Searching Content indexed under Insurance by Day Pitney LLP ordered by Published Date Descending.
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Connecticut Adopts Insurance Data Security Law: What You Need To Know
On June 26, Gov. Lamont signed into law Connecticut's new Insurance Data Security Law, implementing a new regime of information risk management and event reporting requirements for insurance "licensees."
United States
23 Jul 2019
CMS And ONC Release Proposed Rules Regulating Electronic Health Information Blocking
The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) have each released a proposed rule regulating information blocking.
United States
18 Feb 2019
CMS Expands Value-Based Insurance Program
On January 18, the Centers for Medicare & Medicaid Services (CMS) published a fact sheet announcing a broad array of Medicare Advantage (MA) health plan innovations that will be tested
United States
29 Jan 2019
NJ Adopts Individual Mandate
On May 30, New Jersey Governor Phil Murphy signed into law the Health Insurance Market Preservation Act, making New Jersey the second state to adopt an individual health insurance mandate. Massachusetts' mandate has been in effect since 2006.
United States
5 Jun 2018
New Medicare Cards Could Spell Trouble For Doctors, Seniors
A March 30 article in Health Care on Bloomberg Law, "New Medicare Cards Could Spell Trouble for Doctors, Seniors," discussed whether new Medicare identification cards that do not contain Social Security numbers will deter fraud or end up encouraging scammers and hindering physician billing
United States
11 Apr 2018
NAIC Adopts Revised Model Act With Significant Implications For HMOs
The next step in the process will be for states to decide whether to adopt the revised NAIC Model Act, which may be an uphill battle in states with high HMO penetration.
United States
28 Dec 2017
New York Court Of Appeals Decision Clarifies Scope Of N.Y. Ins. Law § 3420
New York once strictly enforced notice requirements in insurance policies, but the Legislature changed the law to require that a liability insurer must show prejudice in order to rely on a late-notice defense
United States
4 Dec 2017
New NAIC Model Act Would Add To HMO Costs
On October 27, the National Association of Insurance Commissioners (NAIC) Receivership Model Law Working Group (under the direction of the NAIC's Receivership and Insolvency Task Force)...
United States
30 Oct 2017
Is The Federal Insurance Exchange Secure?
A September 20 article in Bloomberg BNA's Health Care Daily Report and other publications, entitled "Is the Federal Insurance Exchange Secure?,"...
United States
27 Sep 2017
Two Hospitals Say They Are Being Downgraded to Tier 2 of Horizon's OMNIA Plans
Day Pitney's Michael Furey was quoted in a Politico article about two hospitals that will be downgraded to second-tier status by New Jersey's largest insurer, Horizon Blue Cross Blue Shield of New Jersey, in its value-based health plan called OMNIA.
United States
13 Sep 2017
Breaking Up Is Not As Hard To Do For Insurers In Connecticut
In order to divide, an insurer must first create a plan of division that must be approved by the Connecticut Insurance Commissioner.
United States
19 Jul 2017
Ban On Mandatory Arbitration In Nursing Home Contracts May Finally Be Dead
On June 8, the Centers for Medicare & Medicaid Services published a proposed rule which, among other things, rescinds a provision in a final rule enacted in November 2015 that prohibits nursing homes ...
United States
26 Jun 2017
CareCore National Settles Whistleblower Suit for $54 Million
CareCore National LLC, a healthcare utilization management company, agreed earlier this month to pay $54 million to settle allegations that it allowed its insurance company customers to inappropriately bill the Medicare and Medicaid programs.
United States
23 May 2017
New York Enacting New Regulations That May Cramp Personal Auto Writers
The New York Department of Financial Services enacted new regulations this week that are aimed to prevent discrimination in auto insurance based upon education or employment.
United States
20 May 2017
CMS Proposes Payment And Policy Updates; Predicts 2.9% Increase In Hospital Payments
Approximately 3,330 acute care hospitals and 420 long-term care hospitals would be affected by the rule.
United States
24 Apr 2017
Report Analyzes Trends In Employer-Sponsored Health Insurance Market
While health insurance purchased through the Affordable Care Act marketplaces has been the subject of increasing attention, a recent report analyzing trends in the employer-sponsored insurance market...
United States
1 Mar 2017
CMS Proposes Rule to Address ACA Market Stabilization
Although the Affordable Care Act (ACA) is referred to as Obamacare, it may not be long before the reference changes to Trumpcare since the President has begun to put his fingerprints on the ACA.
United States
20 Feb 2017
Connecticut Supreme Court Bars Bystander Emotional Distress Claims Arising Out Of Compensable Workplace Injuries
On August 9, the Connecticut Supreme Court will officially release an opinion barring bystander emotional distress claims against employers, where such claims arise out of the witnessing of a compensable injury to an employee.
United States
9 Aug 2016
CT CO-OP Placed Under Administrative Supervision
HealthyCT, Inc. has joined the burgeoning ranks of struggling Consumer Operated and Oriented Plans, as the Connecticut Department of Insurance ordered it placed under administrative supervision due to its financial status.
United States
6 Jul 2016
New York Decision on Common Interest Doctrine Suggests Caution in Sharing Attorney-Client Communications
On June 9, the New York Court of Appeals issued a decision on the attorney-client privilege and "common interest doctrine," which is an exception to the general rule that parties waive the attorney-client privilege by sharing protected communications with third parties.
United States
20 Jun 2016
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