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Amy Gordon

Amy Gordon

McDermott Will & Emery


Latest Publications

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Additional Guidance Issued on Summary of Benefits and Coverage Disclosure Requirements

The U.S. Departments of Labor, Health and Human Services, and the Treasury recently issued new guidance and templates regarding the summary of benefits and coverage requirement under the Patient Protection and Affordable Care...more

5/3/2013 - Affordable Care Act Disclosure Requirements DOL Healthcare HHS SBC

Favorable Temporary ACA Exemption for Expatriate Health Plans

Recently issued guidance addresses the unique compliance issues surrounding expatriate health plans under the Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act...more

5/2/2013

ACA Guidance on 90-Day Waiting Periods and Certificates of Creditable Coverage

Recently issued Affordable Care Act guidance clarifies the prohibition on waiting periods in excess of 90 days and eliminates the requirement to issue HIPAA group health plan certificates of creditable coverage after December...more

4/12/2013 - Affordable Care Act Healthcare HIPAA Multiemployer Plan Pay or Play Proposed Regulation Waiting Periods

New HIPAA Regulations Require Action by Group Health Plans

Final HIPAA privacy and security regulations issued by the U.S. Department of Health and Human services will require action by group health plan sponsors by September 2013....more

3/8/2013 - Business Associates Data Protection Employer Group Health Plans GINA Healthcare HHS HIPAA HITECH Notice Requirements PHI Subcontractors

Finalized ACA Regulations on Transitional Reinsurance Program Premiums and Potential Effects for Employer-Sponsored Group Health...

As part of the Patient Protection and Affordable Care Act, the U.S. Department of Health and Human Services (HHS) recently released final regulations regarding the transitional reinsurance program fee effective in CY 2014. ...more

3/7/2013 - Affordable Care Act COBRA Employer Group Health Plans HHS Qualified Benefit Plans Reinsurance Transitional Reinsurance Program

Staying the Course: HHS Finalizes the Essential Health Benefits Regulations for 2014

The U.S. Department of Health and Human Services (HHS) Essential Health Benefits Final Rule and actuarial value regulations offer few surprises and much needed certainty to enable group health plans and health insurance...more

2/27/2013 - Cost-Sharing Employer Group Health Plans Essential Health Benefits Health Savings Accounts HHS HRA Prescription Drug Coverage

New HIPAA Regulations Affect Business Associates and Subcontractors

The Health Insurance Portability and Accountability Act omnibus regulations recently released by the U.S. Department of Health and Human Services have significant ramifications for business associates and subcontractors of...more

2/11/2013 - Business Associates Data Protection Electronic Medical Records HIPAA HIPAA Omnibus Rule HITECH Patient Confidentiality Breaches PHI Subcontractors Vicarious Liability

HIPAA De-Identification Guidance

Office of Civil Rights has released additional guidance addressing the de-identification of protected health information in accordance with the HIPAA Privacy Rule. Covered entities should review their current...more

12/12/2012 - Compliance De-Identification Healthcare Healthcare Professionals HIPAA HITECH OCR PHI

Proposed ACA Regulations on Transitional Reinsurance Program Premiums and Potential Effects for Employer-Sponsored Group Health...

As part of the Patient Protection and Affordable Care Act (ACA), the U.S. Department of Health and Human Services (HHS) recently released proposed regulations regarding the estimated amount of annual contributions that are...more

12/7/2012 - Affordable Care Act Employer Group Health Plans HHS Medicare

New Proposed Wellness Guidance under PPACA

New proposed employer wellness program regulations have been released under the Patient Protection and Affordable Care Act. On November 20, 2012, the U.S. Departments of the Treasury, Labor (DOL) and Health and Human...more

11/28/2012 - DOL HHS Wellness Programs

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