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36-month rule comments made public

Edwards Wildman Palmer LLP
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USA
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September 27 2010

Healthcare matters remained highly relevant throughout the month of September, as comments were released on important home health regulations, as a lawsuit appeared likely to move forward, and as lawmakers and the President marked the six-month anniversary of the new healthcare reform law

Iowa enacts law requiring 30-day rate hike notice from health insurers

Edwards Wildman Palmer LLP
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USA
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April 15 2010

On April 9, 2010, Iowa's governor Chet Culver signed measures (Senate File 2201) designed to create greater transparency and disclosure of health insurance premiums, and to expand the rights of consumers prior to any rate increases by insurance companies

CMS proposes changes to “36 month rule” for Home Health

Edwards Wildman Palmer LLP
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USA
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August 9 2010

In late July, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for the Medicare Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year 2011

Ninth Circuit: automobile insurer did not engage in bad faith by refusing to pre-authorize treatment under PIP coverage

Edwards Wildman Palmer LLP
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USA
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February 2 2010

In Sadler v. State Farm Mutual Automobile Insurance Company, No. 08-35859 (9th Cir. Nov. 4, 2009), the insureds sued their insurer for bad faith, among other claims, arising from their insurer’s refusal to pre-authorize surgery under the personal injury protection (“PIP”) provision of the automobile insurance policy

The healthcare reform debate December 21, 2009

Edwards Wildman Palmer LLP
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USA
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December 21 2009

Healthcare reform efforts were marked with uncertainty and skepticism in the Senate last week, as Democratic leaders continued their scramble to reach a consensus on the controversial bill before Christmas

Court examines duty to defend funeral homes accused of participation in organ harvesting

Edwards Wildman Palmer LLP
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USA
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December 23 2009

A federal judge in Pennsylvania recently examined whether an insurer must defend a crematorium and funeral home against several lawsuits alleging that they participated in an organ harvesting scheme

Partial repeal of McCarran-Ferguson Act dropped from Senate Health Reform Bill

Edwards Wildman Palmer LLP
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USA
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December 21 2009

Media reports indicate that Senator Patrick Leahy’s (D-VT) amendment to repeal the antitrust exemption under the McCarran-Ferguson Act for health insurers and medical malpractice insurers, has been removed from the latest version of the Patient Protection and Affordable Care Act (H.R. 3590

Last week in DC: the healthcare reform debate December 29, 2009

Edwards Wildman Palmer LLP
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USA
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December 29 2009

After a prolonged floor debate that kept Senators in session through weekends for 25 consecutive days, the Senate completed its work on healthcare reform legislation in the early morning hours on Christmas Eve

Repeal of antitrust exemption gains traction as House and Senate Democrats reconcile healthcare reform bills

Edwards Wildman Palmer LLP
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USA
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January 8 2010

U.S. House Representatives Peter DeFazio, (D-OR) and Gene Taylor (D-MS) drafted a letter to House Speaker Nancy Pelosi (D-CA) in support of repealing the antitrust exemption under the McCarran Ferguson Act for health insurers and medical liability insurers

Last week in DC: the healthcare reform debate March 8, 2010

Edwards Wildman Palmer LLP
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USA
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March 8 2010

Democrats moved steadily forward last week on their reinvigorated efforts to enact comprehensive healthcare reform, as the White House specified its procedural preferences and Congressional leaders continued to hammer out policy provisions

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