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J.S. Held

All Is Not What It Seems, Or When Is A Dollar A Dime?

J.S. Held on

Welcome to the strange and mysterious world of medical billing. If ever there was an industry in which the charges and the payments have no correlation, the medical industry is it. Medical billing can indeed be quite...more

Arnall Golden Gregory LLP

Healthcare Authority Newsletter - April 2025 #4

News Briefs - High Court to Hear Case Challenging ACA Free Preventive Care - The Supreme Court is set to hear arguments in a case challenging a provision of the Affordable Care Act that requires private insurers to cover...more

Maynard Nexsen

Taking the Pulse, A Health Care and Life Sciences Video Podcast | Episode 117: Chris Severn, Co-Founder & CEO, Turquoise Health

Maynard Nexsen on

This week, Chris Severn of Turquoise Health joins Matthew and Tina for the 2nd time on Taking the Pulse to give us an update on all things price transparency. Chris provides insight on the market’s reaction to the price...more

Maynard Nexsen

Taking the Pulse, A Health Care and Life Sciences Video Podcast | Episode 115: Dr. Michael Havig, CEO, HealthMe

Maynard Nexsen on

Matthew and Amanda welcome Dr. Michael Havig, HealthMe founder and CEO, to episode 115. Michael is an orthopedic surgeon and sports medicine specialist who created HealthMe to help patients find the best health care and save...more

Tyson & Mendes LLP

No Tort Liability for Insurer Underpayment of Hospital Bills

Tyson & Mendes LLP on

On November 4, 2021, the Second District Court of Appeal, Division 2, ruled against establishing tort liability for insurers who paid less than what the hospital believed to be the “reasonable and customary value.” This...more

Patrick Malone & Associates P.C. | DC Injury...

Biden extends special sign-up period for Obamacare with increased subsidies

The Biden Administration has further expanded a special sign-up season for health insurance plans offered on Obamacare exchanges, giving consumers until Aug. 15 to enroll in coverage that also may be much cheaper....more

Patrick Malone & Associates P.C. | DC Injury...

$1.9-trillion Biden law takes major steps to reshape U.S. health and health care

The Biden Administration’s $1.9 trillion coronavirus pandemic relief law, called the American Rescue Plan, tackles one of the leading concerns expressed by American voters in repeated recent political campaigns: our health...more

Wilson Sonsini Goodrich & Rosati

Forecasting Healthcare Regulatory Developments in a Biden Administration

President Joe Biden was sworn into office on January 20, 2021. As with any incoming administration, new policies will be pursued while those of the previous administration are furthered, abandoned, or undone. The federal...more

Downs Rachlin Martin PLLC

Vermont Health Care Update | Week 18

House committees consider Interstate Nurse Licensure Compact  - The House Health Care and Government Operations Committees held separate hearings on Tuesday on S.125, a bill that allows Vermont to join the Interstate Nurse...more

Foley & Lardner LLP

Telehealth: Massachusetts’ Proposed Act to Improve Health Care by Investing in Value

Foley & Lardner LLP on

Massachusetts Governor Charlie Baker has restarted the discussion on health care cost containment in the Commonwealth with a proposed bill that contains a raft of initiatives. Foley & Lardner LLP will be addressing each of...more

Sheppard Mullin Richter & Hampton LLP

Day 1 Notes at the 2020 J.P. Morgan Healthcare Conference

If I printed a tee shirt for the 2020 J.P. Morgan Healthcare Conference, what would it say? In past years, it would have been “Big Data,” Analytics, Artificial Intelligence, ACA, Risk, Medicare Advantage or Quality. This...more

Polsinelli

Colorado Hospitals and the Proposed Public Option: A Looming Challenge

Polsinelli on

The Affordable Care Act (ACA) removed pre-existing condition barriers, defined a broad range of essential health benefits, and improved access to coverage and care for millions of people nationwide. However, the ACA has thus...more

Bass, Berry & Sims PLC

Trump Administration Proposes Transparency Rule for Group Health Plans and Insurers

Bass, Berry & Sims PLC on

On November 15, 2019, the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury (collectively, the Departments), unveiled a proposed rule (scheduled to be published on November...more

Patrick Malone & Associates P.C. | DC Injury...

U.S. orders price postings in hopes of curbing hospitals’ trillion-dollar costs

The Trump Administration deserves credit for doing something right on hospital prices — but with what likely will be ineffective results....more

Sheppard Mullin Richter & Hampton LLP

2019 Moss Adams Health Care Conference – Vision 2020: The Future of Health Care

Attendees of the annual Moss Adams Health Care Conference held in Las Vegas on November 7th and 8th, were treated to a heated exchange between political all-stars Karl Rove and James Carville over a variety of topics...more

Sheppard Mullin Richter & Hampton LLP

More Data. More Choices. Better Care? New Executive Order Relies on Market Principles to Improve American Healthcare

On June 24, 2019, President Trump signed an executive order that purports to create a more transparent health care market for both patients and providers. The order attempts to decrease the prevalence of opaque pricing, while...more

Holland & Knight LLP

Executive Order on Healthcare Price Transparency

Holland & Knight LLP on

On June 24, 2019, President Trump signed a long-awaited executive order that he said would "fundamentally" change the healthcare market. The order builds upon current regulations that require hospitals to make available a...more

Patrick Malone & Associates P.C. | DC Injury...

Congress and White House find a bipartisan target in medical bills and prices

Doctors, hospitals, health insurers, and Big Pharma have become so abusive to patients with their billing and pricing that they may have accomplished what many consider a political impossibility ?  angering Democrats and...more

Womble Bond Dickinson

American Hospital Association Rejects Findings of New Health Affairs Hospital Pricing Study

Womble Bond Dickinson on

A new study published in the February 2019 issue of Health Affairs examined growth in hospital and physician services from 2007-14. The study focused on growth in prices for total inpatient care, total outpatient care, and...more

Flaster Greenberg PC

Have Medical Bills, Game Plan Needed

Flaster Greenberg PC on

It’s important to have a game plan for medical bills, and the game plan should probably not involve suing the hospital as a preemptive strike. That is precisely what occurred in Pitell v. King County Public Hospital, No....more

Epiq

Will the dismantlement of Obamacare affect healthcare restructuring?

Epiq on

Bankruptcy filings among hospitals and medical centers more than tripled in 2017, according to data compiled by Bloomberg. While there are many factors contributing to this financial volatility, the political battle over The...more

Holland & Knight LLP

House, Senate Proposals to Extend Funding for the Federal Government

Holland & Knight LLP on

Congress moved one step closer to avoiding a government shutdown on Feb. 6, voting overwhelmingly (245-182) to pass a short-term, GOP-backed government funding bill (text; section-by-section) that would keep the federal...more

Sheppard Mullin Richter & Hampton LLP

Day 4 Notes on the 2018 JP Morgan Healthcare Conference

San Francisco (January 11, 2018) – The final day of the 2018 JP Morgan Healthcare Conference gave us food for thought about the topic of healthcare navigation, as well as updates on the home health sector. Post-acute has...more

Holland & Knight LLP

Recent Developments in Antitrust Scrutiny of Healthcare-Provider Transactions

Holland & Knight LLP on

As the trend of acquisitions of physician practices and mergers of hospitals continues, so does antitrust scrutiny of these deals. There was activity this week in three different proposed transactions that caught the...more

Sheppard Mullin Richter & Hampton LLP

“May You Live in Interesting Times” – Some Healthcare Predictions for the Trump Administration’s First Year

The ancient Chinese curse – “May you live in interesting times” – certainly springs to mind these days. What does the election of Donald Trump mean for the healthcare industry, the Affordable Care Act and current healthcare...more

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