# Michelle Carroll

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Cybersecurity Downtime and Patient Safety | Episode 67

When a hospital’s electronic systems go down, patient care continues—but access to records, orders, test results, and communication may change. In this episode of Lexcura Clinical Insights, Michelle Carroll explores how attorneys can examine the clinical impact of a downtime event without assuming …

Childhood Vaccine Schedule Changes and the Law | Episode 74

In January 2026, the CDC approved a revised childhood immunization schedule without the usual vote by its expert advisory committee. Recommendations for hepatitis A, meningococcal ACWY, RSV, rotavirus, and influenza moved away from routine vaccination for all children, and the HPV series was reduce…

GLP-1s: Benefits, Dangers, and the Litigation | Episode 73

GLP-1 medications have changed the treatment of type 2 diabetes and obesity, and semaglutide has been shown to reduce heart attack and stroke risk in high-risk patients. These powerful drugs also carry real risks. They include severe gastrointestinal effects, gastroparesis, ileus, pancreatitis, gal…

When AI Becomes Evidence | Episode 72

Long-term care facilities now use predictive systems that flag fall risk, worsening pressure injuries, early deterioration, medication interactions, and gaps between staffing and resident acuity. When a resident is harmed, those timestamped alerts, override logs, and audit trails go into discovery …

How Medical Boards Are Scrutinizing Clinical Reasoning | Episode 71

A review of recent disciplinary decisions shows a clear shift. Medical and nursing boards are focusing less on whether an outcome was bad and more on whether the clinician's reasoning can be reconstructed from the record. When the documented assessment, differential diagnosis, and plan don't form a…

When the Audit Trail Becomes the Case | Episode 70

A printed medical record can look complete while the electronic health record keeps its own separate chronology. Audit data can show when a note was created, edited, signed, or viewed, and by whom. Those details can decide a case when the timing of treatment, the authorship of an entry, or the comp…

Nursing Facility Operator and Executives | Episode 69

RegalCare Management Group and RegalCare Management 2.0, together with owner Eliyahu Mirlis and executive Hector Caraballo, have agreed to pay $1 million to resolve False Claims Act allegations involving skilled nursing facilities in Massachusetts. The government alleged that from 2018 to 2023 the …

CMS 760000 ACA Cancellations | Episode 68

On August 31, 2026, CMS cancelled about 315,000 ACA Marketplace policies covering more than 760,000 people. The agency called the enrollments unauthorized: they were completed with help from an agent or broker, lacked verified citizenship or immigration documentation, and the insurers couldn't find…

HHS Awards $383 Million for Behavioral Health | Episode 76

On September 8, 2026, HHS announced $383.4 million in grants through SAMHSA to strengthen behavioral health treatment, prevention, and crisis response. About $252 million goes to the 988 Suicide and Crisis Lifeline, suicide prevention, and mobile crisis services. The rest goes to substance use trea…

CMS Flags $3.4 Billion in Suspected DME Fraud | Episode 75

In September 2026, CMS placed eleven durable medical equipment suppliers on its Preclusion List, cutting off their Medicare Advantage and Part D payments. The suppliers were tied to more than $3.4 billion in suspected fraudulent billing in 2025 and 2026. Every one of them billed for patients who ha…