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

Baker & Hostetler LLP
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USA
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August 15 2012

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

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

Baker & Hostetler LLP
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USA
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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

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

Baker & Hostetler LLP
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USA
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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

Health care reform: employer advisory

Baker & Hostetler LLP
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USA
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April 8 2010

The health care reform bills signed into law last month by President Obama (together, the "2010 Act") radically change the way health, accident and sickness insurance is to be bought, sold and provided in the United States

HIPAA audits ARRA coming! Is your PHI secure?

Baker & Hostetler LLP
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USA
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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

Group health plan and insurance coverage: final guidance issued on summary of benefits and coverage

Baker & Hostetler LLP
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USA
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February 16 2012

The U.S. Departments of the Treasury, Labor (DOL) and HHS (collectively, the "Departments") recently released final regulations governing the summary of benefits and coverage and the uniform glossary for group health plans and health insurance coverage

Medicaid: issues continue to arise following the Supreme Court decision

Baker & Hostetler LLP
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USA
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October 12 2012

In the wake of June's Supreme Court opinion on the Patient Protection and Affordable Care Act (PPACA), government officials at the federal and state level and budget analysts have been thinking about implementation and analyzing the impact of the curve ball thrown by Chief Justice John Roberts and the majority of the Court as to implementation of Medicaid expansion

Online calendar paves way for $100,000 HIPAA settlement

Baker & Hostetler LLP
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USA
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April 26 2012

Phoenix Cardiac Surgery recently entered into a $100,000 settlement with the U.S. Department of Health & Human Services (HHS) for alleged violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules

California providers turn the tables in out-of-network dispute with Aetna

Baker & Hostetler LLP
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USA
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July 19 2012

The California Medical Association is headlining a suit with several other medical societies and provider plaintiffs that sued Aetna in California state court on July 3, alleging that Aetna is retaliating against patients, physicians and out-of-network facilities alike for using out-of-network benefits

Early Retiree Reinsurance Program application now available

Baker & Hostetler LLP
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USA
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June 14 2010

The Department of Health and Human Services ("HHS") has made available the final form of the Early Retiree Reinsurance Program ("ERRP") Application on its website

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