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Congress, President agree to extend expiring Medicare and Medicaid payments

McDermott Will & Emery
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USA
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February 22 2012

On February 17, 2012, Congress approved the Middle Class Tax Relief and Job Creation Act of 2012, ending debate over the extension of payroll tax reductions, unemployment insurance benefits, and numerous Medicare and Medicaid payment provisions, most of which were set to expire at the end of February

Wage index report issued by Institute of Medicine affects Medicare payments to hospitals

McDermott Will & Emery
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USA
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June 10 2011

The Institute of Medicine (IOM) on June 1, 2011, released a long anticipated report analyzing geographic adjustment factors under the Medicare program, including the hospital wage index and physician geographic practice cost index

United States v. Borrasi: rough seas in the kickback safe harbors

McDermott Will & Emery
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USA
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May 17 2011

In United States v. Borrasi, the Seventh Circuit adopted the “one purpose” test under the federal Anti-Kickback Statute

Federal government targets TRICARE subcontractors for compliance with requirements applicable to government contractors

McDermott Will & Emery
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USA
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January 7 2011

In October 2010, the U.S. Department of Labor Office of Federal Contractor Compliance Programs (OFCCP) confirmed that a hospital participating in TRICARE is a federal contractor required to comply with Affirmative Action Plan obligations under Executive Order 11246

IRS concedes that medical residents qualify for student exception from FICA taxes for taxable quarters ending prior to April 1, 2005

McDermott Will & Emery
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USA
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March 5 2010

Each teaching hospital should assess the state of its administrative refund claims in order to be prepared for a contact from the IRS

The Joint Commission releases for field review a further revised Medical Staff Standard MS.01.01.01

McDermott Will & Emery
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USA
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December 29 2009

The Revised Standard has buy-in from physician and hospital groups, but it fails to address many of the issues that riled stakeholders and waylaid implementation of proposed revisions in 2007

The COBRA premium subsidy law: understanding your compliance obligations

McDermott Will & Emery
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USA
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February 19 2009

The recently enacted economic stimulus law has provisions that dramatically and immediately affect compliance with the continued group health plan coverage requirements of the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA

Proposed Stark exception covers pay-for-performance and gainsharing programs

McDermott Will & Emery
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USA
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July 10 2008

The current Medicare physician self-referral law (the “Stark Law”) is potentially implicated by any payment made to a physician under pay-for-performance (“P4P”), gainsharing and other similar quality improvement and cost saving incentive programs

Medicare coordinated retiree health care plans remain a viable plan design

McDermott Will & Emery
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USA
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July 9 2007

Employers offering retiree health care benefits coordinated with Medicare now have a welcome exemption from the Age Discrimination in Employment Act

HIPAA and wellness program regulations revised

McDermott Will & Emery
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USA
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May 7 2007

The U.S. Department of Labor, the U.S. Department of the Treasury, and the U.S. Department of Health and Human Services have issued final Health Insurance Portability and Accountability Act of 1996 (HIPAA) and wellness program regulations

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