Episode Details

Based on AHLA's annual Health Law Connections article, this special ten-part series brings together thought leaders from across the health law field to discuss the top ten issues of 2026. In the ninth episode, Kathy Roe, Managing Attorney, Health Law Consultancy, speaks with Judy Waltz, Partner, Foley & Lardner LLP, about the current areas of uncertainty surrounding Medicare Advantage (MA). They discuss why some MA Organizations (MAOs) are withdrawing plans, Humana v. Becerra and the potential impact on Risk Adjustment Data Validation audit processes and calculation of overpayment recoveries for MAOs, potential MAO network provider exposure under the False Claims Act, and what potential changes to MA might be on the horizon. From AHLA’s Payers, Plans, and Managed Care and Regulation, Accreditation, and Payment Practice Groups.

Watch this episode: https://www.youtube.com/watch?v=Az0cUVAjnFI

Read AHLA's Top Ten 2026 article: https://www.americanhealthlaw.org/content-library/connections-magazine/article/a879dda5-35f9-46fb-ad45-1b0799343d74/Health-Law-Forecast-2026

Access all episodes in AHLA's Top Ten 2026 podcast series: https://www.americanhealthlaw.org/education-events/speaking-of-health-law-podcasts/top-ten-issues-in-health-law-podcast-series

Learn more about AHLA’s Payers, Plans, and Managed Care Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/payers-plans-and-managed-care 

Learn more about AHLA’s Regulation, Accreditation, and Payment Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/regulation-accreditation-and-payment 

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