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Mandatory September 30, 2009 registration deadline approaches for insurers subject to new Medicare reporting requirements

Edwards Wildman Palmer LLP
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USA
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September 23 2009

The Medicare, Medicaid, and SCHIP Extension Act of 2007 (S. 2499) (the “Act”), signed into law on December 29, 2007, contains a new mandatory reporting requirement for insurers covering medical expenses

Final rules issued for breach of electronic health information

Edwards Wildman Palmer LLP
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USA
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September 16 2009

In the last week of August, the Department of Health and Human Services ("HHS") and the Federal Trade Commission ("FTC") officially published their final rules concerning consumer notification of breaches of protected health information ("PHI"

New “Red Flag” identity theft Rules apply to healthcare providers

Edwards Wildman Palmer LLP
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USA
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March 10 2009

Physicians, hospitals and other healthcare providers may not be aware that the federal Red Flag Rules, 16 C.F.R. 681 (the “Rules”), may apply to them

HITECH's new requirements for business associates of health insurers are in effect

Edwards Wildman Palmer LLP
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USA
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April 5 2010

Many people and entities that conduct business with health insurance carriers are subject to newly effective federal regulations that expand the privacy and security requirements of HIPAA

HITECH Act's expanded legal obligations are in effect for business associates of healthcare entities

Edwards Wildman Palmer LLP
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USA
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April 16 2010

Many people and entities that conduct business with healthcare entities are subject to newly effective federal regulations that expand the privacy and security requirements of HIPAA

The role of reinsurance in establishing the new regime

Edwards Wildman Palmer LLP
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USA
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April 20 2010

Reinsurance will play a key role in establishing the new regime contemplated by the Patient Protection and Affordable Care Act and the Health Care and Reconciliation Act of 2010

Provider reimbursement changes in healthcare reform law

Edwards Wildman Palmer LLP
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USA
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May 11 2010

The new healthcare reform law - Public Laws (PL) 111-148 and 111-152 - make numerous changes to the ways Medicare and Medicaid reimburse healthcare providers

Extraterritorial applicability of Medicare secondary payer reporting requirements to foreign insurers

Edwards Wildman Palmer LLP
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USA
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March 3 2010

All US insurance companies that make direct claims payments to US residents who are Medicare beneficiaries are, or will soon be, required by Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (P.L. 110-173) (Section 111) to report these payments to the Centers for Medicare & Medicaid Services (CMS

Maine obtains waiver of medical loss ratio requirement; Florida requests waiver

Edwards Wildman Palmer LLP
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USA
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March 16 2011

The U.S. Department of Health and Human Services has granted the State of Maine's request for a waiver of the Patient Protection and Affordable Care Act (PPACA) requirement that individual health insurance plan issuers spend at least 80 of premiums on medical care or quality improvements

New federal regulations set forth PPACA "Innovation Waiver" process

Edwards Wildman Palmer LLP
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USA
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March 17 2011

The U.S. Departments of Health and Human Services (HHS) and Treasury have proposed new rules to guide states in pursuing "State Innovation Waivers" under the Patient Protection and Affordable Care Act (PPACA

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