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HTMLThe Challenge of Non-Interference
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
February 10, 2016, previously published on January 29, 2016
To understand the policy challenge created by repeal of the non-interference clause, consider this simple example. Acme Drug Company brings a drug to the market as a single source innovator. Essentially, they are without generic competition. Acme prices their drug at $100. Random Insurance Company...

 

HTMLCBO’s Budget Forecast and the Silver Tsunami
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
February 10, 2016, previously published on January 28, 2016
This week, the Congressional Budget Office (CBO) released a projection that shows Medicare enrollment will grow by more than 30 percent in the next decade alone, and the number of seniors will steadily grow from 55 million today to more than 80 million by 2036. This is often referred to as the...

 

HTMLMassachusetts Health Care Reform - Full Speed Ahead; Health Policy Commission 2015 Cost Trends Report
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
February 10, 2016, previously published on January 27, 2016
The Massachusetts Health Policy Commission (HPC) has issued its 2015 Cost Trends Report, based on the HPC’s annual health care cost growth hearings. The report contained 13 key recommendations across a wide range of health care policy issues, all aimed at fostering initiatives to create an...

 

HTMLIntegrated Health Reimbursement Arrangements, Coordination with Family Coverage, and Notice 2015-87-Something’s Missing 
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
February 10, 2016, previously published on February 2, 2016
Issued at the end of last year, Notice 2015-87 provided detailed guidance on a host of topics. The notice has been referred to colloquially in some quarters as the “pot luck” notice. Among other things, the notice, in Q&A 4, clarifies the circumstances under which a Health Reimbursement...

 

Adobe PDFAffordable Care Act - End of Year - Some Delays
Kristy Buckley, Sarah A. Loble; Crowley Fleck PLLP;
Legal Alert/Article
February 10, 2016, previously published on January 28, 2016
There are a few new end-of-year laws that will impact the Affordable Care Act (ACA) as it applies to large and small employers, as well as insurers, and associations offering group health plans. The laws are generally favorable for employers who are looking for a little more time and explanation...

 

HTMLThirteen Ways to Contain Health Care Costs in Massachusetts: The Health Policy Commission Issues Its 2015 Report and Recommendations
Stephen M. Weiner; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
February 9, 2016, previously published on January 27, 2016
In 2012 Massachusetts adopted the most recent in a series of comprehensive legislative approaches to health care reform, Chapter 224 of the Acts of 2012 (Chapter 224), which focused especially on addressing the drivers of health care costs in the Commonwealth. A key element of this legislation was...

 

HTMLSenate Working Group Considers Telehealth Policy Changes to Medicare
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
Legal Alert/Article
February 4, 2016, previously published on January 21, 2016
In keeping with the boom of telehealth legislation introduced last year at both the state and federal level, the Senate Finance Committee is considering several policy changes that, if ultimately enacted, could make telehealth the preferred method of care delivery for millions of Medicare...

 

HTMLDrug Costs, Risk Adjustment Drive Q2 Health Insurance Rate Increases
Julie Cox, Sasha Dudding, Stephen M. Weiner; Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.;
Legal Alert/Article
February 3, 2016, previously published on January 26, 2016
The Massachusetts Division of Insurance (DOI) recently held a two-day hearing on rate changes proposed by Massachusetts health insurance plans to be effective for the second quarter of 2016 (Q2). Presentations by carriers, in the state that provided the prototype for the Affordable Care Act (ACA),...

 

HTMLOCR Strikes Again with 3 Recent HIPAA Settlements
James J. Giszczak, Rick L. Hindmand, Emily A. Johnson, Dominic A. Paluzzi; McDonald Hopkins LLC;
Legal Alert/Article
February 2, 2016, previously published on January 26, 2016
The U.S. Department of Health and Human Services Office for Civil Rights (“OCR”) is showing signs of becoming increasingly aggressive in enforcing the Health Insurance Portability and Accountability Act (“HIPAA”), with the recent announcement of three settlements in a 20-day...

 

HTMLNYS Appellate Court Upholds Executive Compensation Order and Regulations: What Happens Next?
Harold N. Iselin, Joshua L. Oppenheimer, Francis J. Serbaroli; Greenberg Traurig, LLP;
Legal Alert/Article
February 2, 2016, previously published on January 19, 2016
On Dec. 30, 2015, the New York State Appellate Division, Second Department upheld the validity of Governor Cuomo’s Executive Order pertaining to executive compensation and administrative expenses of certain service providers (EO 38), as well as the implementing regulations. This was the first...

 


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