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An Executive Order’s Potential for Setting a Precedent With Regard to the Reimbursement Rate for Out-of-Network Emergency Services

USA - July 31 2020 On April 9, 2020, Governor Baker issued an emergency order (the “Order”), mandating that insurers cover all medically necessary emergency department…

Recent Federal Legislative Activity to Address Surprise Billing

USA - May 2 2019 States increasingly pass laws to protect patients from surprise billing, varying widely in scoop. Surprise bills occur when a patient is treated by…

State Medicaid fraud control units' data mining likely to increase through federal funding

USA - June 11 2013 On May 17, 2013, the Office of Inspector General, U.S. Department of Health and Human Services (OIG), announced a final regulation that would…

Gregory A. Brodek

HIPAA marketing and sale provisions: legal potholes for providers, payors, advertisers, data aggregators, market researchers and others

USA - April 19 2013 The privacy and security standards under the Health Insurance Portability and Accountability Act of 1996 ("HIPAA") and its regulations (the "HIPAA…

Lisa W. Clark

Overview of 2013 amendments to HIPAA privacy, security, breach notification and enforcement rules

USA - January 29 2013 On January 17, 2013, the federal Department of Health and Human Services ("HHS"), Office for Civil Rights ("OCR"), issued the long-anticipated…

Harry R. Silver, Neville M. Bilimoria, Lisa W. Clark, Erin M. Duffy, David E. Loder