Last summer, I wrote about the DOJ and HHS relaunching their joint False Claims Act Working Group, with Medicare Advantage risk adjustment fraud listed as one of its top enforcement priorities. The Aetna settlement announced earlier this month is a direct example of that initiative delivering results.
Aetna has agreed to pay $117.7
Artificial Intelligence continues to move quickly into the clinical workflow.
WVU Medicine recently announced that it is expanding its use of Abridge, an AI-powered transcription platform designed to generate clinical documentation during patient encounters. What began as a small pilot program in 2025 has now grown to more than 1,200 physicians, nurse practitioners, and physician
I recently had the opportunity to speak at the Pennsylvania Bar Institute’s Health Law Institute in Philadelphia on the topic of “Navigating New Frontiers in Physician Practice: Telehealth, Artificial Intelligence, and Contracting.”
Healthcare law is entering a period of rapid change. Telehealth, artificial intelligence, and remote care models are reshaping how physicians deliver care
The Centers for Medicare & Medicaid Services (CMS) recently announced a new payment initiative that will require certain cardiologists to participate in a value-based reimbursement model focused on heart failure care. This program, known as the Ambulatory Specialty Model (ASM), is scheduled to begin January 1, 2027 and will run through December 31, 2031.
The