Judge Pauses Ban On New ACA Insurance Brokers
By Jared Foretek
A Maryland federal judge on Thursday paused a U.S. Department of Health and Human Services rule barring new insurance agents and brokers from signing up to sell plans on the Affordable Care Act marketplace for 2027, holding that HHS likely had to solicit public comment before issuing the rule.
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Anthem Seeks $160M For Alleged Autism Therapy Scheme
By Rae Ann Varona
Elevance Health and its Anthem-affiliated entities are seeking at least $160 million in damages from in-network autism-therapy provider Perfect Child, alleging in New York state court that Perfect Child fraudulently steered Anthem members toward out-of-network shell companies and "bullied" parents out of questioning the alleged bait-and-switch scheme.
Complaint attached |
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MVP
MVP: Sidley's Jaime Jones
By Mark Payne
Jaime L.M. Jones of Sidley Austin LLP helped Novo Nordisk land an unprecedented unanimous jury verdict in a $1 billion False Claims Act case over an alleged kickback scheme, earning her a spot as one of the 2026 Law360 Healthcare MVPs.
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LITIGATION
Ill. Firm Accused Of Pushing Workers' Comp Deal On Client
By Celeste Bott
An Illinois woman who says she suffered permanent spinal injuries while working in healthcare has sued Chicago law firm Gordon Gordon & Centracchio, alleging it pressured her into accepting an inadequate workers' compensation settlement rather than pursuing permanent total disability benefits and failed to investigate potential medical malpractice claims.
Complaint attached |
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EXPERT ANALYSIS
Series
Open-Water Swimming Makes Me A Better Lawyer
Swimming long distances in open waters is not necessarily an escape from my intellectual property practice, but a complementary discipline that similarly rewards sustained attention, intellectual curiosity, resilience and the ability to pursue a distant objective without losing command of the immediate task, says Christina MacDougall at Morgan Lewis.
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LEGAL INDUSTRY
Trump's Hush Money Conviction Examined By Wary NY Panel
By Frank G. Runyeon
A New York State appellate court Thursday quizzed attorneys for President Donald Trump and state prosecutors over his hush-money conviction, exploring defense counsel's claims that the district attorney trespassed into federal jurisdiction by charging election violations and trampled on presidential immunity in a case "infected with multiple fatal errors."
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