Health Insurance, Healthcare | JD Supra Law News

OIG Updates Special Advisory Bulletin on the Effect of Exclusion from Federal Health Programs

by Julie Kass | Ober|Kaler on 5/14/2013

On May 8, 2013, the OIG issued an update that supersedes and replaces its 1999 Special Advisory Bulletin, The Effect of Exclusion from Participation in Federal Health Care Programs. The updated bulletin continues to stress...more

Employer Responsibility – Will You Pay or Play?

by Kathryn Paradise, David L. Woodard | Poyner Spruill LLP on 5/7/2013

Starting in 2014, provisions of the Patient Protection and Affordable Care Act become effective known as “Pay or Play” or “Employer Shared Responsibility.” Large employers will be faced with the decision whether to offer...more

Healthcare Update, No. 2, May 2013 - Court Upholds OFCCP's Jurisdiction Over Healthcare Providers

by Cheryl Behymer, Richele Taylor | Fisher & Phillips LLP on 5/1/2013

A federal district court has confirmed the position of the Office of Federal Contract Compliance Programs (OFCCP) finding that three hospitals providing medical services to U.S. government employees, and receiving payments...more

Connecting the Dots on Health Care Reform: The Law, The Policy, and What It Means for Associations

by Venable LLP on 5/1/2013

In this presentation: - Policy - The Drivers of Health Care Reform? - The Exchange & Congressional Intent - Two Kinds of “Public” Exchanges - What Should You Know About the “Public”...more

Health Care Reform: Decisions and a Changing World for Employers

by Wesley Roberts, Michael Sheridan | Butler, Snow, O'Mara, Stevens and Cannada,... on 4/11/2013

Having cleared the hurdles of a Supreme Court decision and the 2010 and 2012 national elections, health care reform mandated by the Patient Protection and Affordable Care Act (“PPACA” or the “Act”) is closing in fast on key...more

Illinois Office of the Inspector General Self-Disclosure Protocol for Reporting Medicaid Overpayment

by Nicholas Lynn | Duane Morris LLP on 4/8/2013

The Illinois Department of Healthcare and Family Services ("Department"), Office of Inspector General ("OIG"), has now issued an Informational Notice and Voluntary Provider Self-Disclosure Protocol ("Protocol") providing...more

Fully-Insured Expatriate Health Plans Get Extra Time to Comply with PPACA

by Tzvia Feiertag | Proskauer - ERISA Practice Center on 3/21/2013

Recognizing that expatriate group health plans may find it impossible, or nearly impossible, to comply with all of the relevant provisions of the Patient Protection and Affordable Care Act of 2010 (PPACA), the U.S. Labor...more

To Waive or Not to Waive, That is the Question

by Darren Gelber | Wilentz, Goldman & Spitzer P.A. on 2/12/2013

A burgeoning problem is developing for out of-network healthcare providers that systemically fail to collect deductibles and coinsurance from patients. Insurance companies often seek to deny insurance coverage to subscribers...more

Health Care Reform “Pay Or Play” Guidance Issued

by Jewelie Grape | Leonard, Street and Deinard - Employee... on 2/4/2013

In early January, the Internal Revenue Service published proposed regulations on “Shared Responsibility for Employers Regarding Health Coverage.” These regulations incorporate the provisions of many previous Notices with...more

Privatizing Health Insurance Companies For Anti-Fraud Enforcement

by Michael Volkov on 1/8/2013

The federal government faces overwhelming challenges in trying to stem the tide of fraud in the health care system. The problem is massive, and even with the increase in resources, and adoption of new tools to fight fraud,...more

Limited Relief for Employers under Health Care Reform's "Play-or-Pay" Rules

by Harry Atlas, Jennifer Spiegel Berman, Christopher E. Condeluci, Thora A. Johnson, Gregory J. Ossi | Venable LLP on 1/4/2013

Proposed regulations issued by the Internal Revenue Service on December 28, 2012 provide some relief to large employers subject to the employer-sponsored coverage mandate under health care reform. The employer mandate is...more

Proposed Regulations Issued on Employer Shared Responsibility Payments under the Affordable Care Act

by Ropes & Gray LLP on 1/4/2013

Last Friday, the Department of the Treasury issued proposed regulations on the employer shared responsibility provisions in section 4980H of the Internal Revenue Code, under which an employer may be subject to an assessment...more

What Employers Need to Know About Healthcare Reform for 2013

by Michael Chan, Martin Smith | Sheppard Mullin Richter & Hampton LLP on 1/2/2013

As the end of 2012 approaches, we consider what a notable year it has been for the future of healthcare reform, starting with the United States Supreme Court’s decision to uphold key provisions of the Patient Protection and...more

Bill Proposed To Amend NJLAD To Prohibit Healthcare Benefit Discrimination

by Christopher J. Capone, Mark Diana, Evan J. Shenkman | Ogletree, Deakins, Nash, Smoak & Stewart,... on 12/14/2012

On November 19, 2012, a bill (A3444) was introduced in response to reports in the New Jersey Star Ledger that a bank purportedly provided unequal levels of health coverage to its male and female employees. The bill attempts...more

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