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New York State Department of Financial Services Summarizes Changes Relating to Administrative Denials, Prior Authorizations, and Claims Payment

USA - April 12 2021 On March 10, 2021, the New York State Department of Financial Services (“DFS”) issued Insurance Circular Letter No. 4 (“Circular Letter”), which…

Gregory R. Mitchell.

New Health Care Transparency Requirements: Will They Lower Cost and Improve Quality?

USA - November 19 2020 On November 12, 2020, the Trump administration published its final rule on price transparency (the “Final Rule”) requiring affected entities to…

Gregory R. Mitchell, Helaine I. Fingold, Karen Mandelbaum, Lesley R. Yeung.

CARES Act Temporarily Suspends Sequestration: How Will It Affect Provider Reimbursement?

USA - May 7 2020 One of the many relief efforts contained in the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”), signed into law on March 27th…

Arthur J. Fried, Gregory R. Mitchell.

Post-Acute Care and “COVID-19 Centers of Excellence”

USA - April 17 2020 As infections of COVID-19 continue to increase throughout the nation, health care policymakers have focused primarily on increasing acute-care…

David Shillcutt, Gregory R. Mitchell, Kevin J. Malone, Lesley R. Yeung.

Value-Based Payment Arrangements During the COVID-19 Pandemic

USA - March 30 2020 The ongoing pandemic caused by the novel coronavirus has upended the American health care system in many ways. One of the many effects of COVID-19…

Gregory R. Mitchell.