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Results:1-10 of 28

Senate Finance Committee examines repeal of the Stark Law
  • Morgan Lewis
  • USA
  • July 6 2016

On June 30, the US Senate Committee on Finance (the Committee) released the report Why Stark, Why Now? Suggestions to Improve the Stark Law to


US Supreme Court issues landmark decision upholding current ACA structure
  • Morgan Lewis
  • USA
  • June 26 2015

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


HHS publishes final rule on exchanges, SHOP, and eligibility appeals
  • Morgan Lewis
  • USA
  • September 10 2013

Final regulations required for October 1, 2013 open enrollment are largely unchanged from the proposed rule. On August 30, the Centers for Medicare &


CMS proposes rule for exchanges and shops under the Affordable Care Act
  • Morgan Lewis
  • USA
  • June 18 2013

On June 14, the Centers for Medicare and Medicaid Services (CMS) in the U.S. Department of Health and Human Services (HHS) published its proposed


Medical loss ratio rebates: the clock is ticking
  • Morgan Lewis
  • USA
  • August 14 2012

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.


Medical loss ratio rebates: the clock is ticking
  • Morgan Lewis
  • USA
  • August 14 2012

Rebates that are considered plan assets must be used within three months or placed in trust.


Internal Revenue Service issues guidance on new research fee
  • Morgan Lewis
  • USA
  • June 6 2012

Proposed regulations provide detail on who must pay the new patient-centered outcomes research fee, the amount of the fee, and how the fee is to be calculated and reported.


FTCDOJ final policy on Accountable Care Organizations: important antitrust issues remain uncertain for healthcare collaborations
  • Morgan Lewis
  • USA
  • October 31 2011

The Federal Trade Commission (FTC) and Department of Justice (DOJ) (together, the Agencies) issued their final “Statement of Antitrust Enforcement Policy Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program” (Policy Statement) on October 20, on the same day that the Centers for Medicare and Medicaid Services (CMS) issued extensive regulations governing the formation, registration, and operation of accountable care organizations (ACOs).


New summary of benefits and coverage required for health plans in 2012
  • Morgan Lewis
  • USA
  • August 26 2011

On August 22, the Departments of Treasury, Labor, and Health and Human Services (the Departments) jointly published proposed regulations on the new Summary of Benefits and Coverage (SBC) that insurers and group health plan administrators will be required to distribute beginning next year.


Group health plans: are you ready for healthcare reform?
  • Morgan Lewis
  • USA
  • December 3 2010

As the end of the year approaches, employers are preparing to implement new requirements for calendaryear group health plans under the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (together Healthcare Reform, or HCR) on January 1, 2011.