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No Surprises Act Update: Rule Governing Dispute Resolution Process Set Aside

USA - March 4 2022 In a win for health care providers across the nation, the U.S. District Court for the Eastern District of Texas has vacated a key regulation regarding…

Leon F. DeJulius Jr. (Lee), Claire E. Castles, B. Kurt Copper, Joshua L. Fuchs, James Lenahan Poth

New Law Eliminates 75-Year-Old Antitrust Exemption for "Business of Health Insurance"

USA - January 27 2021 Congress unanimously passed and before leaving office, President Trump signed into law, the Competitive Health Insurance…

Aimee E. DeFilippo, Kenneth W. Field, Michael A. Gleason, David C. Kiernan

New Stark Law, Anti-Kickback Statute Exceptions and Safe Harbors for Value-Based Arrangements

USA - December 18 2020 As health care providers transition to value-based care models, they have often been forced to rely on exceptions and safe harbors under the Stark Law…

John M. Kirsner, David T. Morris

Strategies for Successful Post-COVID-19 Telehealth Payer Contract Negotiations

USA - July 10 2020 The spread of the novel coronavirus (COVID-19) pandemic has significantly impacted the delivery of health care services. In particular, it has…

Kristen Pollock McDonald, Alexis S. Gilroy, John M. Kirsner, David T. Morris

Health Care on the Other Side: Changing Payer-Provider Relationships in a Post-COVID-19 Landscape

USA - May 9 2020 Hospitals, physician practices, and other provider organizations are dealing with unprecedented challenges in the present public health emergency…

John M. Kirsner, David T. Morris