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Senate Panel to Hold CHIP Hearing
  • Baker & Hostetler LLP
  • USA
  • May 4 2017

The Senate Finance Committee announced that it will hold a hearing May 9 on the Children's Health Insurance Program (CHIP), which last year covered


Darwinian Insurance
  • Baker & Hostetler LLP
  • USA
  • April 20 2017

This case demonstrates the need for providers to know and follow the notification provisions set forth in their insurance policies in order to avoid


Market Stabilization: To Be or Not to Be?
  • Baker & Hostetler LLP
  • USA
  • April 20 2017

The Centers for Medicare and Medicaid Services (CMS) published a Final Rule intended to stabilize the individual and small group insurance markets on


Insurer Actions Cut the Heart Out of Out-of-Network Providers
  • Baker & Hostetler LLP
  • USA
  • April 21 2016

Aetna Life Insurance Company recently won a $37 million verdict against a group of Northern California surgical centers, Bay Area Surgical Management


When a Published Data Breach is a Covered Data Breach
  • Baker & Hostetler LLP
  • USA
  • April 19 2016

Can an inadvertent Internet posting of a patient's medical information trigger insurance coverage for liability stemming from a data-breach class


The 2017 Exchange Regulations: Network Adequacy Challenges Remain
  • Baker & Hostetler LLP
  • USA
  • March 10 2016

The Centers for Medicare and Medicaid Services (CMS) recently issued the final 2017 Benefit and Payment Parameters Rule (Final Rule) and concurrently


OIG emphasizes proactive enforcement of privacy rule and monitoring of repeat offenders
  • Baker & Hostetler LLP
  • USA
  • November 11 2015

The Office of Inspector General's (OIG) recently released Privacy Standards report assessed the Office for Civil Rights' (OCR) oversight of covered


Texas surgical centers: Aetna improperly denies or underpays out-of-network claims
  • Baker & Hostetler LLP
  • USA
  • September 24 2015

Aetna is now facing another set of claims calling into question its determination and payment methodology for out-of-network reimbursement. On


340B guidance: eight key points covered entities should consider
  • Baker & Hostetler LLP
  • USA
  • September 10 2015

On August 27, 2015, the Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services (HHS


Waivers of co-pays and deductibles: insurance benefit exclusions grow
  • Baker & Hostetler LLP
  • USA
  • August 13 2015

Recent changes to policy and plan language and increased litigation by third-party payers suggests that out-of-network providers who waive co-pays and