Carol Lucas

Carol Lucas

Buchalter Nemer

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California Clamps Down On Surprise Out-Of-Network Bills

On September 23, 2016, Governor Brown signed AB 72, California’s surprise out-of-network law. The bill protects patients who seek care at an in-network facility from balance billing by individual health care providers who are...more

9/30/2016 - Cost-Sharing ERISA Governor Brown Health Care Providers Health Insurance Managed Care Contracts Medi-Cal Medicare New Legislation Out of Network Provider Patient Rights Popular Surprise Medical Bills

Aetna vs. BASM: Pigs Get Fat and Hogs Get Slaughtered

On April 13, 2016, a jury in Santa Clara, California awarded Aetna, Inc. $37.4 million from Bay Area Surgical Management, LLC (“BASM”), six of its affiliated surgery centers and its three principals. Aetna had accused the...more

4/19/2016 - Aetna Ambulatory Surgery Centers Anti-Competitive Civil Conspiracy False Billing Fraudulent Concealment Health Insurance Insurance Industry Jury Awards Kickbacks Out of Network Provider Unjust Enrichment

New ASC Requirements Coming in 2016

SB 396 (Hill) becomes effective on January 1, 2016, adding new patient protection measures to the current regulation of ambulatory surgery centers (“ASCs”). First, SB 396 authorizes accreditation organizations to perform...more

12/21/2015 - Accreditation Ambulatory Surgery Centers Bylaws Health Care Providers New Regulations

Lions and Tigers and Bears, Oh My! The Unexpected Laws that May Affect Your Telehealth Business

An increasing number of health care providers are exploring telemedicine, either as an adjunct to their primary physical practice or as a separate and new venture. Providers have determined that many aspects of the service...more

9/24/2015 - Corporate Practice of Medicine Health Care Providers In-Person Exam Prescription Drugs Telehealth Telemedicine

Health Care and Life Sciences Practice Newsletter

Lions and Tigers and Bears, Oh My! The Unexpected Laws that May Affect Your Telehealth Business - An increasing number of health care providers are exploring telemedicine, either as an adjunct to their primary physical...more

9/16/2015 - Anti-Kickback Statute CMS FCC FDA Health Care Providers Healthcare HIPAA Medicaid Medical Devices Medicare OIG Patient Self-Referral Right to Privacy Robocalling Stark Law TCPA Telehealth Telemedicine

AB 1000 and Corporate Practice in California: More than Meets the Eye—or Less?

On the way to authorizing direct access to physical therapy, the California legislature may have broadly loosened the restrictions on numerous business arrangements imposed by California’s corporate practice ban. AB 1000,...more

6/16/2014 - Health Care Providers Healthcare Patient Self-Referral Patients Physical Therapists Professional Corporation

Points & Authorities - Spring 2014

In this Issue: - AB 1000 and Corporate Practice in California: More than Meets the Eye—or Less? - Loose Lips Sink Ships and Careless E-mails Torpedo a Transaction - New Faces - Points from the...more

6/12/2014 - Antitrust Provisions Benefit Plan Sponsors Billing Confidential Information Data Protection Email Employee Benefits Healthcare Medicare MICRA Patient Self-Referral

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