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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

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

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

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

Insurer sues out-of-network hospitals for waiving patient's out-of-pocket expenses

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • June 11 2009

Horizon Blue Cross Blue Shield of New Jersey (Horizon) filed separate lawsuits against two out-of-network hospital providers, claiming that both providers were waiving the coinsurance, deductibles and other out-of-pocket expenses that patients were contractually required to pay for out-of-network providers

Small business health care tax creditdraft Form 8941 released by IRS

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • September 15 2010

On Tuesday, September 7, 2010, the Internal Revenue Service released a draft of the Form 8941 to be used by eligible small employers (including eligible tax-exempt entities) for calculating their small business health care tax credit under Section 45R of the Internal Revenue Code for the 2010 tax filing season

Bringing sunlight to healthcare pricing: the CMS release of hospital charge data

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • May 16 2013

Former U.S. Supreme Court Justice Louis D. Brandeis once said that "Sunlight is the best disinfectant." The release of charges billed by some 3,337

DOJ and HHS announce anti-fraud partnership with private insurers

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • August 2 2012

Last week, the U.S. Department of Justice (DOJ) and U.S. Department of Health and Human Services (HHS) announced that they will partner with private insurers to share information and best practices to deter fraudulent billings that implicate both government and private insurance programs, such as Medicare Advantage Plans that are subsidized by Medicare and administered by private insurers

Do not pass go, do not collect $200: Michigan statute and regulatory order banning MFN provisions in provider contracts ends government antitrust lawsuit against Michigan Blue

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • March 26 2013

In the wake of the passage of a Michigan statute and regulatory order banning the use of most favored nation ("MFN") clauses by insurers, health

HIPAA audits ARRA coming! Is your PHI secure?

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • July 14 2011

In the growing world of Recovery Audit Contractor audits, Voluntary Disclosure Protocols, IRS Form 990 disclosures, “never events” and HIPAA breach notifications, there is a new kid on the block in the area of federal audit and oversight for healthcare providers, health plans and their business associates under the HIPAA health information privacy and security provisions