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Searching Content indexed under Insurance by Ropes & Gray LLP ordered by Published Date Descending.
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New York's Highest Court Holds That Medical Practices That Cede Too Much Control To MSOs Are "Fraudulently Incorporated" And Ineligible To Be Reimbursed By No-Fault Automobile Insurers
On June 11, 2019, the New York Court of Appeals (the "Court")—the highest court in New York State—issued a rare opinion on the State's broad corporate practice of medicine prohibition
United States
5 Jul 2019
2
Deemed-Issuers Election Under Section 817(h)
To make the election, taxpayers must include a statement with their tax returns for the first taxable year to which they want the election to apply.
United States
25 Oct 2018
3
California's New Focus On Drug Pricing Transparency
On Oct. 9, 2017, California Gov. Jerry Brown signed into law SB-17, a law intended to foster transparency in connection with drug pricing and its impact on insurance costs.
United States
5 Dec 2017
4
Blurring The Line Between Health Care Provider And Payor
Since the passage of the Affordable Care Act, health care providers in markets around the country have started exploring the payor side of the business by sponsoring health plans.
United States
25 Sep 2017
5
MedPAC Takes Anti-POD Stance In Report To Congress, Echoing An Increasingly Uniform Consensus
On June 15, 2017, the Medicare Payment Advisory Commission, a non-partisan group that advises Congress on Medicare policy, released its annual Report to the Congress on Medicare and the Health Care Delivery System.
United States
26 Jun 2017
6
Supreme Court Rejects Dismissal Requirement For FCA Seal Violations
In State Farm Fire & Casualty Co. v. United States ex rel. Rigsby, the United States Supreme Court rejected State Farm's argument that a relator's violation of the automatic seal in a FCA case...
United States
29 Dec 2016
7
Trumping Obamacare: Some Likely Effects Of The Election On Health Care
Max Allowed Characters Including Spaces: (65,536) SourcePreview Just last week, House Speaker Paul Ryan acknowledged that a Hillary Clinton presidency would have cemented the Affordable Care Act (Obamacare) into American life.
United States
14 Nov 2016
8
Delay To The Application Date Of The EU Regulation On Packaged Retail And Insurance-Based Investment Products
The European Commission announced on 9 November 2016 an extension to the application date of the Regulation on Key Information Documents for Packaged Retail and Insurance-based Investment Products to 31 December 2017.
European Union
11 Nov 2016
9
First Circuit Adopts "Arm Of The State" Test To Affirm Dismissal Of FCA Complaint Test To Affirm Dismissal Of FCA Complaint
In January 2016, the First Circuit held that the University of Massachusetts Medical School is a state agency, and therefore not a "person" subject to liability in an FCA qui tam action.
United States
12 Sep 2016
10
U.S. Issues Orders Requiring Identification Of All-Cash Buyers Of High-End Residential Real Estate
On January 13, 2016, the U.S. Financial Crimes Enforcement Network ("FinCEN") announced that it will temporarily require U.S. title insurance companies to disclose the identity of the beneficial owners of shell companies...
United States
22 Jan 2016
11
Affordable Care Act: Extensions, Delays And Guidance As 2015 Ends
The last half of December saw a flurry of activity with respect to the Affordable Care Act.
United States
5 Jan 2016
12
CMS Proposes Reporting And Payment Changes In Proposed 2016 Physician Fee Schedule Rule
On July 15, 2015, the Centers for Medicare and Medicaid Services published its Calendar Year 2016 Physician Fee Schedule Proposed Rule in the Federal Register.
United States
21 Jul 2015
13
Supreme Court Upholds Availability Of Affordable Care Act Subsidies In States With Federally-Run Exchanges
On Thursday, June 25, 2015, the Supreme Court of the United States issued a 6-3 decision in King v. Burwell, ruling that the health insurance subsidies under the Affordable Care Act would be available in all states...
United States
26 Jun 2015
14
China Liberalizes Drug Pricing Control
Beginning June 1, 2015, the vast majority drugs in China, except for narcotic and Type 1 psychotropic drugs, will be free from government-set pricing.
China
12 May 2015
15
"Next Generation" Accountable Care Organization: A New Model From CMS
On March 10, 2015, the Centers for Medicare and Medicaid Services ("CMS") announced the newest iteration of accountable care organization ("ACO") models.
United States
23 Mar 2015
16
Advisory Opinion Demonstrates OIG’s Enhanced Scrutiny Of "Improperly Narrow" Industry-Funded Patient Assistance Programs
The Office of Inspector General of the U.S. Department of Health and Human Services issued an advisory opinion approving a charitable Patient Assistance Program.
United States
16 Jan 2015
17
New York State’s $8 Billion Medicaid 1115 Waiver Amendment To Improve Access, Quality And Efficiency In The State’s Health Care Delivery System
Governor Cuomo announced that New York had finalized the terms and conditions of a Medicaid 1115 waiver amendment agreement with the CMS.
United States
20 May 2014
18
Proposed Health Insurance Exchange Rules Released: HHS Opts For State Flexibility
On July 11, the U.S. Department of Health and Human Services ("HHS") released two proposed rules that outline the major contours of the Affordable Insurance Exchanges ("Exchanges") that the Affordable Care Act requires to be operational by January 1, 2014.
United States
19 Jul 2011
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