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House and Senate overrule OFCCP on TRICARE subcontractors
- Littler Mendelson
- -
- USA
- -
- December 21 2011
TRICARE is the federal government’s healthcare program for active duty and retired military members and their families
Two major health care companies pay $137.5 million and $3.8 million, respectively, to settle violations against the False Claims Act
- Bricker & Eckler LLP
- -
- USA
- -
- June 8 2012
Recently, the U.S. Department of Justice announced that Florida-based WellCare Health Plans and Georgia-based Radiotherapy Clinics of Georgia LLC have paid $137.5 million and $3.8 million, respectively, to settle charges that they violated the False Claims Act
Another setback for health insurance exchanges
- Barnes & Thornburg LLP
- -
- USA
- -
- November 19 2012
Controversy erupted when the Centers for Medicare and Medicaid Services awarded a contract to Quality Software Services Inc. (QSSI) to construct an integral part of the federal health insurance exchange
New Medicare reporting requirements for self-insured contractors to kick in: many questions remain unanswered
- Wiley Rein LLP
- -
- USA
- -
- October 9 2009
Government contractors that are self-insured against third-party liabilities and may pay claims submitted by Medicare-eligible individuals that arise from bodily injury must register with the Centers for Medicare & Medicaid Services (CMS) and then comply with Medicare reporting requirements that kick in early next year
TRICARE incentive prohibition regulations published
- Reinhart Boerner Van Deuren SC
- -
- USA
- -
- May 26 2010
On April 9, 2010, the Department of Defense issued final regulations on the TRICARE incentive prohibition, which was enacted in 2007 to prevent employers from shifting costs to the TRICARE program by offering TRICARE beneficiaries (essentially military retirees and their family members) an alternative to enrollment in a group health plan that would be primary to TRICARE
Down the rabbit hole again: OFCCP continues to expand jurisdictional thresholds for health care providers and insurers
- Ogletree Deakins
- -
- USA
- -
- January 24 2011
Despite ongoing litigation with health care providers and insurers, the Office of Federal Contract Compliance Programs (OFCCP) recently issued an extensive administrative directive to provide "comprehensive guidance for assessing when health care providers and insurers are federal contractors or subcontractors."
Government contractor qualifies for Texas’s sale-for-resale exemption
- Winston & Strawn LLP
- -
- USA
- -
- June 27 2011
A recent decision by the Texas Court of Appeals, Combs v. Health Care Services Corporation, 2011 WL 1005419 (Tex. App. Mar. 16, 2011), clarified Texas’s sale-for-resale exemption to the state’s sales and use tax and held that a government contractor was entitled to a sales tax refund under the exemption
The HEAT is on, Chicago: practical tips to get you ready
- Foley & Lardner LLP
- -
- USA
- -
- May 16 2011
In May 2009, the Department of Justice (DOJ) and Department of Health & Human Services, Office of the Inspector General (HHS-OIG) announced, with great fanfare, a new initiative to combat health care fraud: the Health Care Fraud Prevention and Enforcement Action Team (HEAT
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
Gao listing of federal aca implementation contract awards
- Reed Smith LLP
- -
- USA
- -
- July 29 2011
The GAO has released a compilation of contracts awarded and consultants retained by federal departments and agencies to assist in implementing the ACA
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