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New York Law Journal

New Types of Health Reimbursement Arrangements

Under a recently finalized rule, employers of any size can offer a new Individual Coverage HRA starting Jan. 1, 2020, as an alternative to traditional group health coverage without running afoul of ACA. What's more, beginning Jan. 1, 2020, employers with traditional group health coverage can offer a supplemental type of HRA to help employees pay for what traditional health coverage does not. In his Tax Tips column, Sidney Kess discusses these new options.
6 minute read

Daily Business Review

Federal Appeals Court Allows DOJ Lawsuit Over 'Fragile' Kids

A federal appeals court backed the U.S. Department of Justice's authority to pursue a lawsuit against Florida over alleged violations of the Americans with Disabilities Act.
4 minute read

Daily Business Review

Recent Fla. Patient Brokering Act Developments Spark Growing Quandary

Florida's health care industry is facing a growing quandary over how to structure arrangements in light of recent legislative and judicial events with the Florida Patient Brokering Act Fla. Stat. Section 817.505 (PBA).
7 minute read

The Recorder

Transgender Man Gets Another Shot at Suit Against Hospital Over Denied Hysterectomy

"Denying a procedure as treatment for a condition that affects only transgender persons supports an inference that Dignity Health discriminated against Minton based on his gender identity," wrote First District Court of Appeal Presiding Justice Stuart Pollak for the unanimous court.
4 minute read

The Legal Intelligencer

Government's Fraud Case Against UPMC Neurosurgeons Over Referrals Revived

"All these facts are smoke," Judge Stephanos Bibas said of the suit's allegations, "and where there is smoke, there might be fire."
3 minute read

Corporate Counsel

Biotech Firm SQZ Hires Former Boston Scientific Lawyer as First General Counsel

Larry Knopf takes control of the legal department at SQZ after holding in-house leadership roles at medical device makers Boston Scientific Corp. and HeartWare International Inc.
3 minute read

Connecticut Law Tribune

When Punitives Don't Punish

In the largest verdict for bad faith in U.S. history, the jury found that Aetna "recklessly disregarded its duty to deal fairly and act in good faith" and awarded punitive damages. But will Aetna get the message?
3 minute read

The Recorder

Mental Health Care Providers Seek Payment From UnitedHealthcare for Billions in 'Wrongfully Denied Claims'

Although an earlier ruling from U.S. Magistrate Judge Joseph Spero aimed to address the harm caused to patients who were able to pay for their treatment out of pocket, it did nothing to rectify the harm done to unpaid healthcare providers, according to the complaint.
3 minute read

Daily Business Review

Miami Beach Exec With Role in College Admissions Scandal Gets 20 Years in $1B Medicare Fraud

The operator of a network of South Florida nursing homes and assisted living facilities was convicted of using kickbacks and bribes to gain business. A basketball coach testified Philip Esformes also paid $300,000 in bribes to get his son into the University of Pennsylvania.
3 minute read

The Legal Intelligencer

Pa. AG Sues Sackler Family to Get at 'Ill-Gotten Gains' From Opioids

Shapiro announced the lawsuit early Thursday morning, saying he sued the Sackler family, alleging they are personally liable for the opioid crisis because they "directed, controlled and participated" in a "deadly campaign of deception."
2 minute read

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