Healthcare

OIG's Special Advisory Bulletin on the Effect of Exclusion—Continuing the Focus on Individual Accountability

by George Breen, Jonah Retzinger, Carrie Valiant | Epstein Becker & Green, P.C. on 5/23/2013

On May 8, 2013, the U.S. Department of Health and Human Services' Office of Inspector General ("OIG") released an Updated Special Advisory Bulletin on the Effect of Exclusion from the Participation in Federal Health Care...more

Bill on Bankruptcy: The Market's Unquenchable Thirst for Junk [Video]

by Bloomberg Law on 5/22/2013

May 22 (Bloomberg) -- AMF Bowling Worldwide Inc. and Ahern Rentals Inc. are prime examples of the frothy market where junk-bond investors are fearless in the face of risk, as Bloomberg Law's Lee Pacchia and Bloomberg News...more

Healthcare Law -- May 21, 2013

by Manatt, Phelps & Phillips, LLP on 5/22/2013

Clearing up the Rumors around Health Reform Delays: What Really Happened, What Won’t and Steps Employers and Insurers Can Take Now - Rumors are flying in health policy circles that the Obama Administration might delay...more

Exclusions: OIG Offers Relationship Counseling to Providers

by Summer Swallow | BakerHostetler on 5/22/2013

On May 8, 2013, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued an updated Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs...more

CMS Issues Final MLR Rule for Medicare Advantage and Part D Programs

by Roy M. Albert, Susan Berson | Mintz Levin - Health Law on 5/22/2013

Last week, CMS published a final rule implementing the ACA’s medical loss ratio (“MLR”) requirements that will apply to the Medicare Advantage (Part C) and prescription drug (Part D) programs beginning in contract year 2014. ...more

Groundhog Day for Tuomey: Jury Finds Hospital Violated Stark Law and False Claims Act

by Darby C. Allen, Donna S. Clark | BakerHostetler on 5/22/2013

On May 8, 2013, a jury in the Columbia Division of the U.S. District Court for the District of South Carolina returned a verdict finding that Tuomey Healthcare Systems, Inc. (Tuomey) violated the Stark Law and the federal...more

Enterprise Risk Management: The benefits of online policy and procedure management systems

by NAVEX Global on 5/22/2013

ABSTRACT - Operational inefficiencies, sub-optimal patient care, financial losses and missing or ineffective sanctions for non-compliance are all potential outcomes that can stem from passive policy and procedure management....more

U.S. Department Of Labor Issues Model Notices Of Health Insurance Options

by Michael N. Morea | Cole Schotz on 5/22/2013

By October 1, 2013, most employers will be required to provide their current employees and new hires with notices of health insurance options. The notice is required to, among other things, inform employees of the existence...more

The Employer's Playbook for ACA Compliance: Are You In The 2014 "Pay Or Play" Game?

by Dan S. Brandenburg, Sarah Lockwood Church, Joanne G. Jacobson, Paul Kasicky, Joni Landy, Kevin Wiggins | Saul Ewing LLP on 5/22/2013

For better or worse, the ACA or Health Care Reform is still with us. If you do not want to end up in the penalty box in 2014, you must know whether you are subject to the employer shared responsibility provisions of the ACA...more

Family Sues Hospital for Violating Do Not Resuscitate Order

by Aaron Kase | Lawyers.com on 5/21/2013

All too often, families have to bring lawsuits against hospitals that let their loved ones die through malpractice or neglect....more

Proper Disclosure and Documentation the Focal Point in New HIPAA and Medicare Rules

by Stacey Borowicz, Tyler N. Williams | Dinsmore & Shohl LLP on 5/21/2013

New HIPAA Rule Affects Providers’ Notice of Privacy Practices - The Health Insurance Portability and Accountability Act (“HIPAA”) requires health care providers to inform patients of the providers’ legal duties and the...more

ERISA Litigation Alert: Check Your Plan Subrogation and Reimbursement Language to Eliminate “Contractual Gaps”

by Richard Birmingham | Davis Wright Tremaine LLP on 5/21/2013

In U.S. Airways v. McCutchen, the U.S. Supreme Court upheld the ability of U.S. Airways’ health plan to recover medical expenses that it previously paid to the injured party from a third party settlement, but remanded the...more

Health Care Reform Blog: Bare Bones" Health Plans- Are They Legal?

by Susan J. Freed | Davis Brown Law Firm on 5/21/2013

You may have woken up today to media reports of large employers exploring the idea of dropping traditional health plans in favor of very limited health care plans as a way to lessen the burden imposed on large employers for...more

Florida Legislative Session 2013: Healthcare Summary

by Martin Dix, Steven Grigas, Bruce Platt, Sheryl D. Rosen | Akerman Senterfitt on 5/21/2013

The 2013 Florida Legislative Session concluded on May 3, 2013. The following is a partial summary of healthcare-related bills that may impact your business or practice. Note that some of these bills have become law, but...more

CMS Announces $1 Billion in Funding for Innovation Grants

by King & Spalding on 5/21/2013

On May 15, 2013, CMS released a funding opportunity announcement for round two of the Health Care Innovation Awards. The grants are administered by the CMS Innovation Center, which is authorized by the Affordable Care Act to...more

Health Care Reform Update -- May 20th, 2013

by Joseph P. Hammang, Alexander Hecht, Abby Matousek, Jeremy Rabinovitz | Mintz Levin - Health Law on 5/21/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

Capital Thinking Updates - May 16, 2013

by Amy Davenport, Tanya DeRivi, Alexis Early, Eugenia Edwards, Jared Fleisher, Norma Krayem, Karen Kudelko, Matthew Kulkin, Jessica Monahan, Amy Budner Smith, Stacy Swanson, Joseph Urso, more +Sarah Vilms, Kristin Wells, Pam Welsh | Patton Boggs LLP on 5/21/2013

In This Issue: - General Legislative - Agriculture and Food - Budget and Appropriations - Cybersecurity - Defense - Education - Energy - Environment - Financial Services - Health...more

The Affordable Care Act's Marketplace Notice: What Employers Need to Know

by Katie Morton, Mary Turk-Meena, Lynne Shore Wakefield | K&L Gates LLP on 5/20/2013

On May 8, 2013, the Department of Labor (“DOL”) issued long-awaited guidance on the notice that must be provided to employees by October 1, 2013, the first day of the Health Insurance Marketplace open enrollment period (the...more

Affordable Care Act Standards Related to Essential Health Benefits, Minimum Value, Actuarial Value and Accreditation

by Erin Jones Adams | Spilman Thomas & Battle, PLLC on 5/20/2013

On February 25, 2013, the Department of Health and Human Services (HHS) released its final rule (the Final Rule) setting forth standards for health insurance issuers under the Patient Protection and Affordable Care Act (the...more

PODCAST - Inside Law - HIPAA Changes Overview by Emily Wey [Video]

by Polsinelli on 5/20/2013

More than two years in the making, the long-awaited final changes to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) were published by the United States Department of Health and Human Services (HHS) on...more

NOIs Due Soon to Apply for 2014 ACO Program

by Sarah E. Swank | Ober|Kaler on 5/20/2013

The Medicare Shared Savings Program (MSSP) for accountable care organizations (ACOs) established under the Affordable Care Act is about to kick-off its second year with a new round of applications for the January 1, 2014...more

Good Governance for General Counsel: What Your Board Needs to Know Now

by Ober|Kaler on 5/18/2013

A host of regulatory and finance reforms have ushered in significant changes for health care entities, and likewise, for the boards that guide them. How can general counsel broach these changes with their boards and steer...more

DOL Releases Exchange Notice Guidance and Model Notices

by Dennis R. Bonessa, John D. Martini, Rachel Cutler Shim, Allison Warden Sizemore | Reed Smith on 5/17/2013

On May 8, the Department of Labor ("DOL") issued guidance regarding the requirement that employers provide notice to employees describing the coverage options available under Health Insurance Marketplaces (formerly known as...more

Health Law Alert: OIG Issues Updated Special Advisory Bulletin On The Effect Of Exclusion From Participation In Federal Health...

by Jessica Kracl, Sheva J. Sanders | Leonard, Street and Deinard on 5/17/2013

On May 8, 2013, the U.S. Department of Health and Human Services Office of the Inspector General (OIG) issued an updated Special Advisory Bulletin on the effect of exclusion from participating in federal health care programs....more

Model Notices Issued To Meet Affordable Care Act Requirements – Notices Must Be Issued By October 1, 2013

by Andrew E. Graw | Lowenstein Sandler LLP on 5/17/2013

On May 8, 2013, the U.S. Department of Labor (DOL) issued guidance and model forms to assist employers in fulfilling their obligations under the Affordable Care Act (ACA) to notify employees of the availability of health care...more

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OIG's Special Advisory Bulletin on the Effect of Exclusion—Continuing the Focus on Individual Accountability

Bill on Bankruptcy: The Market's Unquenchable Thirst for Junk [Video]

Healthcare Law -- May 21, 2013

Exclusions: OIG Offers Relationship Counseling to Providers

CMS Issues Final MLR Rule for Medicare Advantage and Part D Programs

Groundhog Day for Tuomey: Jury Finds Hospital Violated Stark Law and False Claims Act

Enterprise Risk Management: The benefits of online policy and procedure management systems

U.S. Department Of Labor Issues Model Notices Of Health Insurance Options

The Employer's Playbook for ACA Compliance: Are You In The 2014 "Pay Or Play" Game?

Family Sues Hospital for Violating Do Not Resuscitate Order

Proper Disclosure and Documentation the Focal Point in New HIPAA and Medicare Rules

ERISA Litigation Alert: Check Your Plan Subrogation and Reimbursement Language to Eliminate “Contractual Gaps”

Health Care Reform Blog: Bare Bones" Health Plans- Are They Legal?

Florida Legislative Session 2013: Healthcare Summary

CMS Announces $1 Billion in Funding for Innovation Grants

Health Care Reform Update -- May 20th, 2013

Capital Thinking Updates - May 16, 2013

The Affordable Care Act's Marketplace Notice: What Employers Need to Know

Affordable Care Act Standards Related to Essential Health Benefits, Minimum Value, Actuarial Value and Accreditation

PODCAST - Inside Law - HIPAA Changes Overview by Emily Wey [Video]

NOIs Due Soon to Apply for 2014 ACO Program

Good Governance for General Counsel: What Your Board Needs to Know Now

DOL Releases Exchange Notice Guidance and Model Notices

Health Law Alert: OIG Issues Updated Special Advisory Bulletin On The Effect Of Exclusion From Participation In Federal Health...

Model Notices Issued To Meet Affordable Care Act Requirements – Notices Must Be Issued By October 1, 2013

Bill on Bankruptcy: The Market's Unquenchable Thirst for Junk [Video]

PODCAST - Inside Law - HIPAA Changes Overview by Emily Wey [Video]

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