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11 results found

Article

Morgan Lewis | USA | 26 Jun 2015

US Supreme Court issues landmark decision upholding current ACA structure

Yesterday, the US Supreme Court, in a 63 decision, held that the Internal Revenue Service (IRS) regulations issued in 2012 under the Affordable Care

Article

Morgan Lewis | USA | 14 Aug 2012

Medical loss ratio rebates: the clock is ticking

The Patient Protection and Affordable Care Act of 2010 (ACA) requires health insurers to issue rebates to policyholders if less than a specified percentage of the premium dollars collected is used to provide medical care.

Article

Morgan Lewis | USA | 23 Jul 2012

OCR releases HIPAA audit protocol

The Office for Civil Rights (OCR) at the Department of Health and Human Services recently published its audit protocol for assessing compliance with the Privacy, Security, and Breach Notification Rules under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as amended by the Health Information Technology for Economic and Clinical Health Act (HITECH).

Article

Morgan Lewis | USA | 14 Jun 2011

HHS issues proposed rule; creates new access report obligations and amends existing accounting of disclosures provisions

On May 31, the U.S. Department of Health and Human Services (HHS) released a notice of proposed rulemaking (Proposed Rule) creating a new requirement that covered entities produce an “access report” informing individuals of all persons who have viewed their records, while also modifying existing accounting of disclosures rules under the Health Insurance and Portability and Accountability Act of 1996 (HIPAA).

Article

Morgan Lewis | USA | 23 Jul 2010

Interim final rules released on preexisting condition exclusions, lifetime and annual limits, rescissions, patient protections, and preventive care

The federal agencies responsible for Healthcare Reform regulations have recently issued significant guidance, including several model notices, applicable to some of the provisions under the Patient Protection and Accordable Care Act (PPACA) as amended by the Health Care and Education Reconciliation Act of 2010 (the Reconciliation Act; together, the Healthcare Reform Law).

Article

Morgan Lewis | USA | 21 Jun 2010

Interim final rules released on group health plan grandfather status under Healthcare Reform law

On June 14, federal agencies responsible for Healthcare Reform regulations issued interim final rules addressing grandfathering of health plans (the Rules) under the Patient Protection and Affordable Care Act of 2010 (PPACA), as amended by the Health Care and Education Reconciliation Act of 2010 (the Reconciliation Act) (collectively, the Healthcare Reform Law).

Article

Morgan Lewis | USA | 11 Jun 2010

The early retiree reinsurance program: draft application, draft instructions, and FAQs have been posted

The application process for the Early Retiree Reinsurance Program (ERRP), part of the Affordable Care Act, is starting to unfold.

Article

Morgan Lewis | USA | 14 Apr 2010

Immediate healthcare reform law issues for group health plans come into sharper focus

The Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (the Healthcare Reform Law), creates a number of immediate issues for employer group health plans.

Article

Morgan Lewis | USA | 2 Nov 2009

Litigators beware: late reporting of payments to Medicare claimants may result in significant penalties and double payments

If you, like many litigators, saw the word "Medicare" in the title above and were about to hit the "delete" button, please stop and read furtherthis alert has important information for you.

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