Medicaid, Employer Group Health Plans, Medicare

Examining the Financial Structure and Performance of Rhode Island’s Acute Hospitals and Health Systems

Manatt, Phelps & Phillips, LLP on 5/17/2024

This study summarizes research conducted on behalf of the Rhode Island Foundation and partner organizations in early 2024....more

CAA 2023 Includes HSA Telehealth Relief, MHPAEA, Medicare, and Medicaid Changes

Groom Law Group, Chartered on 12/26/2022

Last week the Senate passed the Continuing Appropriations Act, 2023 (“CAA23”). The House of Representatives will likely consider the measure today, and President Biden is expected to sign the bipartisan measure into law...more

Texas ER Physicians Sue Insurer for Underpayment – Thousands of Claims at Stake

Hendershot Cowart P.C. on 9/19/2022

An appeal brought before the Texas Supreme Court could unleash a wave of legal action by out-of-network ER physicians pursuing insurers for underpayment of claims. Unlike in-network providers who negotiate reimbursement...more

Federal District Court Ruling May Jeopardize Insurance Coverage of More Than 50 Recommended Procedures, Screenings, and Treatments

Goodwin on 9/15/2022

Under the Affordable Care Act, group health plans and health insurance issuers are required to provide health insurance coverage based on recommendations made by healthcare coverage professionals. The covered categories...more

American Rescue Plan Act of 2021: Key Healthcare Provisions

McDermott Will & Emery on 4/8/2021

On March 10, 2021, US Congress finalized and passed the American Rescue Plan of 2021 (ARPA), the latest COVID-19 relief package that largely tracks President Joe Biden’s initial $1.9 trillion proposal. The ARPA extends...more

Deadline is Approaching for Group Health Plan Service Agreement Updates

Seyfarth Shaw LLP on 1/31/2020

Seyfarth Synopsis: Recent changes to the federal rules governing confidentiality of substance use disorder (SUD) patient records may require updates to agreements between group health plans and their third-party vendors....more

The Better Care Reconciliation Act of 2017 vs. The American Health Care Act: Summary of Key Differences

Akin Gump Strauss Hauer & Feld LLP on 6/26/2017

On June 22, 2017, Senate Republicans released a discussion draft of their proposal to repeal and replace the Affordable Care Act (ACA), titled the “Better Care Reconciliation Act of 2017” (BCRA). Beyond the title change,...more

Issues for Employers as Health Care Legislation Moves to the Senate

Jones Day on 5/30/2017

ABSTRACT - Although the American Health Care Act, as passed by the U.S. House of Representatives, mainly affects the individual and small group health insurance markets, it has implications for large employers. The repeal of...more

Looking Forward/Looking Backward – Day 1 Notes from the JPMorgan Healthcare Conference

Sheppard Mullin Richter & Hampton LLP on 1/11/2017

A large amount of wind, much discussion about the U.S healthcare, and the public getting soaked again – if you were thinking about Washington, DC and the new Congress, you’re 3,000 miles away from the action. This is the week...more

The ERISA Litigation Newsletter - December 2016

Proskauer Rose LLP on 12/21/2016

This month Richard Zall, Chair of Proskauer's Health Care Department, explores developments likely to occur with respect to the Affordable Care Act as a result of the new administration. In our Rulings, Filings and...more

Be wary of counterfactual assertions about Obamacare, Medicare, Medicaid

Patrick Malone & Associates P.C. | DC Injury... on 11/28/2016

As speculation explodes about what the GOP and the president-elect will or won’t do with the Affordable Health Care Act (aka Obamacare), Medicare, and Medicaid, skeptical citizens would be well-served to learn as much as they...more

GOP Unveils Obamacare Replacement

Baker Donelson on 7/12/2016

On June 22, House Speaker Paul Ryan (R-WI) and Republican House members released their official proposal to replace the Affordable Care Act. The proposal is the first comprehensive plan floated by congressional Republicans...more

Health Update - January 2016

Manatt, Phelps & Phillips, LLP on 1/23/2016

The Megatrends Reshaping Healthcare: Managing Change and Maximizing Opportunity - Editor's Note: In 2013, Manatt Health identified 10 megatrends that would reinvent the healthcare marketplace across the next decade. In a...more

The Affordable Care Act’s Reporting Requirements for Carriers and Employers (Part 16 of 24): Reporting for, and Clearing Up...

Mintz - Employment, Labor & Benefits... on 11/3/2015

In an earlier post, we reported on a troubling development in the draft 2015 instructions for Forms 1094-B and 1095-B which, if adopted, would have required sponsors of Health Reimbursement Arrangements (“HRA”) to issue...more

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