Medicaid, Employer Group Health Plans

Examining the Financial Structure and Performance of Rhode Island’s Acute Hospitals and Health Systems

Manatt, Phelps & Phillips, LLP on 5/17/2024

This study summarizes research conducted on behalf of the Rhode Island Foundation and partner organizations in early 2024....more

2023 ERISA Welfare Plan Automatic Participant Disclosures Checklist

Bass, Berry & Sims PLC on 9/19/2023

ERISA requires plan sponsors to distribute SPDs to inform participants of their benefits, rights, and obligations under the plan and describe how the plan operates. Department of Labor (DOL) regulations (available here)...more

Another HIPAA Special Enrollment Deadline Extension – What’s a Group Health Plan to Do?

Snell & Wilmer on 8/1/2023

Just when you thought the confusing COVID-19 ERISA deadline extensions were behind you, the Biden-Harris Administration asks you to reconsider. ...more

The End of the COVID-19 Public Health Emergency: Federal Agencies Clarify Coverage Implications for Group Health Plans

Bradley Arant Boult Cummings LLP on 4/14/2023

With the COVID-19 Public Health Emergency (PHE) set to end on May 11, 2023, the Department of Labor, Department of the Treasury, and Department of Health and Human Services (the “departments”) have published FAQs explaining...more

Benefit Plan Guidance for the End of the Public Health Emergency and “Outbreak Period”

Warner Norcross + Judd on 4/7/2023

With President Joseph Biden’s administration having announced its intent to end the presidential COVID-19 National Emergency on May 11, 2023, and with the COVID-19 Public Health Emergency ("Public Health Emergency") set to...more

What Employers Need to Know About Special Enrollment for Employees Formerly on Medicaid

Haynsworth Sinkler Boyd, P.A. on 4/5/2023

The expanded Medicaid and CHIP coverage offered during the COVID-19 public health emergency ended March 31, 2023, and employees and dependents who were participating in the expanded government-provided health insurance were...more

CAA 2023 Includes HSA Telehealth Relief, MHPAEA, Medicare, and Medicaid Changes

Groom Law Group, Chartered on 12/26/2022

Last week the Senate passed the Continuing Appropriations Act, 2023 (“CAA23”). The House of Representatives will likely consider the measure today, and President Biden is expected to sign the bipartisan measure into law...more

Texas ER Physicians Sue Insurer for Underpayment – Thousands of Claims at Stake

Hendershot Cowart P.C. on 9/19/2022

An appeal brought before the Texas Supreme Court could unleash a wave of legal action by out-of-network ER physicians pursuing insurers for underpayment of claims. Unlike in-network providers who negotiate reimbursement...more

Federal District Court Ruling May Jeopardize Insurance Coverage of More Than 50 Recommended Procedures, Screenings, and Treatments

Goodwin on 9/15/2022

Under the Affordable Care Act, group health plans and health insurance issuers are required to provide health insurance coverage based on recommendations made by healthcare coverage professionals. The covered categories...more

The Manatt State Cost Containment Update - February 2022: Health Data Corner

Manatt, Phelps & Phillips, LLP on 2/2/2022

The Health Data Corner compiles the latest state health care data capacity innovations and policy developments, and showcases select, novel data use cases emerging from states....more

DOL Issues Model Notices and FAQs for COBRA Subsidy

Williams Mullen on 4/12/2021

As described in our previous alert, the American Rescue Plan Act of 2021 (the ARPA), provides a full subsidy for COBRA premiums for certain qualified beneficiaries entitled to COBRA continuation coverage from April 1, 2021,...more

American Rescue Plan Act of 2021: Key Healthcare Provisions

McDermott Will & Emery on 4/8/2021

On March 10, 2021, US Congress finalized and passed the American Rescue Plan of 2021 (ARPA), the latest COVID-19 relief package that largely tracks President Joe Biden’s initial $1.9 trillion proposal. The ARPA extends...more

Deadline is Approaching for Group Health Plan Service Agreement Updates

Seyfarth Shaw LLP on 1/31/2020

Seyfarth Synopsis: Recent changes to the federal rules governing confidentiality of substance use disorder (SUD) patient records may require updates to agreements between group health plans and their third-party vendors....more

2019 ERISA Welfare Plan Checklist

Bass, Berry & Sims PLC on 10/9/2019

We recognize that many of our clients sponsor ERISA welfare benefit plans and are currently undergoing their open enrollment process and issuing related participant communications. To assist our clients with that process, we...more

Is the Affordable Care Act a House of Cards? If Yes, What Does the Recent Texas Court Decision Mean for the US Health Insurance...

Epstein Becker & Green on 12/19/2018

In an unexpectedly broad ruling issued December 14, 2018, the U.S. District Court for the Northern District of Texas declared the Affordable Care Act (“ACA”) as unconstitutional in its entirety. This decision, if ultimately...more

High-deductible nightmares: the health insurance crisis partisans ignore

Patrick Malone & Associates P.C. | DC Injury... on 7/3/2018

While political partisans pound without pause for extreme changes in the Affordable Care Act, Medicare, Medicaid, and other government programs that seek to assist the poor, sick, children, and others with access to health...more

Massachusetts Employers Face $200 Million Increase in Health Care Costs under MassHealth Amendments

Mintz - Employment Viewpoints on 8/17/2017

On August 1, Massachusetts Governor Charlie Baker signed into law H. 3822, “An Act Further Regulating Employer Contributions to Health Care” (the “Act”). The purpose of the Act is to shore up the finances of the...more

Employer Health Insurance Legislation Update: The Better Care Act

Dentons on 6/28/2017

Last week the Senate released draft legislation entitled “The Better Care Act.” aimed at repealing and replacing the Affordable Care Act. Below is a summary of the Act and its potential impact on Iowa employers. ...more

The Better Care Reconciliation Act of 2017 vs. The American Health Care Act: Summary of Key Differences

Akin Gump Strauss Hauer & Feld LLP on 6/26/2017

On June 22, 2017, Senate Republicans released a discussion draft of their proposal to repeal and replace the Affordable Care Act (ACA), titled the “Better Care Reconciliation Act of 2017” (BCRA). Beyond the title change,...more

Efforts to Shore up MassHealth Should Favor Simplicity and Avoid Potential Conflict with Federal Law

Mintz - Employment Viewpoints on 5/30/2017

In an effort to make up for a funding shortfall in the Commonwealth of Massachusetts’ Medicaid program, state policymakers have proposed solutions that include a “play-or-pay” option under which employers who fail to offer...more

Issues for Employers as Health Care Legislation Moves to the Senate

Jones Day on 5/30/2017

ABSTRACT - Although the American Health Care Act, as passed by the U.S. House of Representatives, mainly affects the individual and small group health insurance markets, it has implications for large employers. The repeal of...more

The Future of the Affordable Care Act Week 8: An Employer’s Guide to the Collapse of the American Health Care Act (Spoiler...

Mintz - Employment Viewpoints on 3/28/2017

The stunning failure of the U.S. House of Representatives to pass the American Health Care Act (AHCA) (which we previously reported on here) has political and policy implications that we cannot forecast. Nor it is it clear to...more

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