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Medicaid managed care Proposed Rules: the intersection of private insurance and government programs
  • Baker & Hostetler LLP
  • USA
  • June 8 2015

Approximately a quarter of all Medicaid expenditures is spent on the more than half of all beneficiaries (approximately 39 million by 2011 figures


Supreme Court hears arguments on the constitutional challenge to the Patient Protection and Affordable Care Act
  • Baker & Hostetler LLP
  • USA
  • April 12 2012

From March 26 to 28, the U.S. Supreme Court heard oral arguments on the 26-state challenge to the Patient Protection and Affordable Care Act (PPACA or Act


Healthcare coverage in a post-reform world
  • Baker & Hostetler LLP
  • USA
  • June 11 2009

The Senate Health, Education, Labor and Pensions (HELP) Committee has released a 615-page working "draft of a draft" of its legislative proposal for expanding access and coverage entitled the "American Health Choices Act" along with a 34-page narrative detailing various legislative options for consideration by the Committee


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


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


The sliding scale of health coverage: finding the intersection of cost, access and quality
  • Baker & Hostetler LLP
  • USA
  • August 8 2014

While not a new concept, the use of narrow networks has become a lightning rod for the controversy surrounding qualified health plans (QHPs) offered


Is it a violation to help?
  • Baker & Hostetler LLP
  • USA
  • May 30 2014

In a May 21, 2014, letter to the President of the American Hospital Association (AHA), U.S. Department of Health and Human Services (HHS) Secretary


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


California providers turn the tables in out-of-network dispute with Aetna
  • Baker & Hostetler LLP
  • USA
  • 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


New federal oversight structure for insurance market reforms
  • Baker & Hostetler LLP
  • USA
  • April 29 2010

As the first of what may be multiple new offices created to oversee implementation of health reform, the U.S. Department of Health and Human Services (HHS) recently established the Office of Consumer Information and Insurance Oversight (OCIIO) within HHS "to provide leadership for implementing the provisions of the health reform bill that address private insurance."