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Results: 1-10 of 19

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 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


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


Medicare pays our claims so why don't you?
  • Baker & Hostetler LLP
  • USA
  • February 18 2010

The market tension between providers and health plans appears to be intensifying as more providers drop network contracts and choose to serve patients on an out-of-network basis


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


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


Second policy options paper offers details for reforming everything including the kitchen sink
  • Baker & Hostetler LLP
  • USA
  • May 14 2009

On May 11, 2009, the second of three expected policy options papers on health system reform was released by the Senate Finance Committee


Finance Committee plan drops public option; provides wiggle room for employer mandate
  • Baker & Hostetler LLP
  • USA
  • June 25 2009

Bullet-point presentations currently circulating among members of the Senate Finance Committee offer a snapshot of the options and alternatives being considered for the Committee's reform bill which is slated for markup in mid-July, although this timing may shift