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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

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

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

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

IRS clarifies W-2 reporting requirements for employer-sponsored health plan coverage

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • January 19 2012

In early January, the Internal Revenue Service (IRS) released Notice 2012-9, which clarified and revised the requirements for disclosing the aggregate cost of employer-sponsored health coverage on employees' annual Form W-2, Wage and Tax Statements

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

DOL issues mental health parity guidance

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • June 7 2012

On May 18, 2012, the U.S. Department of Labor (DOL) issued a set of 14 Frequently Asked Questions (FAQs) regarding the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) and the related regulations of the DOL, Department of Health and Human Services, and the Department of the Treasury (collectively "the Departments"

Federal conscience protections and religious employer exceptions -- a year in review

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • January 5 2012

The year 2011 saw increased activity in the area of provider and religious employer conscience exceptions under federal law

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