Health Care

Recent Posts

Norton Rose Fulbright: OIG Releases FY 2014Work Plan Summary
Posted on 11 Feb 2014 by Norton Rose Fulbright

By Frederick Robinson , Megan Fanale Engel , Cori Annapolen Goldberg and Selina Coleman On January 31, 2014, the U.S. Department of Health and Human Services Office of Inspector General (OIG) published its Work Plan for fiscal year 2014. The OIG announced... Read More

DLA Piper Health Care Regulatory and Policy Update -- Week of March 24, 2014
Posted on 28 Mar 2014 by DLA Piper

SGR/Legislative Action – On March 11, Senate Finance Committee Chairman Wyden (D-OR) introduced his version of legislation to permanently repeal and replace the sustainable growth rate (SGR), the Medicare SGR Repeal and Beneficiary Access... Read More

DLA Piper: Binding Arbitration in Managed Care Contracts - 6 Tips to Tailor Your Dispute Resolution Provisions
Posted on 3 Dec 2014 by DLA Piper

By Stephen L. Goff and John Barnes The Affordable Care Act is moving millions of previously uninsured patients into commercial managed care health plans. As the healthcare system grapples with complexity of this shift, the size of disputes between... Read More

DLA Piper: Government Turns Up the Heat With the False Claims Act – 5 Action Steps for Healthcare Providers
Posted on 3 Dec 2014 by DLA Piper

By Savaria B. Harris and Mitka T. Baker Forbes magazine has dubbed 2014 “The Year of the Whistleblower.” For healthcare providers, this designation has translated into millions of dollars in fines and penalties and the initiation of criminal... Read More

State Net Capitol Journal: Obama Election Win Leaves GOP Governors Scrambling on Affordable Care Act
Posted on 13 Nov 2012 by State Net

For most of the last year, a handful of Republican governors have refused to take action on implementing the Affordable Care Act, preferring instead to bank on the Supreme Court or the November presidential election to send the law to the legislative... Read More

State Net Capitol Journal: Ohio Gov. Kasich Still Pushing Medicaid Expansion
Posted on 16 Jul 2013 by State Net

The Ohio Legislature has been out on its summer recess for almost two weeks, but Gov. John Kasich (R) has not given up hope lawmakers will return to Columbus sooner than later to green light his call to expand the Buckeye State's Medicaid rolls. At... Read More

Williams Mullen Alert: CMS Issues Proposed Rule on 60-Day Reporting/Repayment Obligation for Overpayments to Medicare Providers
Posted on 24 Feb 2012 by Williams Mullen

By Marcus C. Hewitt As part of 2010's Affordable Care Act, a new section was added to the Social Security Act (Section 1128J(d)), which requires providers to report and return any overpayments they receive from Medicare or Medicaid within 60 days... Read More

Sands Anderson PC: The Affordable Care Act: What Employers Need to Do Now to Plan for 2014
Posted on 8 Apr 2013 by Sands Anderson PC

By Jessica Rogers Beginning January 1, 2014, most U.S. citizens and legal residents will be required to have qualified health care coverage pursuant to the Affordable Care Act ("Act"). The Act requires employers defined as "large"... Read More

Regional Health Care and Medicare Fraud Prevention Summit Conducted by Attorney General Holder and Secretary Sebelius
Posted on 30 Aug 2010 by LexisNexis Emerging Issues Community Staff

From the Department of Justice : WASHINGTON - Thursday, Attorney General Eric Holder and U. S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius kicked off the second in a series of daylong summits bringing together a wide array... Read More

Ballard Spahr LLP Alert: Final Regulations Address Summary of Benefits and Coverage
Posted on 17 Feb 2012 by Ballard Spahr LLP

By Edward I. Leeds The Affordable Care Act (ACA) requires group health plans and health insurers to prepare and distribute a brief, uniform summary of benefits and coverage (SBC) that aims to provide individuals with a better understanding of the health... Read More

State Net Capitol Journal: Can California Rescue the Affordable Care Act?
Posted on 28 Sep 2012 by State Net

While national candidates wage a war of words and half-truths on health issues, a handful of states, led by California, are charging ahead to implement the key feature of the Affordable Care Act (ACA), widely viewed as the signal achievement of Barack... Read More

State Net Capitol Journal: Health Care Reform Law Doesn't Halt Major Rate Hikes
Posted on 5 Feb 2013 by State Net

One of the main objectives of the Affordable Care Act was to stem the rising cost of health insurance for American consumers. But that hasn't stopped health insurance companies from seeking and obtaining big premium increases across the country. In... Read More

State Net Capitol Journal: Changes Challenge ACA Implementation
Posted on 16 Jul 2013 by State Net

By Rich Ehisen Faced with growing complaints from employers over the complexity of implementing the Affordable Care Act by next January, the Obama administration on July 2 announced it would postpone for one year enforcement of a provision of the law... Read More

Williams Mullen Alert: Health Care Reform Outlook
Posted on 17 Aug 2012 by Williams Mullen

By Brydon M. DeWitt and Michael J. Ferrell With the Supreme Court's landmark decision upholding the Affordable Care Act, employers have a renewed interest in what the Act will mean for their businesses in the years ahead. Employers need to be aware... Read More

State Net Capitol Journal: States Have Key Role In Making Affordable Care Act Work
Posted on 21 Mar 2013 by State Net

By Lou Cannon , State Net Capitol Journal Winston Churchill famously described a crucial British military victory in North Africa during World War II as "not the end...not even the beginning of the end" but "perhaps, the end of the beginning... Read More