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HTMLNot-for-profit Hospitals and Health Care Providers Facing Retirement Plan Class Actions
Jeffrey D. Mamorsky, Terry L. Moore, Francis J. Serbaroli; Greenberg Traurig, LLP;
Legal Alert/Article
September 26, 2016, previously published on September 21, 2016
There has been much media coverage of the recent class action lawsuits filed against some of the most prestigious universities in the United States by university employees. These class action lawsuits allege that the universities breached their fiduciary obligations in running their defined...

 

HTMLCalifornia Joins New York and Florida, Passes Out-Of Network Legislation
Nili Schipper Yolin; Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
September 26, 2016, previously published on September 19, 2016
Last month the California legislature passed AB-72, which amends the Health & Safety Code to address reimbursement for out of network (OON) providers who provide services at in-network facilities, such as hospitals and laboratories. In so doing, California joins several other states, including...

 

HTMLNew Legislation Coming to Protect Patients from Sexual Abuse
Patrick Hawkins, John M. McIntyre; Borden Ladner Gervais LLP;
Legal Alert/Article
September 26, 2016, previously published on September 15, 2016
This fall, the Provincial government intends to propose legislation that would uphold and reinforce a zero tolerance policy on the sexual abuse of patients by regulated health professionals. The proposed amendments will result in changes at all levels - for regulatory colleges, health care...

 

HTMLCMS Proposes Flexible Reporting Under MACRA
Jordan T. Cohen, Rodney Whitlock; Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
September 21, 2016, previously published on September 14, 2016
In a blog post last week, CMS acting administrator Andy Slavitt said that physicians will have the ability to choose among several options to report data to Medicare under the new physician payment system ushered in by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

 

HTMLGAO Report Suggests Discount Coupons Impact Medicare Spending for Part B Drugs
Carrie A. Roll; Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
September 21, 2016, previously published on September 7, 2016
Last month, the U.S. Government Accountability Office (GAO) released a report in which it found that manufacturer drug coupon programs for privately insured patients could potentially cause the Medicare Part B program to overspend on certain high-cost Part B drugs. The pricing for most drugs...

 

HTML2018 Notice of Benefits and Payment: Proposed Updates to the HHS Risk Adjustment Model
Tara Swenson Dwyer, Lauren Marie Moldawer; Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
September 21, 2016, previously published on September 8, 2016
Last week, the Centers for Medicare & Medicaid Services (“CMS”) released its 2018 Notice of Benefit and Payment setting out payment parameters for the Health Insurance Marketplace for upcoming years. With several insurers withdrawing from the Marketplace and others still threatening...

 

HTMLOCR to Step Up Investigations of Small HIPAA Breaches
James J. Giszczak, Rick L. Hindmand, Dominic A. Paluzzi; McDonald Hopkins LLC;
Legal Alert/Article
September 14, 2016, previously published on August 19, 2016
Yesterday, the U.S. Department of Health and Human Services Office for Civil Rights (OCR) announced its new initiative to investigate breaches of protected health information (PHI) affecting fewer than 500 individuals.

 

HTMLHospital and Fixed Indemnity Policies; Excepted Benefits; Supplemental Coverage under Recently Proposed Treasury Regulations; and Central United Life v. Burwell
Alden J. Bianchi; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
September 12, 2016, previously published on August 26, 2016
We reported in a recent post on proposed regulations dealing with, among other things, the treatment of hospital indemnity or other fixed indemnity insurance products in the group market. This post takes a closer look at the future of these products under the proposed rules and in light of a recent...

 

HTMLNew Safe Harbors for Management Contracts of Tax-Exempt Financed Facilities
Sheila Kles; Shumaker, Loop & Kendrick, LLP;
Legal Alert/Article
September 12, 2016, previously published on August 24, 2016
The Internal Revenue Service on August 22, 2016 released Revenue Procedure 2016-44 which revises the safe harbor guidelines for management contracts of service providers for tax-exempt financed facilities, under which the contract will not result in private business use of the managed property. The...

 

HTMLNew Private Use Safe Harbors for Tax-Exempt Hospitals and Other Qualified Users: New Flexibility, New Restrictions, and Open Questions
Gerald M. (Gerry) Griffith, Catherine E. (Cathy) Livingston; Jones Day;
Legal Alert/Article
September 12, 2016, previously published on September 2016
New safe harbor guidelines released by the IRS on August 22, 2016 (Rev. Proc. 2016-44) are likely to have a significant impact on a variety of management and service contracts entered into by tax-exempt hospitals financed with tax-exempt bonds. The new safe harbor guidance provides significant...

 


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