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|Two Important Deadlines Approaching for Self-Insured Group Health Plans|
Casey K. Fleming, Leigh C. Riley; Foley & Lardner LLP;
September 1, 2014, previously published on August 26, 2014If you sponsor a self-insured group health plan, then November includes two important deadlines: (1) you must obtain a health plan identifier for your plan, and (2) you must report the number of participants for whom a transitional reinsurance fee is due.
|House Bill 373 Enacted to Control the Level of Workers’ Compensation Insurance Premiums by Making Significant Changes in the Medical Reimbursements Allowable Under the Healthcare Payment System|
Paul V. Tatlow; Marshall Dennehey Warner Coleman & Goggin, P.C.;
August 6, 2014, previously published on July 31, 2014This Act makes substantial changes to Titles 18 and 19 of the Delaware Code designed to control the level of workers’ compensation premiums in Delaware. The most significant changes are: (a) a 33% reduction in medical costs to the workers’ compensation system, phased in over a period of...
|Can You Link Insurance Premiums To Smoking?|
F. Kytle Frye; Fisher & Phillips LLP;
July 15, 2014, previously published on July 1, 2014Rocked by soaring costs, including skyrocketing increases in health insurance premiums, employers are desperate to manage, and hopefully limit, whatever costs they can. Many employers have begun to look to the lifestyle choices of their employees and how those choices might influence their cost of...
|Union Carbide v. Bombardier: Confidentiality of Settlement Communications|
Margot Finley; Borden Ladner Gervais LLP;
May 30, 2014, previously published on May 29, 2014A decision of the Supreme Court of Canada released on May 8, 2014 has clarified that a confidentiality clause in a mediation contract will not restrict a party from producing evidence of communications made in the mediation context in order to prove the terms of the settlement, unless that is the...
|Potential Risks of Healthcare Joint Ventures Between Insurance Companies and Hospitals|
Charles L. Kreindler, Barbara E. Taylor; Sheppard, Mullin, Richter & Hampton LLP;
May 23, 2014, previously published on May 21, 2014Healthcare joint ventures are nothing new. Since the mid-2000’s, physician-hospital ventures have been resurgent, notwithstanding the Office of Inspector General’s skepticism regarding the risk of fraud and abuse when investors are sources of referrals and the filing of numerous...
|Important Court Decision For No-Fault Insurers; Second Circuit Court of Appeals Rejects Limitation On State Farm v. Mallela|
Jared Facher, William J. Natbony; Cadwalader, Wickersham & Taft LLP;
May 15, 2014, previously published on May 7, 2014We are pleased to inform you that our firm, together with our co-counsel Bob Stern of Stern & Montana, obtained a very favorable and significant decision for no-fault insurers on an issue of first impression at the appellate level. Specifically, on May 6, 2014, in the case of Allstate Insurance...
|Long Term Care Insurance... Is it Here for the Long Haul?|
Vonda W. Chappell; Kaufman & Canoles A Professional Corporation;
April 28, 2014With increasing life expectancies and soaring medical and healthcare costs, even the most junior of those in the workforce and beyond are facing fears about how they and their family members will be able to pay the costs associated with the care they may require as seniors, while still preserving...
|No Further Extensions for ICD-10 and MU Stage 2|
Margaret Young Levi; Wyatt, Tarrant & Combs, LLP;
March 6, 2014, previously published on February 28, 2014 Everyone is a-twitter (pun intended) about the announcement on Thursday, February 27, 2014, from Marilyn Tavenner, the Administrator for the Centers for Medicare & Medicaid Services (CMS), that the deadline for adoption of ICD-10 will not be extended. Tavenner was the keynote speaker at the...
|ACA 90-Day Waiting Period|
Lamb Barnosky LLP;
March 3, 2014, previously published on February 25, 2014The Affordable Care Act ("the ACA") established minimum standards for health insurance plans. One of those standards is prohibiting an individual who is otherwise eligible for health insurance coverage from waiting more than 90 days for coverage to become effective. This memorandum...
|Puerto Rico Imposes Massive Fine for Insurer’s Data Breachl|
Erin Brisbay McMahon; Wyatt, Tarrant & Combs, LLP;
February 26, 2014, previously published on February 24, 2014The Puerto Rico Health Insurance Administration has fined Triple-S Salud Inc. (TSS) $6.8 million for failure to safeguard Medicare beneficiary numbers. This far exceeds any fine imposed by or settlement reached by the United States Office of Civil Rights to date for HIPAA data breaches. How did the...