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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


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


Insurer sues out-of-network hospitals for waiving patient's out-of-pocket expenses
  • Baker & Hostetler LLP
  • USA
  • June 11 2009

Horizon Blue Cross Blue Shield of New Jersey (Horizon) filed separate lawsuits against two out-of-network hospital providers, claiming that both providers were waiving the coinsurance, deductibles and other out-of-pocket expenses that patients were contractually required to pay for out-of-network providers


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


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


PPACA -- OCIIO to launch insurance options portal
  • Baker & Hostetler LLP
  • USA
  • June 24 2010

As required by PPACA, the initial phase of a federal web portal to "guide Americans through a comprehensive landscape of insurance options across the private and public sectors" is slated to go online July 1, 2010."


Clash of the circuits: federal exchange subsidies at risk?
  • Baker & Hostetler LLP
  • USA
  • July 24 2014

These four words "established by the state," at first blush do not appear obtuse or particularly vague. But these four words form the basis for the


Changing financial landscape for medical debts of the uninsured
  • Baker & Hostetler LLP
  • USA
  • June 23 2014

The implementation of the Affordable Care Act (ACA) has afforded many with the opportunity to obtain insurance coverage. Despite the opportunity, a


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