AHLA's Speaking of Health Law

Harriet Wall, President and CEO, LW Consulting, Inc., speaks with Rachel Hold-Weiss, Partner, Benesch Friedlander Coplan & Aronoff LLP, about the ins and outs of Unified Program Integrity Contractor (UPIC) audits and corporate integrity agreements (CIAs). They discuss how UPICs decide who to audit, what a UPIC audit appeal process is like, what providers should do within 48 hours of receiving...

Rob Gerberry, Adjunct Faculty, University of Notre Dame, speaks with Michael Peregrine about challenges related to defining the role of the Board Chair. They use the controversy around the recently fired chairman of BP as a case study, discussing key takeaways for health care industry leadership and how to implement an appropriate governance construct around the role of Board Chair. Watch this epi...

Greg Doggett, Counsel, Powers Pyles Sutter & Verville PC, and Felicity Homsted, CEO, FQHC 340B Compliance, discuss the current legal and regulatory landscape of the 340B program. They cover the intersection of 340B with the Inflation Reduction Act, concerns about the Rebate Model, pharmaceutical manufacturer restrictions and data requirements for covered entities, AbbVie’s patient definition l...

Neal Shah, Shareholder, Polsinelli, speaks with Scott Strickland, Attorney, Hall Render Killian Heath & Lyman PC, about what the Center for Medicare and Medicaid Innovation (CMMI) has been doing in the health care space. They discuss examples of some of the more prominent CMMI models, the distinction between CMMI models and traditional CMS models, health care industry responses to CMMI models,...

Tyler Dysart, Associate, King & Spalding LLP, speaks with Kennedy Bunch, Attorney, Hall Render Killian Health & Lyman PC, Mitchell Surface, Associate, Maynard Nexsen PC, and Parker Zopp, Associate, Jackson Kelly PLLC, about how to survive and thrive at small and regional law firms. They discuss how their pre-law school experiences influenced their decision to pursue careers in health law,...

Melissa Soliz, Partner, Coppersmith Brockelman PLC, speaks with Brendan Keeler, Interoperability Practice Lead, HTD Health, and Amy Bagge-Smith, General Counsel and Head of Regulatory Affairs, Arcadia, about the cases that are currently shaping interoperability law and how the health care industry is responding. They discuss which legal theories are gaining traction and which ones are appearing mo...

In honor of Father’s Day, Alé Dalton, Partner, Bradley Arant Boult Cummings LLP, speaks with Dougie Barnard, Attorney, Hall Render Killian Health & Lyman PC, and Travis Lloyd, Member, Bass Berry & Sims PLC, about how fatherhood has shaped their health law career journeys. They discuss how fatherhood changed their perspective on what a successful career means, the importance of parental lea...

Rachel Ludwig, Partner, DLA Piper, speaks with John Saran, Partner, Holland & Knight, Regan Parker, CEO, Association for Responsible Healthcare Investment, and Robbie Allen, CEO, U.S. Heart & Vascular, about the latest legal and regulatory developments related to corporate ownership of health care providers. They discuss the recent evolution of these laws and regulations at the state level...

Randy Fearnow speaks with Jaya White, Partner, Quarles & Brady LLP, about the regulatory landscape surrounding the growing home infusion industry. They discuss issues related to the Medicare HIT benefit; home infusion-specific state licensure requirements; ambulatory infusion suites, IV hydration clinics, and med spas; Indiana’s recent requirement that their Medicaid home care providers must a...

Jamie Ostroff, Chief Legal Officer, California Medical Association, speaks with Kinda Serafi, Partner, Manatt Health, and Jarrod McNaughton, Chief Executive Officer, Inland Empire Health Plan, about the role Medicaid managed care plans are playing in supporting new Medicaid program requirements under the One Big Beautiful Bill Act. They focus on work reporting requirements; renewals and redetermin...

John Saran, Partner, Holland & Knight LLP, and Michael Yalon, National Director, Physician & Provider Recruiting, U.S. Navy, share their social media journeys and how they have used LinkedIn and other platforms to create their own unique online presence, grow their professional profile, and gain followers. They discuss how they got started and grew into their “voice,” the types of content...

Rob Gerberry speaks with Michael Peregrine about the major corporate governance trends that have popped up in the last six months. They discuss issues related to volatility, corporate responsibility, director and executive succession, competency-based models of board recruitment, information flow and micromanagement, health care fraud and enforcement, and hospital tax-exempt status. Watch this epi...

Drew Hoffman, Partner, Pinnacle Healthcare Consulting, speaks with Darren Skyles, Partner, Nelson Mullins, and Adam Tarosky, Partner, Nixon Peabody, about how health care organizations can best position themselves given regulatory agencies’ plans to utilize artificial intelligence (AI) and machine learning in their enforcement efforts. They discuss how regulatory agencies are using AI in practice,...

John Howlett, Senior Vice President and Chief Marketing Officer, Clearwater, speaks with Iliana Peters, Shareholder, Polsinelli, about the state of HIPAA Security Rule enforcement in 2026, including the pending Security Rule Notice of Proposed Rulemaking, OCR’s continued enforcement activity, and what health care organizations should be doing now while the regulatory picture remains unsettled. Spo...

Asha Scielzo, Director, Health Law and Policy Program, American University Washington College of Law, speaks with Radha Savitala, President and Chairman of Tenor Health Foundation, about her work helping hospitals and health systems facing significant pressures and ensuring the viability of community hospitals across the nation. They discuss the mission of Tenor Health Foundation and Tenor's...

Health information exchanges (HIEs) play a vital role in enabling providers and care coordinators to share information in support of patient care. But as telehealth and digital health models expand across state lines, organizations must navigate a patchwork of state laws, consent requirements, and interoperability challenges that often create significant friction in data sharing. Hal Porter, Direc...

Jackie Papish, Partner, Barnes & Thornburg LLP, speaks with Brandon Helms, Shareholder, Hall Render Killian Heath & Lyman PC, about issues that arise during delays in Department of Justice (DOJ) investigations under the False Claims Act (FCA). They discuss potential reasons for these delays and what they mean for providers in terms of time and cost; how a 2023 case from the Fifth Circuit,...

As health systems increasingly adopt artificial intelligence (AI)-enabled tools across clinical, operational, and administrative functions, legal and compliance teams are being asked to navigate new and complex questions around contracting, risk allocation, data use, and regulatory uncertainty. Zach Stephens, Senior Consultant, Clearwater, speaks with Carolyn Metnick, Partner, Sheppard, and Lauren...

In honor of Mother’s Day, Alé Dalton, Partner, Bradley Arant Boult Cummings LLP, speaks with Rachel Byrd, Partner, Bass Berry & Sims PLC, Kerri Zelensek, Associate General Counsel, Regent Surgical, and Katie Tarr, Shareholder, LBMC, about how motherhood has shaped their health law career journeys. They discuss navigating motherhood while building a successful and meaningful career, how to have...

Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine about how to effectively separate a problematic or disruptive director from board service. They discuss common traits of problematic directors, issues with the power of removal and “for cause” requirements, options available to the board apart from removal, ensuring board understanding of expec...

Joe Wolfe, Attorney, Hall Render Killian Heath & Lyman PC, speaks with Charles Oppenheim, Partner, Hooper Lundy & Bookman PC, about the current landscape surrounding the Physician Self-Referral Law, also known as the Stark Law. They discuss why the Stark Law is so complex and the kinds of issues that attorneys face in this area, how CMS has introduced more flexibility under Stark and ways...

Andrew Mahler, Vice President of Privacy and Compliance Services, Clearwater, speaks with David Peloquin, Partner, Ropes & Gray LLP, about the emergence of agentic artificial intelligence (AI) in the health care industry and the accompanying legal and regulatory challenges. They discuss how agentic AI differs from earlier forms of AI, why this difference is legally meaningful in health care, s...

Rob Yates, Managing Consultant, BRG, speaks with Emily Palmer, Partner, McDermott Will & Schulte, Hassan Shaikh, Associate, Mintz Levin Cohn Ferris Glovsky and Popeo PC, and Tyler Dysart, Associate, King & Spalding LLP, about how to survive and thrive at large law firms. They discuss what drew them to health law and the large law firm setting, the pros and cons of life at a large law firm,...

The 2026 Medicare Physician Fee Schedule (MPFS) final rule provides insight into how the current administration is thinking about value-based reimbursement. Adam Laughton, Shareholder, Greenberg Traurig LLP, speaks with Alex Kirkland, Senior Vice President, Coker Group, about the trajectory of value-based reimbursement and what is happening in traditional Medicare under the 2026 MPFS. They discuss...

CMS’ Health Technology Ecosystem Initiative (HTE) is an ambitious effort announced by the White House and CMS to modernize the nation’s digital health infrastructure and expand data sharing beyond traditional clinical settings into the broader health and wellness ecosystem. At the center of this initiative is the CMS Interoperability Framework, which builds on prior federal interoperability effort...