In brief On May 18, 2026, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) released an unfavorable Advisory Opinion No. 26-10 (“AO 26-10”) addressing an arrangement proposed by an orthopedic medical technology company (the “Company”) that would compensate physician consultants (“HCPs”) through a percentage-of-sales royalty covering broad product lines (the “Arrangement”). OIG concluded that, while consulting and royalty arrangements are common in the medical device industry, this Arrangement presents a…