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Patrick Malone & Associates P.C. | DC Injury...

Better Health Care Newsletter - March 2024

Patrick Malone & Associates P.C. | DC Injury... on

Is Medicare Advantage really a Disadvantage for seniors and taxpayers? Our nation is graying rapidly. Every day, 10,000 baby boomers, members of one of the largest generations in U.S. history, hit the traditional...more

Foley & Lardner LLP

Massachusetts Governor Proposes Facility Fee Ban

Foley & Lardner LLP on

Massachusetts Governor Charlie Baker has restarted the discussion on health care cost containment in the Commonwealth with a proposed bill that contains a raft of initiatives. This is the first in a series of blog posts to...more

King & Spalding

California Regulator Will Require Providers in Risk Arrangements to Obtain License or Exemption from Licensure

King & Spalding on

California’s Department of Managed Health Care, which licenses and regulates HMOs and certain PPOs in California, is promulgating a new regulation that will require healthcare providers that enter into certain types of risk...more

Chambliss, Bahner & Stophel, P.C.

Medicare Coverage While Traveling Within the U.S.

Chambliss, Bahner & Stophel, P.C. on

When people retire they often have more time to travel. Although Medicare coverage is generally not available when beneficiaries are overseas, what about coverage for those exploring our own varied and scenic land?...more

Carlton Fields

No More Surprises: Florida Ends Certain Medical Balance Billing

Carlton Fields on

"Surprise medical billing" occurs when a patient receives care at a facility and receives treatment from a provider, such as an anesthesiologist or radiologist, who is not contracted with the patient’s health insurance plan....more

Akerman LLP - Health Law Rx

Surprise Medical Bills? The Florida Legislature Offers Some Relief!

Akerman LLP - Health Law Rx on

With House Bill 221, the last bill to pass during the 2016 legislative session, the Florida legislature took a significant step towards reducing uncertainty for medical costs for persons with Preferred Provider Organization...more

McDermott Will & Emery

CMS to Test Value-Based Insurance Design in Medicare Advantage

McDermott Will & Emery on

While CMS’s demonstration model will allow for reduced cost sharing and other benefit design elements to encourage targeted use of high-value clinical services, Medicare Advantage Organizations should be aware of certain...more

Burr & Forman

Antitrust Issues Facing Physicians in Medicaid and Professional Licensing

Burr & Forman on

Physicians who were practicing in the 1990s were involved in numerous attempts to organize themselves in order to be able to participate in and even financially survive the onslaught of managed care delivery systems. The new...more

Epstein Becker & Green

New York’s “Emergency Medical Services and Surprise Bills” Law

Epstein Becker & Green on

Earlier this year, the New York Legislature enacted, and Governor Cuomo signed, legislation that will impact billing and reimbursement for some out-of-network health care services, require new disclosures from providers...more

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