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CMS Antitrust Podcasts

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Competition+

CMS Antitrust, Competition & Trade Group

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Trending topics in competition law and beyond. In this podcast series, we explore trending topics in competition law, bringing you insights into how these shape markets and commerce. Competition+, also dives deeper, covering the critical areas of law that impact market conduct, including trade law, state aid and procurement laws as well as other forms of market regulation.
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AHLA's Speaking of Health Law

American Health Law Association

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The American Health Law Association (AHLA) is the largest nonprofit, nonpartisan educational organization devoted to legal issues in the health care field. AHLA's Speaking of Health Law podcasts offer thoughtful analysis and insightful commentary on the legal and policy issues affecting the American health care system.
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In the eighth installment of their popular annual series, John D. Carroll, Partner, King & Spalding LLP, and Alexis J. Gilman, Partner, Alston & Bird LLP, discuss 2025's biggest antitrust developments and what attorneys should expect in 2026. Watch this episode: https://www.youtube.com/watch?v=onCawnKti4M Essential Legal Updates, Now in Audio AHLA'…
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Stewart Kameen, Partner, Bass Berry & Sims PLC, Brandon Helms, Shareholder, Hall Render Killian Heath & Lyman PC, and Matthew Westbrook, Senior Counsel, Proskauer Rose LLP, discuss some of the key health care fraud and abuse trends from 2025 and what to expect in 2026. They cover the current landscape; Administration priorities; general trends; and…
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Judith Waltz, Partner, Foley & Lardner LLP, Faraz Siddiqui, Assistant General Counsel, Memorial Sloan Kettering Cancer Center, David Lazarus, Partner, Foley Hoag LLP, and John Hood, Associate, Akerman LLP, discuss some of the key health law developments from 2025 and what to expect in 2026. They cover a wide range of legislative, regulatory, and ju…
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Kathy Roe, Managing Attorney, Health Law Consultancy, speaks with Christine Burke Worthen, Member, Epstein Becker & Green PC, about two important yet not always well understood areas of the health care ecosystem, the health care claim lifecycle and medical coding. They discuss why it is important for health law professionals to have a basic underst…
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In this follow-up to their August 2025 podcast, Lisa Diehl Vandecaveye, Of Counsel, Epstein Becker Green, and Priya Bathija, Founder & CEO, Nyoo Health, discuss how health law professionals can plan for success going into 2026. They share some of the challenges faced by the health care industry in 2025, how they are setting their intentions for 202…
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Health care is one of the top industries for workplace violence injuries. Sarah R. Skubas, Principal, Jackson Lewis PC, speaks with Jonathan C. Bumgarner, Partner, Hall Render Killian Heath & Lyman PC, about the factors that contribute to workplace violence in the health care industry. They discuss the role of OSHA and other regulatory bodies, stat…
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Jason Krisza, Shareholder, Wilentz Goldman & Spitzer PA, and Michael Schaff, Shareholder, Wilentz Goldman & Spitzer PA, speak with Sidney Welch, Partner, Bradley Arant Boult Cummings LLP, Lymari Cromwell, Partner, Bass Berry & Sims PLC, and Ashley Creech, Associate, Epstein Becker & Green PC, about three cutting-edge topics that are of increasing i…
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John F. Banghart, Senior Director for Cybersecurity Services, Venable LLP, speaks with Errol S. Weiss, Chief Security Officer, Health-ISAC, Inc., about the unique challenges associated with information sharing in the health care sector. They discuss what an ISAC is; what information sharing means in the context of the health care sector and why it …
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As 2025 closes, the implications of the One Big Beautiful Bill Act (now rebranded as the Working Families Tax Cut Act) on Medicaid continue to ripple through the health care industry. CMS has issued major guidance, and state Medicaid agencies and health care providers are scrambling to implement this guidance at an operational level. Harsh P. Parik…
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Kathy Roe, Managing Attorney, Health Law Consultancy, speaks with Dorothy DeAngelis, Senior Managing Director, Ankura Consulting, and Richelle Marting, Attorney, Marting Law, about the latest trends and developments related to prior authorization, from both the payer and provider angles. They discuss what prior authorization is and why it engenders…
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In this special two-part series, Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Schulte, about the health care corporate governance oversight of artificial intelligence (AI). In Part Two, they discuss what an AI governance framework might look like, the board/manag…
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In this special two-part series, Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Schulte, about the health care corporate governance oversight of artificial intelligence (AI). In Part One, they discuss the board’s core role regarding AI, the specific details of that…
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How can attorneys better navigate the business realities behind health care transactions, manage compliance pressures, and work with valuation experts in a practical way? Rob Holland, Director, HMS Valuation Partners, speaks with Eric Neff, President, Neff Associates, Ragini Acharya, Partner, Husch Blackwell, and Kyle Faget, Partner, Foley & Lardne…
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Shad Ritchie, Senior Consultant, Stroudwater Associates, and Stacy Gerber Ward, Shareholder, von Briesen & Roper, discuss the various aspects of a successful physician compensation redesign. They cover anchoring the compensation redesign in compliance, working with legal counsel, starting the compensation redesign process, determining fair market v…
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Rural health care has been facing significant headwinds, and that was before the passage of the One Big Beautiful Bill Act (OBBBA), which has introduced additional uncertainty. Donn Herring, Partner, Spencer Fane LLP, speaks with Lori Wightman, CEO, Bothwell Regional Health Center, and Jon Doolittle, President, Missouri Hospital Association, about …
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Amanda Hayes-Kibreab, Partner, King & Spalding LLP, and DeAngelo Norris, Senior Associate General Counsel, Grady Health System, discuss best practices for litigating health care disputes. They cover in-house and outside counsel collaboration, handling the pre-dispute process, using contracts to manage disputes, going to trial/arbitration, identifyi…
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As health care organizations rapidly adopt advanced technologies, including artificial intelligence (AI), they face complex challenges around health care delivery and accountability. Christi Grimm, Managing Director, BDO, and Julie Taitsman, Managing Director, BDO, discuss how AI is showing up in clinical care and the business of health care, from …
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Vendor relationships and data breaches are usually found very high on the risk heat map for anyone working in health care and technology. Andrew Mahler, Vice President of Privacy, Compliance, and Audit Services, Clearwater, speaks with Shalyn Watkins, Associate, Holland & Knight, about how health care organizations can better manage third-party ven…
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Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Schulte, about the release of a new report by the National Association of Corporate Directors on “Building a High-Trust Board-CEO Relationship.” They discuss the issues and concerns the report is trying to address, alo…
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Kathy Roe, Managing Attorney, Health Law Consultancy, speaks with Annie Shieh and Judith Waltz, Partner, Foley & Lardner, about the impact of recent changes to Medicare Advantage (MA) compliance on plans and providers. They discuss what plans and providers are responsible for when it comes to MA compliance, the current MA landscape, MA compliance c…
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Compliance officers and privacy leaders are facing a rapidly changing health care landscape, including new state laws, evolving federal guidance, and heightened expectations for data breach preparedness. Melissa Andrews, Senior Manager of Consulting Services, Clearwater, speaks with Roy Wyman, Partner, Bass Berry Sims, about what makes an effective…
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Scott Strickland, Shareholder, Hall Render Killian Heath & Lyman PC, Jim Carr, Co-Founder and Partner, InHealth Advisors, and Rachel Polzin, Assistant General Counsel, SSM Health, discuss the value-based enterprise (VBE) framework and the associated exceptions and safe harbors. They cover why the uptick in the framework has been a bit slower than a…
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The growth of advanced practice providers (APPs) continues to transform the provider landscape. Joe Aguilar, Managing Partner, HMS Valuation Partners, Alaina Crislip, Member, Jackson Kelly PLLC, and Emily Grey, Partner, Breazeale Sachse & Wilson LLP, share their observations about how APPs are evolving, with a focus on issues related to billing and…
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Bryan Perry, Senior Managing Director, FTI Consulting, Amanda Wait, Partner and Head of Antitrust, Michael Best & Friedrich LLP, and Elizabeth Odette, Assistant Attorney General and Manager of the Antitrust Division, Office of the Minnesota Attorney General, discuss the changing landscape of antitrust scrutiny of health care transactions. They cove…
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Shalyn Watkins, Associate, Holland & Knight, and Selena Evans, Founder, Ara Governance Advisory, discuss how health care attorneys can advise clients who seek to implement, develop, or use digital health. They cover implementing policies and procedures, updating data privacy and security policies, understanding professional board requirements, stay…
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Jennifer Hutchens, Partner, Dechert LLP, and Tom Spellman, Associate General Counsel and Vice President, Fresenius Medical Care, discuss how health care joint ventures can provide considerable financial, legal, and operational flexibility and opportunity for their participants, along with unique regulatory and relationship considerations. They cove…
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Miriam Swedlow, Associate, Davis Wright Tremaine LLP, Ryan Belton, Senior Counsel, PeaceHealth, and Kris Deyerle, General Counsel, Confluence Health, explore the tools the government uses to initiate and conduct potential enforcement actions and best practices for health care organizations to mitigate risk. They cover audits, subpoenas, civil inves…
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Leah Voigt, Chief Compliance Officer, Corewell Health, and Anthony J. Burba, Partner, Barnes & Thornburg, discuss takeaways from recent health care fraud enforcement activity, recent compliance guidance from DOJ and OIG, and practical steps that health care companies can take to address, mitigate, and remediate risks in key focus areas for the gove…
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Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Schulte, about several emerging governance concerns that are positioned for center-stage prominence on upcoming board agendas. These extend beyond the usual operational and financial considerations to include those wit…
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R. Ross Burris, Shareholder, Polsinelli, and Lindsey L. Lonergan, Senior Associate General Counsel, Wellspan Health, discuss current trends and developments related to audits and proactive strategies for dealing with audits. They cover issues related to CMS claim review programs, the increase in commercial audits versus government payer audits, art…
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Kate Taylor, Associate Principal, ECG Management Consultants, speaks with Bruce Toppin, Chief Legal Officer, North Mississippi Health Services, about how to recruit providers in a very competitive market while following strict guidelines that are frequently changing. They discuss the market backdrop; issues related to fair market value, commercial …
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Physical health providers, health systems, and hospitals often struggle with how to handle behavioral health issues as they arise. Anna Whites, Attorney, Anna Whites Law Office, and Matthew W. Wolfe, Shareholder, Baker Donelson Bearman Caldwell & Berkowitz PC, discuss strategies for integrating physical and mental health care. They share their resp…
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Herb Allen, Partner, Honigman LLP, speaks with Jeff Oliver, Partner, Baker Botts LLP, about some of the recent developments related to health care antitrust enforcement. They discuss the current team of antitrust enforcers in the Trump Administration, areas where the current administration is continuing the policies of the previous administration (…
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The employment law landscape is evolving rapidly, especially for health care employers. Timothy A. Hilton, Partner, Husch Blackwell LLP, and Gary McLaughlin, Partner, Mitchell Silberberg & Knupp LLP, discuss the areas of greatest concern for health care employers. They cover wage and hour issues, considerations related to remote work, and religious…
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Adam Laughton, Shareholder, Greenberg Traurig LLP, speaks with Jennifer Nelson Carney, Member, Epstein Becker & Green PC, about the current landscape of gender affirming care. They discuss the Supreme Court’s June 2025 decision in Skrmetti; the executive orders, memos, agency activity, and proposed legislation at the federal level; how states are r…
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As clinical research becomes increasingly digital, the legal and compliance landscape is shifting. Hal Porter, Director of Consulting Services, Clearwater, speaks with Dianne Bourque, Partner, Holland & Knight LLP, about the legal, regulatory, and ethical considerations when clinical trial data is compromised. They discuss issues related to regulat…
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Passed by Congress with razor thin margins, the One Big Beautiful Bill Act (OBBBA) marks the largest Medicaid cut in U.S. history, slashing more than $900 billion over the next ten years, with the CBO estimating more than ten million people losing health insurance by 2034. The implications for providers, legal counsel, and other stakeholders are en…
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Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Schulte, about a little-known element of fiduciary responsibility that could potentially have an outsized impact on director exposure: the so-called “duty of candor.” They discuss what the duty of candor is, who owes t…
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No two health law careers are the same; some follow a more traditional path, while others are more non-linear. Lisa Diehl Vandecaveye, Of Counsel, Epstein Becker Green, and Priya Bathija, Founder & CEO, Nyoo Health, discuss their unique health law career journeys and what they have learned along the way. They share how the health law profession has…
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Data breaches in the health care sector can carry immense legal, financial, and reputational consequences. Jon Moore, Chief Risk Officer and Head of Consulting Services, Clearwater, speaks with Christine Moundas, Partner, Ropes & Gray LLP, about how health care organizations can mitigate risk through robust breach preparedness plans and ensure lega…
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Kate Taylor, Associate Principal, ECG Management Consultants, speaks with Katie Tarr, Shareholder, LBMC, Alaina Crislip, Member, Jackson Kelly PLLC, and Payal Shah, Senior Counsel, Vituity, about some of the financial and regulatory pressures (and resulting compliance breakdowns) they are seeing in the health care industry and strategies and soluti…
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Kristin Riviello, Account Relationship Manager, CobbleStone, and Michael Donnelly, Sales Enablement Specialist, CobbleStone, discuss health care contract management and best practices for dealing with the challenges that occur in this area. They cover the health care contract lifecycle, negotiation strategies, and the role of artificial intelligenc…
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Jerry Chang, Managing Director, BRG, speaks with Brynne Goncher, Vice President/Deputy General Counsel, Piedmont Healthcare, and Tom Hawk, Partner, King & Spalding LLP, about the factors that increase the likelihood of successful joint venture partnerships between health systems and other providers and the factors that increase the likelihood of st…
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In this episode of Competition+, we take a closer look at the European Commission’s review of the EU Merger Guidelines – rules that explain how mergers are assessed under EU competition law. With the current guidelines dating back around 20 years, the Commission is seeking to modernise its approach considering evolving markets, enforcement trends a…
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The FDA has begun urging manufacturers to treat cybersecurity risk management as a material business concern. Hal Porter, Director of Consulting Services, Clearwater, speaks with Allyson Maur, Associate, McGuireWoods, about the implications of the FDA’s growing focus on cybersecurity as a core component of medical device safety and financial risk a…
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Alé Dalton, Partner, Bradley Arant Boult Cummings LLP, speaks with Tenia L. Clayton, Associate, Baker Donelson Bearman Caldwell & Berkowitz PC, and Caroline K. Abbott, Associate, Greenberg Traurig LLP, about life as a health law associate at a large firm. They discuss what drew them to health law and their particular firm, how to remain resilient i…
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Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the role of the Board, and the Finance Committee in particular, of monitoring the financial affairs of health care organizations, especially after the enactment of the One Big Beautiful Bill Act (OBBBA). T…
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Brian Dean Abramson, Adjunct Professor of Vaccine Law, Florida International University College of Law and University of Houston Law Center, speaks with Vanessa Burrows, Partner, Simpson Thacher & Bartlett LLP, and Dr. René Najera, Director of Public Health, College of Physicians of Philadelphia, about the rapidly changing environment of vaccine la…
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Adrienne Frazior, Shareholder, Polsinelli, and Jody Rudman, Office Managing Partner, Husch Blackwell, discuss recent legal developments related to the False Claims Act (FCA) and how the FCA is changing. They cover significant cases (SuperValu, Loper Bright, Polansky, Zafirov), circuit splits involving the FCA and the Anti-Kickback Statute, the over…
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Sheela Ranganathan, Adjunct Professor, Georgetown University School of Health, speaks with Kim Mutcherson, Professor, Rutgers Law School, and Diana Kasdan, Legal and Policy Director, UCLA Law Center on Reproductive Health, Law, and Policy, about the current landscape of reproductive health law. They discuss the Supreme Court’s recent decision in Me…
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