Tag: Health Insurance

• Health Law

  Suit Filed Against Feds Over CMS Risk Adjustment Formula

  • September 12, 2016
  • By Allen & Gooch

  On July 29, 2016, Minuteman Health Inc. filed suit in Massachusetts against the federal government, naming, as defendants, the US Department of Health and Human Services, the Centers for Medicare and Medicaid Services (CMS) and the heads of both agencies.  The suit alleges that the risk adjustment formula used to calculate which insurance companies have […]

• Health Law

  Access to Better Care Act to Reduce Deductibles for Managing Chronic Illness

  • August 15, 2016
  • By Allen & Gooch

  The Access to Better Care Act of 2016, H.R. 5652, is currently sitting in the Congressional Ways and Means Committee. Introduced by Representatives Diane Black (R-TN) and Earl Blumenauer (D-OR) on July 7, 2016, with bi-partisan and industry support, this bill seeks to change insurance coverage related to care of chronic disease. The bill seeks […]

• Professional Liability

  When can insurance agent peremption be extended to an insurer?

  • June 2, 2014
  • By Allen & Gooch
  

  Denial of Health Insurance Based on Missing Information In the case of Sibley v. Blue Cross Blue Shield of Louisiana, 2014 WL 1100158 (La. App. 1 Cir. 3/20/2014), Blue Cross Blue Shield of Louisiana (“BCBS”) retroactively cancelled Ms. Laura Sibley’s health insurance policy after BCBS discovered information that demonstrated that Ms. Sibley’s pre-existing condition was […]

• Employment Law & Litigation

  Business Preparation For Affordable Care Act Effective In 2014

  • March 4, 2013
  • By Allen & Gooch
  

  Beginning in 2014, the Affordable Care Act provides new incentives to small businesses through tax credits and options to purchase health coverage for their employees, but larger businesses face greater regulations that subject them to an Employer Shared Responsibility payment if proper health insurance coverage is not paid to 95% of its employees. The Act […]