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The ACA 1557 Final Regulations: Plans and Plan Sponsors as Covered Entities

McDermott Will & Emery Employee Benefits

In a recent On the Subject (available here), we reported on the impact of the final rule (final rule) interpreting Section 1557 of the Affordable Care Act (ACA) on self-funded group health plans that contract with licensed health insurance issuers to provide administrative services.

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Funding Employer-Sponsored Group Health Coverage: The Group Captive Solution

McDermott Will & Emery Employee Benefits

The enactment of the Affordable Care Act in 2010 led to a sharp increase in employers self-funding their group health insurance plans, with the market tripling in size in the decade that followed.

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Surprise Medical Billing Law ‘Not Working the Way We Want It to Work’

McDermott Will & Emery Employee Benefits

According to this Politico Pro article, private equity groups are disproportionately benefiting from the No Surprises Act, and the law may inadvertently lead to higher health insurance premiums. The post Surprise Medical Billing Law ‘Not Working the Way We Want It to Work’ appeared first on EMPLOYEE BENEFITS BLOG.

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Hospital Settles With OCR for $4.75 Million Over HIPAA Violations

McDermott Will & Emery Employee Benefits

The US Department of Health and Human Services Office for Civil Rights (OCR) recently reached a $4.75 million settlement with a New York City hospital for alleged violations of the Health Insurance Portability and Accountability Act (HIPAA). Million Over HIPAA Violations appeared first on EMPLOYEE BENEFITS BLOG.

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Key Takeaways | How to Prepare for New State Health Privacy Laws

McDermott Will & Emery Employee Benefits

New state privacy laws regulating health data impose significant obligations and heightened litigation and regulatory risks. The post Key Takeaways | How to Prepare for New State Health Privacy Laws appeared first on EMPLOYEE BENEFITS BLOG. Access key takeaways and webinar replay.

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Wild Ride Awaits Health, Life Science Policy in 2022

McDermott Will & Emery Employee Benefits

Healthcare and life sciences lawyers will likely have plenty of work in 2022 thanks to pending legislative and regulatory actions throughout the healthcare, health insurance, and drug and device industries. The post Wild Ride Awaits Health, Life Science Policy in 2022 appeared first on EMPLOYEE BENEFITS BLOG.

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HIPAA Compliance 101: Lessons from a Recent OCR Settlement

McDermott Will & Emery Employee Benefits

The US Department of Health and Human Services Office for Civil Rights (OCR) recently announced a settlement with a community hospital resolving an investigation under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy and security rules.