Private Insurers


New Medicare App to Explain Coverage
February 6, 2019 | Cassandra Rivais | Hospitals | Medical Devices | Medicare and Medicaid | Pharmaceuticals | Private Insurers
On January 28, the Centers for Medicare & Medicaid Services (CMS) announced the launch of a new mobile app called “What’s Covered” to help consumers understand which items and services are covered by Medicare. The app is part of the eMedicare Initiative, launched in October 2018 to modernize the delivery of information about the program. …
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FTC Investigations Could Bring Unwanted Scrutiny to Hospitals
January 18, 2019 | Rivkin Rounds Staff | Affordable Care Act | Antitrust | Hospitals | Legislation and Public Policy | Litigation | Private Insurers
An article in Relias Media’s Healthcare Risk Management newsletter, “FTC Investigations Could Bring Unwanted Scrutiny to Hospitals,” discussed potential investigations of hospitals’ anti-competitive behavior by the Federal Trade Commission.  Rivkin Radler’s Robert H. Iseman was featured prominently in the article. Bob noted that hospitals and health systems that are considered “must-have” participants in health insurance plans face …
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NJ Insurance Commissioner Confirms State Law Trumps Changes to ACA
November 14, 2018 | Eric D. Fader | Affordable Care Act | Legislation and Public Policy | Private Insurers
On October 29, 2018, the Commissioner of the New Jersey Department of Banking and Insurance issued two bulletins confirming that recent federal changes affecting the Affordable Care Act (ACA) don’t supersede New Jersey state law. Bulletin No. 18-12, captioned “Short-Term, Limited Duration Insurance,” confirms that short-term, limited-duration health insurance plans, which never comply with New …
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Proposal Would Expand Use of HRAs
October 29, 2018 | Margarita Christoforou | Employer/Employee | Legislation and Public Policy | Private Insurers | Tax/IRS
On October 23, 2018, the U.S. Department of Labor, Department of Health and Human Services, and Treasury Department issued a proposed regulation that would expand the usability of health reimbursement arrangements (HRAs). The regulation would allow company employees to use HRAs to cover the cost of individual health insurance coverage, subject to certain conditions. The …
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Execs Discuss the Future of Healthcare
October 23, 2018 | Rivkin Rounds Staff | Affordable Care Act | Employer/Employee | Hospitals | Legislation and Public Policy | Medicare and Medicaid | Private Insurers
The Albany Business Review recently held a roundtable event to explore the future of a single-payer system, the rising cost of healthcare and the rapid pace of change in the industry. Rivkin Radler Partner Robert H. Iseman was joined by Barry McNamara, President of employee benefits firm Benetech Inc.; and Kelly K. Smith, Vice President …
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Anthem Data-Breach Settlement Sets Tone for Privacy Enforcement
October 23, 2018 | Rivkin Rounds Staff | Cybersecurity | Electronic Health Records | HIPAA | Litigation | Private Insurers
An October 16, 2018, article in Bloomberg Law’s Health Law & Business, “Anthem Data-Breach Settlement Sets Tone for Privacy Enforcement”, discussed Anthem, Inc.’s recent $16 million data breach settlement with the U.S. Department of Health and Human Services’ Office for Civil Rights (OCR). The 2015 breach compromised the personal information of about 79 million people. Rivkin …
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