Insights

Trump Administration Releases Final Rule Requiring Insurers to Disclose Prices

On October 29, 2020, the Department of Health and Human Services, the Department of Labor and the Department of Treasury issued a final rule that requires group health plans and health insurers to disclose cost-sharing information to participants and… Read More
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Categories: Healthcare

9th Circuit of Appeals Rules that Anthem Must Cover ER Visits

The U.S. Court of Appeals for the 9th Circuit recently ruled in the case Martin Luther King, Jr., Community Hospital v. Community Insurance Company, d/b/a Anthem Blue Cross and Blue Shield, et al. The District Court previously granted summary judgeme… Read More
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Categories: Healthcare

CMS Approves Georgia and Nebraska Medicaid Expansion with Work Requirements

On October 15, 2020, CMS approved an 1115 Waiver for Georgia called the Georgia Pathways to Coverage demonstration, which will partially expand Medicaid and impose premiums and work requirements on beneficiaries. The demonstration expands Medicaid co… Read More
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Categories: Healthcare

Atrium Health and Wake Forest Baptist Finalize Merger

Charlotte, N.C. based Atrium Health completed its merger with Winston-Salem, N.C. based Wake Forest Baptist Heath on October 9, 2020, and will continue to operate under the Atrium Health name. The merger created a 42-hospital system, employing more t… Read More
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Advocate Aurora and Beaumont Health Cancel Merger

Beaumont Health, based in Southfield, MI and Advocate Aurora, with dual-headquarters in Downers Grove, IL and Milwaukee, WI, have ended their merger discussions. The parties had signed a non-binding letter of intent in June of this year announcing th… Read More
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Fundraising Activity Hit by Pandemic Via Pitchbook

Fundraising activity for first time funds has decreased this year according to Pitchbook from $5.3 Billion last year, to $1.9 billion so far this year. However, those that do get funding are coming away with more. The median fundraising amount for fi… Read More
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Trump Signs Healthcare Executive Orders

On September 24, 2020 President Trump signed an executive order implementing his “America First Healthcare Plan.” Through the Order, Trump addressed his intent for individuals with pre-existing conditions to maintain insurance coverage, even if t… Read More
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Categories: Healthcare

Missouri to Expand Medicaid

On August 4, 2020, Missouri voters approved expanding Medicaid coverage in the state through an amendment to the state constitution, making Missouri the 38th to expand. The vote narrowly passed, receiving support from 53% of voters. It provides cover… Read More
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Categories: Healthcare

AHA Seeking Overturn Regarding Reduced Outpatient Payments

The American Hospital Association and the Association of American Medical Colleges have announced that they will seek a rehearing of their lawsuit against the U.S. Department of Health in the U.S. Court of Appeals for the District of Columbia Circuit… Read More
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Categories: Healthcare

Supreme Court Upholds Broad Interpretation of Ministerial Exception

In the consolidated cases Our Lady of Guadalupe School v. Morrisey-Berru and St. James School v. Biel, the Supreme Court held that the First Amendment’s Religion Clauses prevent the adjudication of employment discrimination claims brought by an emp… Read More
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Categories: Employment

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