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November 12, 2026

Takeaways from the most recent news in the technology and policies shaping healthcare.

Government

Feds Launch False Claims Act Self-Disclosure Pilot

HHS and the Department of Justice's Civil Division have launched a six-month pilot program encouraging healthcare companies to report themselves for potential civil violations of the False Claims Act, according to Becker's Hospital Review.

Under the Healthcare False Claims Act Self-Disclosure Pilot Program, companies that meet the requirements can settle disclosed conduct through a coordinated civil release that covers both agencies. In practice, that means a single resolution rather than parallel or overlapping enforcement actions, giving disclosing organizations more certainty about their exposure. The pilot is aimed at firms willing to come forward proactively instead of waiting for the government to find the problem.

For hospitals, medical groups, and other Medicare and Medicaid participants, the move signals a continued federal push to reward transparency while keeping the FCA, one of the government's most powerful fraud-recovery tools, front and center. Compliance teams will need to weigh the benefits of early disclosure against the cost of flagging their own conduct during the limited six-month window.

More in Government

Government

Democrats Float 'Medicare for Kids' Ahead of 2026 Midterms

Democrats are floating a narrower "Medicare for Kids" proposal alongside the broader Medicare for All push as healthcare shapes the 2026 midterm debate.

Why it matters: The direction of Democratic healthcare policy could reshape coverage, reimbursement, and payer dynamics across the industry depending on 2026 election outcomes.

Government

BIO Sues to Block Medicare Peer-Country Drug Pricing Pilot

BIO has sued to block a Medicare pilot that ties certain US drug prices to peer-country benchmarks, the latest challenge to Trump's most-favored-nation pricing push.

Why it matters: The outcome will shape how far the federal government can use Medicare pilots to push US drug prices toward what other countries pay.

Government

CMS Finalizes 2.4% Home Health Pay Bump for 2027

CMS finalized a 2.4% home health payment increase for 2027 while tightening Medicare provider enrollment rules to fight fraud.

Why it matters: The rule sets 2027 reimbursement for home health agencies and raises compliance stakes as CMS cracks down on fraud.