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Results: 1-10 of 139

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


Ohio's ‘Healthcare Simplification Act' imposes new restrictions on provider contracting and credentialing
  • Baker & Hostetler LLP
  • USA
  • March 28 2008

Ohio House Bill 125the ‘Healthcare Simplification Act'was unanimously approved by the Senate on March 11, 2008, and signed into law by Ohio Governor Ted Strickland on March 25, 2008


OIG sees through a radiology provider's plan and allows preauthorization services
  • Baker & Hostetler LLP
  • USA
  • August 30 2012

The U.S. Office of Inspector General (OIG) issued Advisory Opinion 12-10 on August 23, 2012, finding that a radiology group's proposal to offer free insurance preauthorization services to physicians and patients would be permissible


Missouri Supreme Court rules certain ex parte communications violate HIPAA
  • Baker & Hostetler LLP
  • USA
  • September 16 2010

In a recent Missouri Supreme Court opinion, the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule was found to prohibit ex parte discussions between attorneys for defendants (hospital and treating physician) and other nonparty medical providers in a medical malpractice case, notwithstanding a lower state court's order previously allowing such communications to occur


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


DOJ and HHS announce anti-fraud partnership with private insurers
  • Baker & Hostetler LLP
  • USA
  • August 2 2012

Last week, the U.S. Department of Justice (DOJ) and U.S. Department of Health and Human Services (HHS) announced that they will partner with private insurers to share information and best practices to deter fraudulent billings that implicate both government and private insurance programs, such as Medicare Advantage Plans that are subsidized by Medicare and administered by private insurers


Insurer physician rankings threatened by New York Attorney General
  • Baker & Hostetler LLP
  • USA
  • August 1 2007

New York Attorney General Cuomo has threatened to obtain an injunction to prohibit the introduction of UnitedHealthcare’s “Premium designation” program, which identifies physicians who follow certain quality of care and efficiency criteria


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


Department of Labor issues new model COBRA notices
  • Baker & Hostetler LLP
  • USA
  • March 23 2009

On February 17, 2009, President Obama signed into law the American Recovery and Reinvestment Act of 2009 (the "Act"