News & Analysis as of

Insurance Industry Health Maintenance Organizations

Mandelbaum Barrett PC

HMO Assessment Rate Increased: What You Need to Know

Mandelbaum Barrett PC on

Effective June 28, 2024, a significant change has been enacted through L. 2024, A4705 (c. 21), which increases the annual assessment rate for Health Maintenance Organizations (HMOs). This new legislation raises the HMO...more

Mitchell, Williams, Selig, Gates & Woodyard,...

Texas Implementation of Corporate Governance Annual Disclosure

In 2019, Texas enacted the corporate governance annual disclosure (“CGAD”) annual filing requirement for all Texas domestic insurers and HMOs. CGAD requires disclosure by insurers or insurance groups about the corporate...more

Mitchell, Williams, Selig, Gates & Woodyard,...

TDI Announces CGAD Filing Not Required for Texas Domestic Insurers or HMOs

During the last legislative session, Texas enacted Insurance Code Chapter 831 to adopt the corporate governance annual disclosure (“CGAD”) annual filing requirement for all Texas domestic insurers and HMOs. The purpose of the...more

Foley & Lardner LLP

Behavioral Health & Substance Abuse Services: Massachusetts Proposal Reflects Focus on Expanding Access and Coverage

Foley & Lardner LLP on

... Massachusetts House Bill 4134 includes several provisions aimed at expanding access to treatment for mental health and substance use conditions in the Massachusetts Commonwealth. Most notably, the Bill would require...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

Locke Lord LLP

NAIC Working Group Exposes Proposed Revisions to Life and Health Guaranty Association Model Act

Locke Lord LLP on

On October 27, the NAIC Model Law (E) Working Group released an exposure draft of its proposed revisions to the Life and Health Guaranty Association Model Act (#520), intended to address the financial challenges of Long Term...more

Morrison & Foerster LLP

MoFo New York Tax Insights - Volume 7, Issue 7

ALJ holds NYS Real Estate Transfer Tax Cannot Be Imposed on Sale of 45% Membership Interest in LLC - In an issue of first impression under the New York State real estate transfer tax, a New York State Administrative Law...more

BakerHostetler

Send Lawyers, Guns and Money:* Providers Lining Up Against Anthem/Cigna and Aetna/Humana Mergers

BakerHostetler on

In the wake of Anthem’s proposed acquisition of Cigna and Aetna’s proposed acquisition of Humana, providers are lining up to be heard. Take the American Medical Association (AMA), for example, which is urging federal and...more

BakerHostetler

Defendants Must Keep Insurance Coverage Considerations in Mind When Settling Class Action Lawsuits

BakerHostetler on

On July 18, 2013, a Pennsylvania appellate court held that class action defendant Cigna Corporation (Cigna) was not entitled to insurance coverage for any part of a settlement it paid to plaintiffs because Cigna did not...more

Carlton Fields

Capitol Report: Bill To Implement And Enforce The Patient Protection And Affordable Care Act’s Requirements Applicable To Health...

Carlton Fields on

Committee Substitute for Senate Bill 1842 (CS/SB 1842), passed by the 2013 Florida Legislature, enacts changes to the Florida Insurance Code (the “Code”). These changes are necessary to implement and enforce requirements of...more

Nossaman LLP

Getting Healthy Together

Nossaman LLP on

Originally Published in The Recorder, September 4, 2012. A whole lotta conjunctions goin' on with California health care system players, an exceptional surge of large acquisitions and consolidations, some with surprising...more

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