Category Archives: Legal News

Subscribe to Legal News RSS Feed

Highmark – WPAHS Agreement

Highmark and WPAHS have signed the final affiliation documents and filed them with the Pennsylvania Insurance Deoartment. The filing, which includes the terms of the agreement, the revised bylaws, and the proposed organization structure are available via this link: https://www.highmark.com/hmk2/about/newsroom/2011/hmwp/forma.pdf… Continue Reading

Final Rule on Accountable Care Organizations (ACOs) Released Today

The final rule on Accountable Care Organizations (ACOs) has been released by CMS.  The final rule implements section 3022 of the Affordable Care Act which contains provisions relating to Medicare payments to providers of services and suppliers participating in ACOs under the Medicare Shared Savings Program.  An advance copy of the final rule may be … Continue Reading

Federal Court Denies Preliminary Injunction for Highmark in UPMC Dispute

On October 12, 2011, U.S. District Magistrate Cathy Bissoon of the United States District Court for the Western District of Pennsylvania issued an Opinion denying Highmark’s request for a preliminary injunction against UPMC, which injunction sought to restrain UPMC from publically discussing and stating that patients’ health care coverage could end as early as June … Continue Reading

$100 Million in New Affordable Care Act Grants Help Fight Health Insurance Premium Hikes

The Department of Health and Human Services has issued a News Release describing how the Affordable Care Act Grants are working to help contain health insurance premium hikes. The Affordable Care Act earmarked $250,000,000 in health insurance rate review grants. This money is being awarded to states to allow them to do a variety of things to … Continue Reading

REGISTER NOW – 2011 Symposium – HEALTHCARE FUTURES — CONSIDERATIONS & IMPLICATIONS FOR EMPLOYERS

HEALTHCARE FUTURES — CONSIDERATIONS & IMPLICATIONS FOR EMPLOYERS Health Care Reform: What’s up next for Employers? Emerging health care reform mandates, regulations and guidelines are driving numerous changes to employer health benefits.  Having dealt with the initial administration compliance requirements, employers are now turning their attention to the longer-term issues included in reform.… Continue Reading

Pennsylvania Supreme Court Announces Latest Medical Malpractice Data Shows Number of Filings Reach New Low

A total of 1,491 malpractice lawsuits were filed in 2010, according to a report released last week by the Administrative Office of Pennsylvania Courts. Court officials reported that 163 cases reached a jury, and 133 verdicts – 81 percent – favored the defense. Chief Justice Ronald Castille said there’s been a 45 percent decline in … Continue Reading

EASIER SOFTER ACOs

  Although the ink is barely dry on the proposed regulations for Accountable Care Organizations (ACOs), there are already harbingers that ACOs may not be the Health Care Reform savior they were intended to be. First, a study by the American Hospital Association states that the estimate initially made by CMS for the cost of … Continue Reading

HHS imposes a $4.3 million civil money penalty for violations of the HIPAA Privacy Rule

Contibuted by Paul J. Welk pwelk@tuckerlaw.com; 412.594.5536 The U.S. Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) has issued a Notice of Final Determination, marking the first civil money penalty issued by HHS for HIPAA Privacy Rule violations, finding that Cignet Health of Prince George’s County, Md., (Cignet) violated the Privacy … Continue Reading

10 Amazing, Emerging Advances

Every once in a while we try to provide some information that is interesting, helpful and a little different than our usual fair. I have attached a link to an article provided by nursingschools.net describing amazing emerging advances in medical technology. For the readers who would like more of this type of information, I have added nursing.net … Continue Reading

AMA Publishes Embezzlement Warning

  Experts Say Medical Office Embezzlement Common At Medical Practices, Particularly At Start Of Year. American Medical News (1/17, Elliott) reported that medical office embezzlement "is common at medical practices, and experts say the risk is especially high at the beginning of the year." This is because "patients are paying an ever-larger share of their … Continue Reading

Proposed Affordable Care Act Regulations

Proposed regulations for the Affordable Care Act were announced today.  Insurers in all states are now required to publicly justify any unreasonable rate increases starting in 2011.  For 2011, proposed rate increases of 10 percent or higher will be publicly disclosed and thoroughly reviewed. Links: http://www.hhs.gov/news/press/2010pres/12/20101221a.html http://www.whitehouse.gov/photos-and-video/video/2010/12/21/white-house-white-board-health-reform-rate-review http://www.ofr.gov/OFRUpload/OFRData/2010-32143_PI.pdf  … Continue Reading

Obama Care Ruled Unconstitutional by Virginia Court

  (CNN) — A Virginia federal judge on Monday found a key part of President Barack Obama’s sweeping health care reform law unconstitutional, setting the stage for a protracted legal struggle likely to wind up in the Supreme Court. U.S. District Judge Henry Hudson struck down the "individual mandate" requiring most Americans to purchase health … Continue Reading

Pennsylvania 2011 Medical Records Costs

DEPARTMENT OF HEALTH Amendments to Charges for Medical Records   Under 42 Pa.C.S. 6152 and 6155 (relating to subpoena of records; and rights of patients), the Secretary of Health (Secretary) is directed to adjust annually the amounts which may be charged by a health care facility or health care provider upon receipt of a request … Continue Reading

House Passes Legislation on Red Flags Rule

Contributed by Paul J. Welk pwelk@tuckerlaw.com, 412.594.5536 On December 7, the House of Representatives passed S. 3987, the Red Flag Program Clarification Act of 2010. The Red Flags Rule requires financial institutions and creditors to develop and implement a written identity theft program.  This legislation would exempt physical therapists and other health care providers from the forthcoming … Continue Reading

Red Flag Program Act of 2010

On November 30, 2010 the U.S. Senate passed the Red Flag Program Act of 2010 (Senate Bill 3987 available at http://thomas.loc.gov/) which seeks to exempt certain health care providers from the Red Flags Rule.  The bill will next be considered by the House.  Please check back for future updates on this legislation.… Continue Reading
LexBlog