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Healthcare provisions in the American Taxpayer Relief Act the good, the bad and the ugly
- Baker & Hostetler LLP
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- USA
- -
- January 10 2013
In late night action on December 31, 2012, the American Taxpayer Relief Act of 2012 (ATRA) was passed by the Senate and finalized days later by Congress
Multi-payor initiatives receive renewed attention
- Baker & Hostetler LLP
- -
- USA
- -
- October 25 2012
The Centers for Medicare and Medicaid Innovation (CMMI), a unique creature of the Patient Protection and Affordable Care Act (PPACA), which authorizes CMMI to spend $10 billion to test and evaluate innovations in payment and service delivery arrangements, commented recently on its multi-payor initiative, originally announced July 19, 2012
Medicaid: issues continue to arise following the Supreme Court decision
- Baker & Hostetler LLP
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- USA
- -
- October 12 2012
In the wake of June's Supreme Court opinion on the Patient Protection and Affordable Care Act (PPACA), government officials at the federal and state level and budget analysts have been thinking about implementation and analyzing the impact of the curve ball thrown by Chief Justice John Roberts and the majority of the Court as to implementation of Medicaid expansion
If sequestration occurs -- what happens to healthcare?
- Baker & Hostetler LLP
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- USA
- -
- October 12 2012
On September 14, 2012, the Office of Management and Budget (OMB) issued its preliminary report detailing the estimated percentage cuts for more than 1,200 federal budget line items impacted by sequester
California providers turn the tables in out-of-network dispute with Aetna
- Baker & Hostetler LLP
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- USA
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- July 19 2012
The California Medical Association is headlining a suit with several other medical societies and provider plaintiffs that sued Aetna in California state court on July 3, alleging that Aetna is retaliating against patients, physicians and out-of-network facilities alike for using out-of-network benefits
Navigating the Supreme Court's decision on the Affordable Care Act
- Baker & Hostetler LLP
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- USA
- -
- July 13 2012
In an opinion that will continue to have far-reaching impact for years to come, the Supreme Court opined on the constitutionality of the Affordable Care Act on June 28, 2012
Simplified conditions of participation causes complications for hospitals
- Baker & Hostetler LLP
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- USA
- -
- June 21 2012
The Centers for Medicare and Medicaid Services (CMS) issued its final rule revising the Conditions of Participation (CoPs) for hospitals and critical access hospitals (CAHs) on May 16, 2012, in response to the President's Executive Order instructing federal agencies to streamline the regulatory framework for hospitals
Supreme Court hears arguments on the constitutional challenge to the Patient Protection and Affordable Care Act
- Baker & Hostetler LLP
- -
- USA
- -
- April 12 2012
From March 26 to 28, the U.S. Supreme Court heard oral arguments on the 26-state challenge to the Patient Protection and Affordable Care Act (PPACA or Act
Medicaid audits: OIG report finds system flawed
- Baker & Hostetler LLP
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- USA
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- March 29 2012
The HHS Office of Inspector General (OIG) recently released a report which found that problems with Review Medicaid Integrity Contractors' (Review MICs) data analyses led to poorly identified audit targets
Health plan flexes its muscle: providers face out-of-network challenges
- Baker & Hostetler LLP
- -
- USA
- -
- March 1 2012
In a recent lawsuit filed in Harris County, Texas, Aetna Health Insurance, Inc., took on the issue of out-of-network discounts provided by physicians and other facilities to the patient financial obligation (copayment and deductible requirements), as well as the tie between the out-of-network discount to ownership interests held by physicians in the out-of-network facility
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