Bain LLP, and Noel Neil, Chief Compliance Officer, ACU-Serve Corp, who both advised the company after its owners discovered unusual billing practices. Michael and Noel discuss how they advised the company amid increased government scrutiny of the DME industry and also provide practical tips and guidance on how to communicate complex legal issues to clients.

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

    AHLA's Health Law Daily Podcast Is Here!

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

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    44 m
  • Eli Lilly’s GLP-1 Litigation: Issues Related to Corporate Practice of Medicine and FDA Regulations
    Jun 6 2025

    In a groundbreaking development for the digital health world, Eli Lilly, one of the world’s largest pharmaceutical companies, has filed lawsuits against a growing number of telehealth companies over the sale of compounded drugs Mounjaro and Zepbound, two popular GLP-1 medications. Nawa Lodin, Associate, Wilson Sonsini Goodrich & Rosati, and Lauren Petrin, Associate, Wiley Rein, discuss the background of compounding and when it is allowed under FDA regulations; the legal and regulatory issues at play in Eli Lilly’s lawsuits, including issues related to the corporate practice of medicine and FDA regulations; and key compliance considerations.

    Watch this episode: https://www.youtube.com/watch?v=XstaVQGtY24

    AHLA's Health Law Daily Podcast Is Here!

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

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    28 m
  • Putting Price Transparency into Perspective
    Jun 3 2025

    Jackie Selby, Partner, Epstein Becker & Green PC, Maria Nikol, CEO, Revelar Analytics LLC, and Karen Mandelbaum, Senior Counsel, Epstein Becker & Green PC, discuss current trends and developments related to price transparency. They cover why price transparency is important; provide an overview of the hospital transparency rule and the transparency in coverage rule for health plans; and detail how the rules are impacting providers, payers, and consumers. Jackie, Maria, and Karen wrote an article about this topic for Health Law Connections magazine. From AHLA’s Regulation, Accreditation, and Payment Practice Group.

    Watch this episode: https://www.youtube.com/watch?v=5cbxUKpklYQ

    Read the article: https://www.americanhealthlaw.org/content-library/connections-magazine/article/f2560233-685a-4065-a989-d286ae43b2e6/Putting-Price-Transparency-into-Perspective

    Learn more about AHLA’s Regulation, Accreditation, and Payment Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/regulation-accreditation-and-payment

    AHLA's Health Law Daily Podcast Is Here!

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

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    40 m
  • Issues Related to Health Care Employment Arbitration
    May 30 2025

    Linda A. Michler, Arbitrator and Mediator, speaks with Christopher C. Murray, Partner, Ogletree Deakins, about arbitration in the health care employment space. They discuss how arbitration works; the strengths and weaknesses of arbitration; and issues related to selecting an arbitrator, cost, mediation, class action waivers, and mass arbitration. They also discuss special considerations related to health care employment arbitration, how employers and their counsel can make employment arbitration successful, and AHLA’s Dispute Resolution Service and Rules of Procedure for Employment Arbitration.

    AHLA's Health Law Daily Podcast Is Here!

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

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    45 m
  • Practical Guidance to Enable Health Care Compliance Programs to Assess and Monitor AI
    May 27 2025

    Andrew Mahler, Vice President of Privacy and Compliance Services, Clearwater, speaks with Kathleen Healy, Partner, Robinson Cole, and Robert Martin, Senior Legal Counsel, Mass General Brigham, about how health care compliance teams can build effective governance models, monitor legal risks, and prepare for enforcement activity related to artificial intelligence (AI). They discuss how to build an effective AI oversight framework and assess AI systems for bias and transparency, compliance considerations related to the Health Insurance Portability and Accountability Act and the 21st Century Cures Act, what federal agencies are signaling in terms of their AI priorities, and future trends shaping AI compliance in health care. Kate and Robert spoke about this topic at AHLA’s 2025 Complexities of AI in Health Care conference in Orlando, FL. Sponsored by Clearwater.

    AHLA's Health Law Daily Podcast Is Here!

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

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    34 m
  • Behavioral Health Hot Topics
    May 23 2025

    Gerald (Jud) DeLoss, CEO, Illinois Association for Behavioral Health, Tania Archer, Counsel, Moore & Van Allen, Allison Petersen, General Counsel, INTEGRIS Health, and David Shillcutt, Partner, Epstein Becker & Green, discuss hot topics in behavioral health, including trends in managed care behavioral health, federal and state funding for behavioral health, and school-based crisis programs. Jud was Faculty Chair, and Tania, Allison, and David were members of the Faculty, of AHLA’s new course, Behavioral Health Law & Compliance 101. From AHLA’s Behavioral Health Practice Group.

    AHLA's Health Law Daily Podcast Is Here!

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

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    44 m
  • Preparing for and Responding to Ransomware Attacks in the Health Care Sector
    May 20 2025

    As ransomware attacks grow more sophisticated, health care organizations face not just massive data privacy risks, but real-time threats to operations, patient safety, and regulatory compliance. Dave Bailey, Vice President of Security Services, Clearwater, speaks with Kirk Nahra, Partner, Wilmer Hale, and Paul Schmeltzer, Member, Clark Hill, about how ransomware impacts everything from hospital workflows to enforcement actions, and what health care organizations can do to prepare and respond to the threat. Kirk and Paul spoke about this topic at AHLA’s 2025 Advising Providers: Legal Strategies for AMCs, Physicians, and Hospitals conference in Austin, TX. Sponsored by Clearwater.

    AHLA's Health Law Daily Podcast Is Here!

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

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    33 m
  • Medicare Advantage: Navigating Uncertain Times
    May 16 2025

    Medicare Advantage (MA) is one of the most popular insurance programs for the Medicare-eligible population, however it faces significant headwinds from both payer and provider organizations. Alan Lassiter, Principal, ECG Management Consultants, speaks with Christine Worthen, Member, Epstein Becker & Green PC, and Joe Mangrum, Partner, ECG Management Consultants, about the current state of MA, the complex issues confronting both payers and providers, and strategies for successfully navigating these uncertain times. They discuss issues related to provider-sponsored plans, structuring value-based arrangements with MA plans, how MA plans can maintain margin, CMS’ recent final rule, sustainable MA plan reimbursement, network design and supplemental benefits, and the value drivers of data. From AHLA’s Payers, Plans, and Managed Care Practice Group.

    AHLA's Health Law Daily Podcast Is Here!

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

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    35 m
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