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 th...
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 fi...
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 tr...
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 ...
Assisted Death and the Law in 2026 | Episode 77
This year brought the biggest expansion of medical aid in dying since Oregon passed the first law in the 1990s. Delaware’s law took effect in January, New York’s in August, and Illinois’s in September. That brings the total to fourteen U.S. jurisdictions.
In this episode of Lexcura Clinical Insi...
Advance Directives, POLST and DNR Orders | Episode 78
A patient can do everything right. She signs a living will, completes a POLST form with her doctor and chooses no CPR. Then a hospital stay, a missing transfer packet and a default order change her record to “full code.” When she’s found unresponsive, the nurse follows what the record says.
In t...
Who Decides? Surrogates and Family Disputes | Episode 79
A patient can do everything right. She signs a living will, completes a POLST form with her doctor and chooses no CPR. Then a hospital stay, a missing transfer packet and a default order change her record to “full code.” When she’s found unresponsive, the nurse follows what the record says.
In t...
Comfort Promised: Hospice Care Failures | Episode 80
When a family chooses hospice, they’re giving up curative treatment in exchange for one promise: comfort. In part four of our end-of-life series, Michelle Carroll, Founder and Chief Clinical Strategist of Lexcura Summit, looks at what happens when that promise breaks down.
Hospice is under more ...
Diagnostic Delay - Where the Window Closes | Episode 81
This episode opens a five-part series on diagnostic delay and missed diagnosis, the single most common pattern in the cases Lexcura Summit reviews.
Michelle Carroll explains the difference between a missed diagnosis and a delayed one, and why delay cases are so easy to misjudge at intake: the ch...
Stroke - The Clock Nobody Wrote Down | Episode 82
Episode two of the diagnostic delay series takes on stroke, the clearest example in medicine of a condition where the clock is the treatment.
Michelle Carroll starts with last known well, the single most important time in a stroke chart and one that is frequently never documented. She explains h...
