Health Care Law Blog

Showing 3 posts from July 2012.

July 20, 2012

Most Favored Nation Order Released by Michigan Insurance Commissioner

In what appears to be a strong response to the most favored nation ("MFN")-related lawsuits filed against Blue Cross Blue Shield of Michigan by the U.S. Department of Justice and Aetna, the Commissioner of the Michigan Office of Financial and Insurance Regulation (“OFIR”) issued an Order dated July 18, 2012. The Order prohibits insurers, HMOs, and Blue Cross Blue Shield of Michigan from either using or enforcing MFN clauses in their provider contracts unless the MFN clause has been filed with and approved by the OFIR Commissioner.  This prohibition takes effect February 1, 2013.  To read the Order, see the Order posted on the Department of Licensing and Regulatory Affairs webpage.

Categories: Billing/Payment, Hospitals, Insurance

Posted by: Jennifer Kildea Dewane

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July 17, 2012

Newly Released Audit Protocol Serves as Guidance for Compliance Programs

The Health Information Technology for Economic and Clinical Health Act ("HITECH Act"), passed in 2009, imposed new requirements on health care providers (among others) related to the privacy and security of Protected Health Information ("PHI").  Included in the HITECH Act's requirements was a mandate that the Department of Health and Human Services’ ("HHS") Office for Civil Rights ("OCR") conduct audits to analyze the processes, controls and policies of certain covered entities.  The pilot program for such audits began in 2011 and will conclude in December, 2012. Read More ›

Categories: Compliance, HIPAA, HITECH Act, Hospitals, Physicians, Regulatory

Posted by: Mindi M. Johnson, John R. Taylor

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July 9, 2012

Foster Swift Attorney Interviewed on the Supreme Court's Health Care Reform Decision and its Impact

Foster Swift health care law attorney, Johanna Novak, was recently interviewed on Michigan Business Network radio concerning the United States Supreme Court's long-anticipated decision on the Patient Protection and Affordable Care Act (the "Act").  The interview aired on July 6, 2012, and was separated into two parts.  Podcasts for both parts of Johanna's interview can be accessed here. Read More ›

Categories: Employment, Health Care Reform, Regulatory

Posted by: Mindi M. Johnson, Johanna M. Novak

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