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Results: 1-10 of 159

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


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


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


IRS announces delay in nondiscrimination rules for insured medical plans
  • Baker & Hostetler LLP
  • USA
  • January 7 2011

On December 22, 2010, the Internal Revenue Service released IRS Notice 2011-1 (to be published in the Internal Revenue Bulletin on January 10, 2011) delaying the implementation of new nondiscrimination rules for fully insured medical plans


Ohio "Healthcare Simplification" Bill passes House; seeks to simplify provider contracting, eliminate "predatory" contract provisions
  • Baker & Hostetler LLP
  • USA
  • November 15 2007

On October 9, 2007, the Ohio House of Representatives, by a vote of 95 to 5, passed House Bill 125 ("HB 125"), a "Healthcare Simplification Act" that legislators and the Ohio State Medical Association ("OSMA") claim will let providers focus on providing health care services and reduce time spent on administrative matters by setting standards for transparency in contracting with insurers, standardizing credentialing, and establishing web-based insurance-eligibility verification


National pattern for physician rankings set by New York Attorney General
  • Baker & Hostetler LLP
  • USA
  • November 29 2007

During the summer, New York Attorney General Cuomo threatened to obtain injunctions against a group of major health insurers which had implemented physician ranking programs to identify to their insureds physicians who met certain quality of care and efficiency criteria


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


Health Care and Education Reconciliation Act of 2010 (H.R. 4872): summary of main tax-related provisions
  • Baker & Hostetler LLP
  • USA
  • April 5 2010

Last month, both houses of Congress approved of landmark health care reform legislation


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


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