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Results: 1-10 of 80

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

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

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

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

Medicaid: issues continue to arise following the Supreme Court decision

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • 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

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

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

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

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