Ballard Spahr LLP Alert: Amendments Made to Claim and Appeal and External Review Rules Under Health Care Reform

By Brian M. Pinheiro, Marla G. Roshkoff, and Edward I. Leeds The U.S. Departments of Treasury, Labor, and Health and Human Services have collectively released amended interim final regulations addressing internal claims and appeals and the external claims review requirements under health care reform...

Ballard Spahr LLP: Federal Court of Appeals Strikes Down Individual Mandate for Health Coverage

By Edward I. Leeds Deciding a case, Florida v. Department of Health and Human Services , that could herald a showdown in the U.S. Supreme Court, a divided panel of the U.S. Court of Appeals for the 11th Circuit has ruled that the individual mandate provision of the Patient Protection and Affordable...

Ballard Spahr LLP: Health Plan ID Program Suspended

By Edward I. Leeds Late on October 31, the Centers for Medicare and Medicaid Services (CMS) Office of E-Health Standards and Services announced that it was suspending the program that required all health plans to register for a health plan ID number to be used in certain electronic transactions. This...