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Results: 1-10 of 78

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

Common control or overlapping ownership can change how to identify the "employer" for PPACA purposes

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • August 15 2012

This is the third in a series of Executive Alerts in the Special Health Care Reform Series

Ohio's ‘Healthcare Simplification Act' imposes new restrictions on provider contracting and credentialing

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • March 28 2008

Ohio House Bill 125the ‘Healthcare Simplification Act'was unanimously approved by the Senate on March 11, 2008, and signed into law by Ohio Governor Ted Strickland on March 25, 2008

Health Care and Education Reconciliation Act of 2010 (H.R. 4872): summary of main tax-related provisions

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • April 5 2010

Last month, both houses of Congress approved of landmark health care reform legislation

New Affordable Care Act fess impact group health plans in 2013 and 2014

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • April 15 2013

On July 31, 2013, the first of various fees will be due that are imposed by the Affordable Care Act on self-insured group health plans andor issuers

New rules for group health plans and health insurance issuers relating to coverage of preventive health services without cost sharing

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • July 16 2010

On July 14, 2010, the U.S. Treasury Department, Internal Revenue Service, the Department of Labor’s Employee Benefits Security Administration and the U.S. Department of Health and Human Services issued interim final rules to implement the provisions of the new Patient Protection and Affordable Care Act (“PPACA”) requiring non-grandfathered group health plans and health insurance issuers in the group and individual markets to provide coverage for preventive health services listed in certain recommendations and guidelines without imposing any cost-sharing requirements on covered individuals

OIG sees through a radiology provider's plan and allows preauthorization services

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • August 30 2012

The U.S. Office of Inspector General (OIG) issued Advisory Opinion 12-10 on August 23, 2012, finding that a radiology group's proposal to offer free insurance preauthorization services to physicians and patients would be permissible

Court applies Kentucky's 15-year statute of limitations for ERISA class action claims to recover benefits due under terms of plan

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • December 1 2011

At present, most employment class actions relate to wage and hour issues, but there are still many (and frequently hugely expensive) ERISA class actions challenging a host of benefits issues

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

Group not protected by an insurer's bad faith settlement under a physician's malpractice policy

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • December 11 2008

In a recent case, the Seventh Circuit held that a medical group could not pursue a claim against an insurer for refusing to settle a malpractice claim against one of the group's physicians, within the physician's malpractice policy limits, where the group was not an insured under the policy