Updates & Events
Analysis, context, and practical perspectives for healthcare compliance leaders.

Behavioral Health Compliance
The Telemedicine Cliff Is Back: What Behavioral Health Programs Should Do Before December 31
DEA's telemedicine prescribing flexibilities expire December 31, 2026, and the replacement rule is under White House review with its text unpublished. Here is how behavioral health programs should plan for all three outcomes.

Enforcement News
What a $6.5 Billion Fraud Takedown Actually Teaches Compliance Officers
In June, the Department of Justice closed out its 2026 National Health Care Fraud Takedown with 455 defendants charged across 56 federal districts and 45 states and territories.

Payer Compliance
Every Two Months, Another Medicare Advantage Settlement — What the Pattern Actually Shows
DOJ has settled a Medicare Advantage risk-adjustment case roughly every other month this year, from $556 million in January to $541.5 million in August. The pattern across every settlement isn't fabricated diagnoses — it's a structural incentive problem most compliance programs still aren't built to catch.

Enforcement News
Enforcement Just Had Its Biggest Year Ever — Here's What Changed
DOJ posted $6.8 billion in False Claims Act settlements and judgments last year — the highest total in the statute's history — and stood up a new division built specifically to keep that pace going. Here's what changed, and why the intersection of the FCA, Anti-Kickback Statute, and Stark Law matters more than ever.