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CER fees funding the patient-centered outcomes research trust

Alston & Bird LLP
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USA
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March 13 2013

The Patient Protection and Affordable Care Act (the "Act") includes provisions that promote research to evaluate and compare health outcomes and the

Recent proposed regulations modify requirements for employer wellness programs

Alston & Bird LLP
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USA
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February 1 2013

On November 26, 2012, the Departments of Labor, Treasury, and Health and Human Services (the "Departments") published proposed regulations (the

The Supreme Court decision on the Affordable Care Act the immediate implications for group health plans

Alston & Bird LLP
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USA
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June 18 2012

During the week of March 26, 2012, the Supreme Court heard an unprecedented three days of oral argument on the question of the constitutionality of the Affordable Care Act (ACA

New agency guidance on required contraceptive coverage under group health plans

Alston & Bird LLP
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USA
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May 2 2012

On August 1, 2011, the Health Resources and Services Administration (HRSA), a part of the Department of Health and Human Services (HHS), issued Guidelines on Women’s Preventive Health (the “HRSA Guidelines”

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

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!

Health care reform update: what’s essential about “essential health benefits” HHS bulletin creates issues for all group health plans

Alston & Bird LLP
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USA
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January 25 2012

On December 16, 2011, the Department of Health and Human Services (HHS) issued the Essential Health Benefits Bulletin (the “Bulletin”) relating to the definition of essential health benefits (EHB) under the Affordable Care Act (ACA

So what are my internal and external claim review requirements? A question every group health plan is asking.

Alston & Bird LLP
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USA
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August 23 2011

Recently, the U.S. Departments of Treasury, Labor (DOL) and Health and Human Services (HHS) (collectively, the “Agencies”) jointly issued new interim final regulations (“New Final Regulations”) and new related technical guidance (“New Technical Guidance”) regarding the internal and external claim review requirements set forth in new Public Health Service Act Section 2719 (“Claim Review Rules”), as added by Section 1001 of the Patient Protection and Affordable Care Act of 2010 (ACA

Health care reform update

Alston & Bird LLP
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USA
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August 22 2011

The Affordable Care Act (the ”Act”) prohibits covered group health plans (including grandfathered plans) from including an annual dollar cap on benefit payments (an “annual cap”

Court decision clears the air (somewhat) for wellness programs

Alston & Bird LLP
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USA
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June 14 2011

Employer wellness programs face a number of potential compliance issues under a variety of federal (e.g., HIPAA, GINA, Affordable Care Act) and state law provisions

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