Insights
Medicaid Work Requirements
February 12th, 2021
On February 12, 2021, the Biden Administration made its first move to revoke approval for Medicaid work requirements. CMS Acting Administrator Elizabeth Richter sent a letter to the eight (8) states that had previously received approval for a Section…
Read More
Read More
Categories: Healthcare
Executive Order on Strengthening Medicaid and the Affordable Care Act
January 29th, 2021
On January 28, 2021, President Biden released an executive order titled Executive Order on Strengthening Medicaid and the Affordable Care Act, stating that a goal of his administration will be to increase the accessibility of high-quality healthcare…
Read More
Read More
Categories: Healthcare
CMS Releases Rule to Streamline Prior Authorizations and Ease Exchange of Health Information
January 15th, 2021
On January 15, 2021, the Centers for Medicare and Medicaid Services (CMS) released a final rule, the CMS Interoperability and Prior Authorization Rule, to streamline prior authorization and patient and provider access to medical records. The rule req…
Read More
Read More
Categories: Healthcare
AHA v. Azar
January 6th, 2021
On December 29, 2020, the U.S. Court of Appeals for the D.C. Circuit issued an opinion in American Hospital Association, et al., v. Azar, affirming the district court’s decision to uphold the rule that requires hospitals to disclose negotiated…
Read More
Read More
Categories: Healthcare
Trump Administration Releases Final Rule Requiring Insurers to Disclose Prices
October 29th, 2020
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
Read More
Categories: Healthcare
9th Circuit of Appeals Rules that Anthem Must Cover ER Visits
October 28th, 2020
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
Read More
Categories: Healthcare
CMS Approves Georgia and Nebraska Medicaid Expansion with Work Requirements
October 27th, 2020
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
Read More
Categories: Healthcare
Atrium Health and Wake Forest Baptist Finalize Merger
October 12th, 2020
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
Read More
Categories: Business Transactions
Tags: Transaction
Advocate Aurora and Beaumont Health Cancel Merger
October 5th, 2020
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
Read More
Categories: Business Transactions
Tags: Transaction
Fundraising Activity Hit by Pandemic Via Pitchbook
October 5th, 2020
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
Read More
Categories: Business Transactions
Tags: Transaction