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Texas Supreme Court Opinion Regarding Controverting Section 18.001 Affidavits
May 7th, 2021
On May 7, 2021, The Texas Supreme Court issued its opinion in In Re Allstate Indemnity Company, Relator granting a writ of mandamus and affirming that the trial court abused its discretion by striking a counteraffidavit served under section 18.001 of…
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Categories: Healthcare
American Rescue Plan Act COBRA Subsidies
March 11th, 2021
On March 11, 2021, President Biden signed the American Rescue Plan Act of 2021 (“ARPA”), which includes provisions for COBRA subsidies that will apply to self-funded and fully insured plans, multi-employer plans and governmental employer plans. T…
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Categories: Healthcare
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…
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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…
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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…
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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…
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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…
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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…
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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…
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Categories: Healthcare
Trump Signs Healthcare Executive Orders
October 1st, 2020
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…
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