Soothing Stark?
Recently, the Centers for Medicare & Medicaid Services (“CMS”) expressed an openness to relaxing current Stark Law restrictions on physician referrals. Specifically, on June 25, 2018, published a Request for Information (RFI) ...
Third Circuit Affirms the Enforceability of Anti-Assignment Clauses in ERISA Plans, While Also Affirming a Provider’s Right to Proceed in Challenging a Benefit Denial on Behalf of a Patient through a Limited Power of Attorney.
On May 16, 2018, the Third Circuit in American Orthopedic & Sports Medicine v. Independence Blue Cross Blue Shield held anti-assignment clauses in ERISA governed health insurance plans are generally ...