Legal and Regulatory Compliance

Healthcare compliance risks rise as CMS expands fraud enforcement

With recent developments highlighting the Trump administration’s emphasis on healthcare fraud prevention, providers should ensure their compliance processes are working optimally. The administration has taken various steps in 2026, including this month. On May 13, CMS announced it was withholding $1.3 billion in Medicaid funding from California. During media availability at the White House that…

By Nick Hut May 19, 2026

DOJ brings antitrust lawsuits challenging hospital contracting practices

May 12 update OhioHealth filed a motion to dismiss the lawsuit brought by the Department of Justice (DOJ) and the state of Ohio over allegations that the health system engaged in anticompetitive conduct in its health plan contracting (see the original story below). The organization’s contracting approach actually was procompetitive, according to the motion, in…

By Nick Hut March 30, 2026

DOGE releases (then removes) Medicaid billing data to expand fraud oversight (updated)

The Trump administration’s ongoing push to address fraud in government healthcare programs includes the release of a massive data set showing Medicaid billing patterns of individual providers. With more than 227 million rows of Medicaid fee-for-service and managed-care billing data and roughly 1.8 million national provider identifiers (NPIs), the file shows the NPI for each…

By Nick Hut March 4, 2026

Consequences of new MA and ACA Marketplace regulations

Nick and Shawn discuss regulatory changes coming from CMS for the 2027 regulatory season.

By Erika Grotto February 23, 2026

Hospitals face multiple financial hits from new HOPD requirements

Health systems face multiple potential financial hits from new off-campus HOPD reporting requirements. Also, this week’s Weird Number: 3%-5%. That the amount of net revenue lost annually by electronic health records and billing systems. One More Thing: Healthcare cost concerns could be a big factor in this year’s mid-term election. A survey indicates it could…

By Rich Daly February 18, 2026

Updated documentation requirements in Medicare could add burden on healthcare providers

Citing concerns about improper payments, CMS issued a regulatory update that expands Medicare prior authorization and other documentation requirements starting April 13. The regulations are most meaningful for vendors of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS), but the operations of hospitals and other front-line providers stand to be affected as well. Increased documentation…

By Nick Hut February 9, 2026

New administrative mandate for hospitals signed into law as part of FY26 appropriations

Note: The headline and lead section of this article were updated with news that Congress passed the appropriations bill. The FY26 appropriations bill signed Feb. 3 by President Donald Trump leaves hospitals with two years to prepare for a new administrative obligation pertaining to off-campus outpatient departments (OPDs). The package, which passed the Senate last…

By Nick Hut January 20, 2026

The shutdown continues, plus the latest on 340B

HFMA Senior Editor Nick Hut and HFMA Policy Director Shawn Stack discuss the latest in healthcare finance news.

By Erika Grotto November 3, 2025

Healthcare fraud enforcement ramps up in the Trump administration, with implications for all stakeholders

Even as hospital leaders consider how to manage decreased reimbursement and higher costs, federal fraud enforcement continues to have some of the most significant financial stakes of any healthcare industry issue. Rather than taking a hands-off approach, the Trump administration is maintaining and even expanding the Biden administration’s push in this area. Two months ago,…

By Nick Hut August 25, 2025

Latest on the Blue Cross Blue Shield settlement: Numbers revealed on filed claims, opt-outs (updated)

Oct. 8 update The lead attorneys for the class of plaintiffs in the Blue Cross Blue Shield provider litigation are highlighting portions of the judge’s final approval of the $2.8 billion settlement, saying his comments should provide reassurance about the ability to bring future litigation against the Blues. Per the settlement terms, participants cannot sue…

By Nick Hut August 15, 2025
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