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Provider competition matterseven for “reference pricing”

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • October 9 2014

In a recent blog post, three Federal Trade Commission (FTC) economists splashed some cold water on advocates of “reference pricing” that seem to

Late push to reauthorize CHIP funding this session

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • September 19 2014

Approximately eight million children currently covered by the Children's Health Insurance Program (CHIP) may lose access to their pediatric-specific

In “zombie” class action, Seventh Circuit requires plaintiffs to present evidence to prove home-state exception to CAFA jurisdiction

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • August 22 2014

On Tuesday, the Seventh Circuit decided Myrick v. Wellpoint, Inc., Nos. 12-3882, 13-2230, 2014 WL 4073065 (Aug. 19, 2014), which highlights the

The sliding scale of health coverage: finding the intersection of cost, access and quality

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • August 8 2014

While not a new concept, the use of narrow networks has become a lightning rod for the controversy surrounding qualified health plans (QHPs) offered

Clash of the circuits: federal exchange subsidies at risk?

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • July 24 2014

These four words "established by the state," at first blush do not appear obtuse or particularly vague. But these four words form the basis for the

Hobby Lobby: likely first of many cases pitting religion against ACA

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • July 10 2014

The U.S. Supreme Court on June 30, 2014, ruled 5-4 that a closely held, for-profit corporation can qualify for an exemption from the U.S. Department

Changing financial landscape for medical debts of the uninsured

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • June 23 2014

The implementation of the Affordable Care Act (ACA) has afforded many with the opportunity to obtain insurance coverage. Despite the opportunity, a

Changing financial landscape for medical debts of the uninsured

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • June 12 2014

The implementation of the ACA has afforded many with the opportunity to obtain insurance coverage. Despite the opportunity, a large number of

Is it a violation to help?

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • May 30 2014

In a May 21, 2014, letter to the President of the American Hospital Association (AHA), U.S. Department of Health and Human Services (HHS) Secretary

Medicaid DSH: little-noticed CMS rule interpretation creates serious financial shortfalls for impacted hospitals

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • December 12 2013

In what may have been a largely unnoticed rule interpretation affecting hospitals that treat a high percentage of children in the Medicaid program