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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

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

In “zombie” class action, Seventh Circuit requires plaintiffs to present evidence to prove home-state exception to CAFA jurisdiction

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • August 22 2014

On Tuesday, the Seventh Circuit decided Myrick v. Wellpoint, Inc., Nos. 12-3882, 13-2230, 2014 WL 4073065 (Aug. 19, 2014), which highlights the

Professional liability insurance - sexual assault loophole

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • September 29 2011

Radiology Associates filed suit against its insurers to compel the insurers to defend Radiology Associates against claims stemming from an employee's alleged sexual assault of a patient while performing an unauthorized examination at their facility

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

The controversy over state-based health insurance exchanges: politics as usual or dangerous brinksmanship?

  • Baker & Hostetler LLP
  • -
  • USA
  • -
  • December 8 2011

From all accounts, the 45-month period between the enactment of PPACA in March 2010 and the full-fledged implementation of most of PPACA's reforms on January 1, 2014, was intended to give federal and state government officials the time needed to substantially overhaul the health insurance markets then in place, starting with the individual and small group markets in 2014 (and then extending those reforms to larger employers no later than 2017

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

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"