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Uncover 5 critical overlooked clauses in healthcare payer contracts—ownership changes, disclosures, breaches—that risk terminations and fines.

Beyond the Signature: Uncovering the Hidden Risks  in Your Third-Party Payor Agreements

2026 PBM reforms boost transparency in prescription drug pricing and oversight. Contact MDRXLaw for details.

2026 PBM Transparency Reform: What Employers and Providers Should Know

Court rules AI chats not privy to legal privilege: risks highlighted.

Federal Court Warns — Do Not Put Your Lawyer’s Advice Into Public AI Tools

CMS DMEPOS moratorium on medical supply companies: nationwide from Feb 27, 2026. Coverage, exceptions, compliance strategies.

CMS Imposes Nationwide Moratorium on New DMEPOS Medical Supply Company Enrollments

Michigan advances bill ensuring AI claims reviews include human oversight.

Michigan’s New Shield Against AI Claim Denials for Health Care Providers

Michigan physicians face a critical IMLC deadline; HB 5455 aims to maintain licensure.

The Interstate Medical Licensure Compact:  Michigan’s 2026 Update and the Hidden Risks of Multistate Practice

2026 Michigan HB 4040 may end healthcare non-compete clauses, impacting contracts.

Is Your Michigan Physician Employment Agreement Still Enforceable?

Step-by-step copay waiver program for NY pharmacies: Medicaid compliance, hardship affidavits, PBM safeguards. Avoid OIG penalties.

Financial Hardship Waivers and Copayment Compliance for Pharmacies in New York

LHCSAs: OIG flags sign-on bonuses for family hires as Anti-Kickback risks. NY compliance guide + safe harbor tips.

The “Inextricable Link”:  OIG Flags Risks in a LHCSA Advertising Sign-On Bonuses to Family Caregivers

Free legal sessions for new physicians on contracts, compliance, and more with MDRXLaw.

New Resource for Graduating & Early-Career Physicians

Unpacking the ESI Settlement: A Multi-Million Dollar Shift Back to Community Pharmacies

New Part D PBM reforms: CMS standards, timeline, independent pharmacy guidance.

Medicare Part D PBM Reforms: Timeline and Actions for Independents

Corporate Practice of Medicine update in New York

New York’s Corporate Practice of Medicine: Why 2026 Is a Turning Point

Skip costly healthcare litigation. Discover MDRXLaw's mediation for PBM terminations, audits, contracts—fast, confidential resolutions that shield compliance and revenue.

MDRXLaw Practice Highlight: Mediation and Structured Conflict Resolution - Resolve Healthcare Disputes Without Litigation's Fallout

2026 HIPAA enforcement prioritizes real-world cybersecurity: risk analyses, vendor oversight, tested incident response, breach notices, leadership governance.

Cybersecurity enforcement and HIPAA: what healthcare practices need to know in 2026

NY med spa crackdown 2026: 223 inspected, 87 cited for unlawful medicine practice. Botox, fillers, microneedling require licensed pros. Avoid fines & revocations.

New York State Cracks Down on Unauthorized Med Spa Practices – Key Lessons from Recent Statewide Enforcement

OptumRx's 2026 Therapeutic Class Limits: How MDRXLaw's Proprietary Analytics Tool Empowers Pharmacies to Respond Effectively

Independent pharmacy acquisitions in 2026: Key legal risks for buyers & sellers—due diligence, PBM recredentialing, filings & more. Avoid costly pitfalls with expert guidance.

Independent Pharmacy Acquisitions in 2026: Essential Legal Risks for Buyers and Sellers

 CMS launches ACCESS Model: New Medicare payments for tech-enabled chronic care in hypertension, diabetes, CKD & more. Outcome-based revenue starts 2026. Explore opportunities & compliance.

CMS Announces the ACCESS Model: A New Opportunity for Technology-Enabled Chronic Care Management

DOJ's new Health & Safety Unit escalates criminal risks for healthcare providers via FDCA & safety statutes. Learn implications & proactive steps for compliance. Free assessment available.

The DOJ's New Health & Safety Unit: What It Means for Healthcare Providers in an Evolving Enforcement Landscape

Discover why ISO 42001 is becoming the gold standard for responsible AI in healthcare. Reduce clinical risk, win contracts, and future-proof compliance.

Is Your Healthcare Organization Ready for the AI Governance Standard That’s Quickly Becoming Table Stakes?

CMS’s 2026 Home Health Final Rule brings retroactive revocations, payment cuts, and new documentation risks. Learn how HHAs can protect revenue and reduce legal exposure.

The CY 2026 Medicare Home Health Rule: Critical Legal Risks and Actions for HHAs 

Healthcare AI disputes are rising. Learn how the JAMS AI Rules protect patient data, trade secrets, and resolve complex AI cases faster than traditional litigation.

Resolving Healthcare AI Disputes Under the JAMS AI Dispute Rules: A Tailored Path to Fair and Efficient Outcomes

Insurers are adding sweeping AI exclusions that reduce liability protection for healthcare providers. Understand emerging risks and how to review your policies.

Understanding Emerging Trend of AI-Related Insurance Policy Exclusions

CMMC 2.0 is now mandatory for DoD contractors (Nov 2025). Learn the 3 levels, 4-phase rollout, POA&M rules & how to stay compliant with FCI/CUI contracts.

CMMC 2.0 Is Officially Here: What Every DoD Contractor Needs to Know Right Now

AI fraud detection now flag payments in real-time across IRS, Medicare, and state agencies. Healthcare leaders must prepare for algorithmic enforcement today.

The Government’s AI Fraud Detection Is Here – What Every Business Leader Needs to Know

AI is reshaping healthcare jobs. Learn how proper training, updated roles, and smart contracts protect your practice while boosting efficiency and retention.

Prepare for AI-Driven Workforce Transformation in Healthcare

Generative AI in healthcare marketing risks FTC violations without strict compliance.

AI-Generated Advertising in Healthcare: Avoid Common Pitfalls

AI tools reshape healthcare data handling. Update your BAAs for AI compliance now. Contact MDRXLaw.

Business Associate Agreements in 2025: Are Patient Data Protections Keeping Up with AI?

DOJ & HHS target personal healthcare fraud risks; escalating enforcement & liability for professionals.

From Corporate Shield to Personal Exposure: The New Reality of AKS and FCA Enforcement in Healthcare

DOJ's 2025 Troy Medicare case highlights AI misuse in healthcare, stressing compliance in AI applications.

DOJ’s Troy Medicare Resolution: A Critical Wake-Up Call for Healthcare Providers Using Artificial Intelligence

Explore AI in healthcare: Balance innovation with HIPAA compliance, avoid public model privacy risks, embrace private deployments, and build strong governance. Contact us for expert guidance.

Private vs. Public AI Models in Healthcare: Balancing Innovation, Privacy, and Regulatory Compliance

AI Chatbots in Mental Health: A Prescription for Innovation or Risk?

Safeguard patient data in AI-driven healthcare: Explore HIPAA encryption essentials, real cases like M.D. Anderson, and 6 steps for compliance. Expert guide for providers.

Safeguarding Patient Data in the AI Era: Why Encryption is Non-Negotiable for Healthcare Providers

Healthcare AI in M&A requires thorough due diligence on compliance, data privacy, vendor contracts, and state regulations to identify liabilities and ensure HIPAA compliance.

Before You Buy: Understanding AI Risks in Healthcare Deals

Learn how AI is reshaping healthcare claims, impacting provider payments and audits, and the strategic responses required.

Client Alert: AI in Claims Processing – What Providers Need to Know

Civilian contractors need DoD sponsorship for security clearance, undergo background checks, and can appeal denials; clearances are vital for defense work.

How Civilian Contractors Can Obtain A DOD (Department of War) Security Clearance

Attorney-client privilege protects healthcare providers' legal communications but can be waived by forwarding emails, using public AI tools, or sharing without caution.

Avoid Modern Pitfalls: Keep Your Attorney-Client Privilege Safe

Out-of-network providers can use ADR and mediation to resolve insurer disputes privately, efficiently, and cost-effectively while maintaining independence.

How Alternative Dispute Resolution Can Help Healthcare Providers Facing Insurer Pressure

NY’s new Certificate of Need rules ease regulatory burdens for small healthcare providers, raising thresholds and expediting routine facility improvements

New York Eases Certificate of Need (CON) Burdens for Small and Mid-Size Healthcare Providers—Major Regulatory Updates and Practical Impact

$1.9M pharmacy audit reduced to $200K. Our team uses AI-enabled analysis and decades of experience to fight PBM audits and protect your pharmacy's bottom line.

MDRXLaw Successfully Reduces Pharmacy's Audit Findings 

The February 2024 versions of SF 85, 85P, 85P-S, and 86 are now required for all background investigations. Earlier forms are no longer accepted by DCSA.

Deadline Passed: February 2024 Standard Forms Now Required (SF 85, 85P, 85P-S, 86)

New BIS Affiliates Rule: Foreign entities 50%+ owned by listed parties now face automatic export restrictions. Ownership, not just listing, triggers controls.

U.S. Expands Export Controls to Affiliates of Listed Entities- What Foreign-Owned Importers and Exporters Must Know    

Omnicare’s Bankruptcy After a Near-$1b FCA Judgment: What Pharmacies, LTC Operators, and PBMs Need To Do Now 

GLP-1 weight-loss drugs like semaglutide and tirzepatide face increased regulatory and legal scrutiny. Providers must follow compliance, use FDA-approved drugs, document thoroughly, and ensure HIPAA adherence to minimize liability.

GLP-1 Weight-Loss Medications –  Regulatory and Legal Guidance for Healthcare Providers

Learn how NY Medicaid providers can use OMIG audit protocols to stay compliant, reduce audit risk, and protect against repayment demands.

Navigating OMIG’s Audit Protocols: Guidance for Medicaid Providers

MDRXLaw secures $7 million arbitration victory, setting a precedent for pharmacy reimbursement fairness.

Sauchik & Giyaur, P.C. – MDRXLaw Secures Victory Against Major PBM in Arbitration for NJ Pharmacy

2026 CMS Rule updates RPM billing, enhancing provider flexibility and patient access.

CMS Proposes Rule Change to Remote Patient Monitoring Billing

Pharmacies risk legal exposure by using consultants for audits. Attorney-client privilege, legal strategy, and representation are critical in PBM investigations.

The Dangers of Utilizing Compliance Consultants When Responding to an Audit

DOJ and HHS relaunch FCA task force, signaling stricter, proactive healthcare fraud enforcement—Medicare Advantage, kickbacks, and data analytics in focus.

Urgent FCA Enforcement Update

Pharmacies face rising audits and legal risks for false prior authorizations. Protect now.

Prior Authorization Crackdowns: The Legal Risks and What Pharmacies Need to Know

NY pharmacies can use CoverMyMeds for Medicaid ePAs starting summer 2025. Learn how to stay compliant and streamline approvals with expert legal guidance.

NYS Medicaid Now Allowing Use Of Covermymeds For Prior Authorizations

Proudly recognized in the Chambers Spotlight New York 2025 Guide, MDRXLaw continues to set the standard for excellence in healthcare law.

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