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Searching Content by Xavier G. Hardy from Mintz ordered by Published Date Descending.
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CMS Proposes Changes To Medicare Advantage Program For CY 2020
CMS recently proposed several important changes for the Medicare Advantage ("MA") program that relate to payment, benefit design, and new actions to combat the opioid crisis.
United States
12 Feb 2019
2
New Mexico Court Affirms Ruling In ACA Risk Adjustment Case
On October 19, 2018, a New Mexico district judge rejected a request from HHS to reconsider a February decision that had briefly led to the suspension of the ACA's risk adjustment program.
United States
12 Nov 2018
3
Court Rules That Federal Government Must Make Cost Sharing Reduction Payments To Insurers
ACA plans scored a major victory last week when a federal court held that health plans participating on the ACA exchanges are entitled to unpaid cost sharing reduction payments from the federal government.
United States
13 Sep 2018
4
CMS, In a Reversal, Announces Plans To Continue Funding Risk Adjustment Payments
The risk adjustment program is but one component of the ACA's premium stabilization program, which also included reinsurance and risk corridors.
United States
15 Aug 2018
5
Appeals Court Rejects Insurers Risk Corridors Claims
On Thursday June 14, 2018, the US Court of Appeals for the Federal Circuit ruled against two health plans seeking risk corridors payments from the federal government.
United States
19 Jun 2018
6
Decision Expected Soon In Ongoing Risk Corridors Litigation
Many provisions of the Affordable Care Act ("ACA") have been the subject of litigation over the last decade, with several high-profile Supreme Court cases including:
United States
12 Jun 2018
7
What Lessons Can We Take From The Administration's Refusal To Allow Idaho To Dismantle The ACA Marketplaces?
In early January, Idaho Governor Butch Otter signed an executive order (EO) directing the state's Department of Insurance (DOI) to "seek creative options" to expand "access" ...
United States
5 Apr 2018
8
DOJ Intervenes In False Claims Act Case Against A Compounding Pharmacy And A Private Equity Firm
The Department of Justice (DOJ) recently intervened in a False Claims Act (FCA) case that raises a variety of interesting allegations, including payment of kickbacks ...
United States
7 Mar 2018
9
Mintz Levin's Antitrust And Federal Regulatory Practice Releases Alert On DOJ Settlement With Allegiance
Mintz Levin's Antitrust & Federal Regulatory Practice recently published a Health Care Antitrust Alert on the DOJ Antitrust Division's announced settlement with Henry Ford Allegiance Health ("Allegiance").
United States
1 Mar 2018
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