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HTMLGOP Mulls How to Best Use Reconciliation
McDonald Hopkins LLC;
Legal Alert/Article
May 15, 2015, previously published on May 8, 2015
Now that both chambers have passed a final budget, we know that Republicans plan on using reconciliation instructions in that budget to take on the President’s Affordable Care Act. What remains unknown, however, is exactly what that will look like. It may depend greatly on what the Supreme...

 

HTMLMedicare Reform: Not Happening
McDonald Hopkins LLC;
Legal Alert/Article
May 15, 2015, previously published on May 8, 2015
Major Medicare reform was once gospel for Republicans, and indeed, moving Medicare to a more privatized model has been a staple of Republican budgets since they took the House in 2010. This year, however, it is clear that major reform of the entitlement program isn’t on the GOP agenda.

 

HTMLIs Malicious Prosecution a Potential Settlement Tool?
Michael K. Brisbin, Laura E. Fannon; Wilson Elser Moskowitz Edelman & Dicker LLP;
Legal Alert/Article
May 15, 2015, previously published on May 11, 2015
In many instances, insurers are initially sued by plaintiffs with colorable claims seeking monetary recovery. During the course of litigation and through discovery, it sometimes becomes clear that the plaintiff’s claim or claims have no merit. Yet, the plaintiff and his or her counsel...

 

HTMLVA Eliminates Net Worth Requirement for Health Care
Chambliss Bahner Stophel P.C.;
Legal Alert/Article
May 14, 2015, previously published on May 2015
The Department of Veterans Affairs (VA) has updated the way it determines eligibility for VA health care benefits, making it easier for many veterans to get access to the benefits. The VA will no longer use the veteran's net worth as a factor to determine eligibility and copayments.

 

HTMLMedicaid's Gift to Children Who Help Parents Postpone Nursing Home Care
Chambliss Bahner Stophel P.C.;
Legal Alert/Article
May 14, 2015, previously published on May 2015
In most states, transferring your house to your children (or someone else) may lead to a Medicaid penalty period, which would make you ineligible for Medicaid for a period of time. However, there are circumstances in which transferring a house will not result in a penalty period.

 

HTMLCost of Private Nursing Home Room Now Averaging $91,250
Chambliss Bahner Stophel P.C.;
Legal Alert/Article
May 14, 2015, previously published on May 2015
The median cost of a private nursing home room in the United States has increased 4.2 percent to $91,250 a year, according to the 2015 edition of a Cost of Care survey that the insurer Genworth has conducted for the past 12 years. Genworth reports that the median cost of a semi-private room in a...

 

HTMLChanges to the Regulation of Pharmaceutical Business in Kazakhstan: Implications for Pharmaceutical Companies
Kanat Skakov; Dentons Canada LLP;
Legal Alert/Article
May 14, 2015, previously published on May 4, 2015
A significant number of amendments have been introduced to the Healthcare Code* of the Republic of Kazakhstan on 6 April 2015 by the adoption of the Law On Introduction of Amendments and Additions to Certain Legal Acts of the Republic of Kazakhstan on Healthcare Matters (Law on Amendments). Most of...

 

HTMLFTC Says New York’s Medicaid Redesign Program May Promote Anticompetitive Behavior
Dionne C. Lomax, Stephen M. Weiner, Nili S. Yolin; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
May 14, 2015, previously published on May 4, 2015
In an April 22, 2015 letter to the New York State Department of Health (DOH), the Federal Trade Commission (FTC) cautioned that part of the State’s Medicaid reform program may sanction anticompetitive behavior. The FTC’s concern stems from the Certificate of Public Advantage (COPA)...

 

Adobe PDFScore One for the Defense: Application of the Affordable Care Act To Reduce Future Damages
Leslie M. Jenny; Marshall Dennehey Warner Coleman & Goggin, P.C.;
Legal Alert/Article
May 14, 2015, previously published on May 2015
Lawyers who handle catastrophic injury cases have eagerly awaited the first rulings to address the impact, if any, of the Affordable Care Act (ACA) on claims for future damages. Before the ACA, it was uncertain whether injured individuals would have health insurance in the future. Consequently, in...

 

HTMLMaryland’s New False Claims Act: Is It Enough?
Steven A. Allen, Elliott D. Petty, Gregory S. Weiner; Pessin Katz Law, P.A.;
Legal Alert/Article
May 14, 2015, previously published on May 1, 2015
Maryland Senate bill 374 (cross filed with House bill 405) has made its way to Governor Larry Hogan’s desk for signature. Championed by Attorney General Brian Frosh, the bill expands Maryland’s False Claims Act from its current posture of only applying to false claims made against a...

 


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