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Only One Place to Go for In-sourcing Challenge

Client Alert | less than 1 min read | 04.14.14

In Fisher-Cal Indus., Inc. v. U.S. (Apr. 8, 2014), the D.C. Circuit bounced an incumbent's challenge to the agency's in-sourcing decision. Finding the decision to be part of the procurement process, the court ruled that it was, in essence, a bid protest that could be brought only in the Court of Federal Claims.


Insights

Client Alert | 2 min read | 02.03.26

CMS Doubles Down on RADV Audit Changes

On January 27, 2026, the Centers for Medicare and Medicaid Services (CMS) released a Health Plan Management System (HPMS) memo that provided a long-awaited update on how the agency plans to approach previously announced Risk Adjustment Data Validation (RADV) audits for Payment Years (PY) 2020-2024. The memo is the agency’s most comprehensive statement on the subject since September 25, 2025, when the Northern District of Texas vacated the 2023 RADV Final Rule. The memo makes clear that, while CMS has made certain operational adjustments in response to concerns expressed by Medicare Advantage Organizations (MAOs), the agency is largely pressing forward with the accelerated audit strategy announced in May 2025....