On June 25, 2015, the Supreme Court of the United States (SCOTUS) decided that tax credits will be made available to individuals who purchase health insurance coverage on both federal and state exchanges (on-line marketplaces where people compare and purchase...
PLDO Law Blog
Adam Greshowak
CMS Releases Proposed Rule on Modernizing Medicaid
On May 27, 2015, the Centers for Medicare & Medicaid Services ("CMS") released a proposed rule that would "modernize the Medicaid managed care regulations to reflect changes in the usage of managed care delivery systems." The first major update to Medicaid managed...
The Supreme Court of the United States holds that ERISA plan fiduciaries have a continuing duty to monitor the prudence of plan investments in pension and 401(k)/defined contribution plans
A decision issued last week by the Supreme Court of the United States (SCOTUS) has significant implications for both ERISA plan fiduciaries and plan participants. In Tibble v. Edison, SCOTUS held that, in addition to the duty to exercise reasonable prudence in the...
What Does the Medicare Access and CHIP Reauthorization Act of 2015 Mean for Health Care Providers?
On Friday, April 17, President Barack Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015, repealing the "sustainable growth rate" formula or "SGR" which was set by Congress in 1997 to control Medicare spending by limiting annual increases...
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