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Government contractor qualifies for Texas’s sale-for-resale exemption
  • Winston & Strawn LLP
  • USA
  • June 27 2011

A recent decision by the Texas Court of Appeals, Combs v. Health Care Services Corporation, 2011 WL 1005419 (Tex. App. Mar. 16, 2011), clarified Texas’s sale-for-resale exemption to the state’s sales and use tax and held that a government contractor was entitled to a sales tax refund under the exemption


Excellus is latest in line of BCBS insurers experiencing cyberattack
  • Cooley LLP
  • USA
  • September 18 2015

Excellus, a BlueCross BlueShield (BCBS) provider servicing upstate New York, announced last week that it was the latest in a string of BCBS providers


Two major health care companies pay $137.5 million and $3.8 million, respectively, to settle violations against the False Claims Act
  • Bricker & Eckler LLP
  • USA
  • June 8 2012

Recently, the U.S. Department of Justice announced that Florida-based WellCare Health Plans and Georgia-based Radiotherapy Clinics of Georgia LLC have paid $137.5 million and $3.8 million, respectively, to settle charges that they violated the False Claims Act


HIPAA audits ARRA coming! Is your PHI secure?
  • Baker & Hostetler LLP
  • USA
  • July 14 2011

In the growing world of Recovery Audit Contractor audits, Voluntary Disclosure Protocols, IRS Form 990 disclosures, “never events” and HIPAA breach notifications, there is a new kid on the block in the area of federal audit and oversight for healthcare providers, health plans and their business associates under the HIPAA health information privacy and security provisions


Supreme Court decision upholding Affordable Care Act affirms contracting opportunities in insurance exchanges and Medicaid
  • Wiley Rein LLP
  • USA
  • July 26 2012

In the July 16, 2012 edition of Bloomberg BNA’s Health Care Policy Report, Wiley Rein attorneys Jim Slattery, Kathryn Bucher, Daniel P. Graham and Kate R. McDonald published an article on the implications for health care contractors of the Supreme Court’s decision in Nat’l Fed’n of Indep. Bus. v. Sebelius, No. 11-393, slip op. (U.S. June 28, 2012


Health care reform update - July 18, 2011
  • Mintz Levin Cohn Ferris Glovsky and Popeo PC
  • USA
  • July 18 2011

On July 13th Secretary Sebelius testified during a hearing before the Energy & Commerce Subcommittee on Health that President Obama was consulting with potential nominees to the Independent Payment Advisory Board (IPAB


TRICARE incentive prohibition regulations published
  • Reinhart Boerner Van Deuren SC
  • USA
  • May 26 2010

On April 9, 2010, the Department of Defense issued final regulations on the TRICARE incentive prohibition, which was enacted in 2007 to prevent employers from shifting costs to the TRICARE program by offering TRICARE beneficiaries (essentially military retirees and their family members) an alternative to enrollment in a group health plan that would be primary to TRICARE


Another setback for health insurance exchanges
  • Barnes & Thornburg LLP
  • USA
  • November 19 2012

Controversy erupted when the Centers for Medicare and Medicaid Services awarded a contract to Quality Software Services Inc. (QSSI) to construct an integral part of the federal health insurance exchange


OFCCP rescinds medical providers directive
  • Fox Rothschild LLP
  • USA
  • June 29 2012

On April 25, 2012, the U.S. Department of Labor’s (DOL) Office of Federal Contractor Compliance Programs (OFCCP) announced that it has rescinded Policy Directive 293, which provided guidance for determining whether a health care provider or insurer falls within the OFCCP’s jurisdiction as a federal contractor or subcontractor


House and Senate overrule OFCCP on TRICARE subcontractors
  • Littler Mendelson PC
  • USA
  • December 21 2011

TRICARE is the federal government’s healthcare program for active duty and retired military members and their families