Pennsylvania AG takes hard stance on nonprofit healthcare providers in the name of consumer protection

Clay Brewer, Class of 2019; Neil B. Krugman, Partner at Waller The rise in healthcare costs and public concern about accessing adequate care has caught the eye of many government officials across the country, some of whom have increased their enforcement of consumer protection laws in response. The Attorney General of Pennsylvania, Josh Shapiro, provides …

Read more

Trump Administration Opens Door for Broader Contraceptive Mandate Exemptions

By Matthew Byron, Class of 2019 The Affordable Care Act (ACA) does not currently mandate that insurers cover contraceptives under their respective plans. However, in 2011, the Departments of Health and Human Services, Treasury, and Labor (the Departments) issued regulations requiring non-grandfathered group health plans and health insurers to cover all FDA-approved contraceptives. Under those …

Read more

CMS Proposed Rule Change for ACO Payments

By Curtis Campbell, Class of 2019; Andrew F. Solinger, Attorney at Waller The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that would overhaul the Medicare Shared Savings Program, which was established by the Affordable Care Act (ACA). Currently, the vast majority of Medicare’s Accountable Care Organizations (ACOs) operate under the Medicare Shared …

Read more