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New guidance on distribution of medical loss ratio (MLR) rebates creates issues for group health plan sponsors

Alston & Bird LLP
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USA
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February 15 2012

Hey, I just got a rebate from my insurance company for my group health plan!

New Medicare secondary payer reporting requirements set to take effect January 2011 for many personal injury defendants

Alston & Bird LLP
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USA
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September 24 2010

Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) impacts many businesses that make a settlement payment to a personal injury plaintiff

Health care reform: a new era begins for employer-sponsored coverage

Alston & Bird LLP
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USA
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April 30 2010

In March, President Obama signed into law H.R. 3590, the Patient Protection and Affordable Care Act (PPACA), and H.R. 4872, the Health Care and Education Reconciliation Act of 2010 (HCERA

HIPAA covered health plans beware: HHS Office for Civil Rights kicks off HIPAA Audit Program

Alston & Bird LLP
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USA
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March 7 2012

Since November 2011, the U.S. Department of Health and Human Services (HHS), through its Office for Civil Rights (OCR), has been conducting audits of covered entities (the “HIPAA Audit Program”) for compliance with the privacy and security requirements under HIPAA and the HITECH Act (collectively, the “Privacy & Security Rules”

Health care reform update: final regulations impose reinsurance “contribution” on fully insured and self-insured plans starting in 2014

Alston & Bird LLP
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USA
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March 28 2012

The Affordable Care Act (ACA) provides for a State-based transitional reinsurance program to help stabilize premiums for coverage in the individual health insurance market during the first three years of operation of the Exchanges (2014-2016

HIPAAHITECH Act privacy rule now at OMB

Alston & Bird LLP
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USA
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March 26 2012

Last month, we reported that it was being widely reported that HIPAAHITECH Act Omnibus Final Rule would be issued in March 2012, but that it had not yet been submitted to the Office of Management and Budget for review under Executive Order 12866

Summary of interim final rules on grandfather provisions under PPACA

Alston & Bird LLP
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USA
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June 21 2010

Long-awaited regulations under the grandfather provisions of Section 1251 of the Patient Protection and Affordable Care Act (PPACA) were formally issued by the Departments of Health and Human Services, Treasury and Labor (the "agencies") on June 14, 2010

Supreme Court decision on the Affordable Care Act

Alston & Bird LLP
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USA
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June 29 2012

On June 28, the much-anticipated decision in National Federation of Independent Business v. Sebelius was released by the Supreme Court

COBRA subsidy provisions included in the Stimulus Act: what plan sponsors and administrators need to do now

Alston & Bird LLP
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USA
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February 18 2009

Late last week, the House and the Senate passed the American Economic Recovery and Reinvestment Plan (the “Act”

New group health plan internal claims and appeals and external review procedures created by PPACA

Alston & Bird LLP
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USA
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September 22 2010

On July 23, 2010, the U.S. Departments of Treasury, Labor (DOL) and Health and Human Services (HHS) (collectively, the “Agencies”) jointly issued interim final regulations (“Interim Regulations”) regarding internal appeals and external claim review procedures (“Claims Review Rules”) for fully insured and self-funded group health plans and insurance policies issued in the individual market

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