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|CMS Seeks Input on Medicare’s Value-Based Insurance Design Model|
Jordan T. Cohen; Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
June 17, 2016, previously published on March 29, 2016Last week, CMS asked Medicare Advantage Organizations for feedback on the Medicare Advantage Value-Based Insurance Design model test that will begin on January 1, 2017.
|Michigan: Federal Law May Pre-empt Health Insurance Claims Assessment Act After All|
Chad Arfons, David M. Kall, Susan Millradt McGlone; McDonald Hopkins LLC;
March 24, 2016, previously published on March 17, 2016In June of 2011, Governor Snyder signed the Health Insurance Claims Assessment Act (Act), which imposed a one percent assessment on health-related services performed in Michigan and paid by employer sponsored health plans and other third-party carriers. The law went into effect on January 1, 2012....
|Subsidizing Student Health Insurance With Stipends - New Agency Guidance and Relief|
Mintz Levin Cohn Ferris Glovsky Popeo P.C.;
February 15, 2016, previously published on February 9, 2016On February 5, 2016, the Departments of the Treasury, Labor, and Health and Human Services (the Departments) issued guidance addressing the application of market reforms and other provisions of the Affordable Care Act (ACA) to student health coverage, and providing temporary transition relief from...
|It’s Time to Stop Reimbursing Employees on a Tax-Free Basis for Individual Health Insurance Premiums|
Susan Richards Salen; Rees Broome, PC;
July 30, 2015, previously published on July 14, 2015Prior to the Affordable Care Act (“ACA”), employees of small employers1 which did not offer group health insurance benefits has to find expensive individual health plans. In order to compete with large employers and to offer employees with some health insurance benefit, many of these...
|Impact on Employers After Supreme Court's Ruling of Uphold Key Provision of Affordable Care Act|
Sean P. Beiter, Caroline J. Berdzik; Goldberg Segalla LLP;
June 30, 2015, previously published on June 25, 2015In a 6-3 decision issued today, the United States Supreme Court once again upheld President Obama’s signature legislation, the Patient Protection and Affordable Care Act, keeping the employer mandate in effect for all states - even those without their own health insurance exchange.
|ACA Subsidies Face Final Test Before the US Supreme Court|
John R. Feore, III, Bruce Merlin Fried, Charles A. Luband, Mark W. Weller; Dentons Canada LLP;
April 14, 2015, previously published on March 4, 2015The US Supreme Court (the "Court") heard oral arguments today in King v. Burwell, a case that could significantly impact the viability of the Affordable Care Act (ACA). In this case, the Court is being asked to decide whether federal tax subsidies are available for use only on health...
|Supreme Court to Weigh in on Providers’ Rights to Sue for Medicaid Reimbursements|
Zachary W. Behler, Michael R. Blum, Lauren Bernice Dunn, Samuel J. Frederick, Gilbert M. Frimet; Foster, Swift, Collins & Smith, P.C.;
March 20, 2015, previously published on January 27, 2015The Medicaid program, a public insurance program serving approximately 66 million low-income Americans, is at risk for losing participating providers who claim they are not being compensated fairly for their services. On January 19, 2015, the Supreme Court heard arguments in Armstrong v....
|California Issues Emergency Regulation on Access to Healthcare Providers|
Aaron J. Aisen, Sandra McDermott; Goldberg Segalla LLP;
March 12, 2015, previously published on February 17, 2015During his second inauguration, California Insurance Commissioner Dave Jones, announced a new emergency regulation relating to access to healthcare providers.
|Narrowing the Scope of Medical Expert Qualifications and Testimony under the Pennsylvania Rules of Evidence|
Angeline C. Panepresso; Marshall Dennehey Warner Coleman & Goggin, P.C.;
March 5, 2015, previously published on March 1, 2015As a general principle, the standard for qualification as an expert witness in Pennsylvania is a liberal one. Specifically, the test for qualifying as an expert is whether the expert has any reasonable pretension to specialized knowledge on the subject at issue, and the weight to be given to such...
|Final Regulations Regarding Limited Scope Vision and Dental Benefits and Employee Assistance Programs as Excepted Benefits|
Dan Brown, Kenneth B. Schnoll; Dentons Canada LLP;
November 17, 2014, previously published on October 1, 2014On October 1, 2014, the US Department of Treasury issued final regulations (the "Regulations") regarding limited-scope vision and dental benefits and employee assistance programs as excepted benefits for purposes of the Affordable Care Act.