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New presidential administrations always need to pick and choose their priorities. It will be very interesting and enlightening to see whether and if so, how, the Trump administration will focus resources related to Health Insurance Portability and Accountability Act settlements and civil money...
This month’s Friday Five explores decisions from around the country discussing the concept of reasonableness in various forms. One court rejected the parties’ proffered definitions of the term “working” and instead determined that a dictionary definition was reasonable. Two cases reflect courts...
Bruce Armon, Chair of Saul Ewing's Health Care Practice, will speak during a webinar presented by PGY1 Financial Solutions Corp. on May 1, 2025. Bruce has over 20 years' experience and specializes in employment contracts for physicians. In this webinar, he will be speaking about the following topics...
The use of artificial intelligence (AI) by insurance companies is one of the most important regulatory issues currently facing the U.S. insurance industry. Recommendations and decisions concerning insurance policy underwriting, pricing and claims adjudications can now be performed faster and more...
This informative webinar discussed the latest employment law issues impacting health care providers in 2025. We reviewed legal HR trends affecting health care providers throughout the country, as well as practical insights for practice owners and HR managers related to employee hiring, performance...
Saul Ewing LLP is pleased to announce that Amy Kline and Caitlin Strauss have been honored in the 2025 JD Supra Readers' Choice Awards for their exemplary authorship of The Friday Five. This prestigious award recognizes the top authors and firms for exceptional thought leadership over the past year...
On March 6, 2025, the U.S. Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) announced a civil money penalty (“CMP”) of $200,000 against Oregon Health & Science University (“OHSU”) for failing to provide a patient’s personal representative with timely access to medical...
This month’s Friday Five addresses cases covering ERISA preemption, the viability of a claim for benefits where the claimant alleges to have not received notice of a prior claim denial, an affirmance by the Circuit Court of a denial of benefits, and District Court reviews of decisions denying...
On February 20, 2025, the U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR) announced a $1.5 million civil money penalty (CMP) against Warby Parker, Inc. (WP). WP is a manufacturer and online retailer of prescription and non-prescription eyewear. The CMP was finalized...
Medical practices, dental practices and other health care entities must again comply with the federal Corporate Transparency Act (“CTA”). The deadline for compliance is March 21, 2025. What You Need to Know: The Corporate Transparency Act filing deadline is now March 21, 2025. Medical practices and...
Marshall Dworkin, Counsel at Saul Ewing LLP, will be speaking at the upcoming Arias 2025 Legal Update Webinar on February 20, 2025. This webinar provides an update and discussion on some of the most significant insurance and reinsurance cases decided by the courts in 2024. Fielding Huseth of Moore &...
This month’s Friday Five covers an appellate ruling on a complicated case raising both state and federal claims, an instance of procedural improprieties in the administrative review process informing the court’s substantive benefits decision, an equitable ERISA claim for an administrator’s payment...
Employment Contract Do's and Don'ts and Disability Insurance The topics will be: Interviewing, Contracts, Term/Termination, Malpractice Insurance, Benefits Packages, Non-Competes and Non-Solicits. Bruce has over 20 years' experience in the field and will touch on the main topics that physicians need...
This month’s Friday Five explores recent decisions including the standard of review for ERISA benefit denials, whether structural conflict entitles a claimant to conflict-of-interest discovery, whether a “relative value units” analysis warrants equitable tolling, whether the administrative record...
December 2024 was an active month for the U.S. Department of Health and Human Services ("HHS"), Office for Civil Rights ("OCR"). OCR announced (i) a $1.19 million civil monetary penalty ("CMP") against Gulf Coast Pain Consultants, LLC d/b/a Clearway Pain Solutions Institute ("GCPC"); (ii) $548,265...
This month’s Friday Five explores recent decisions including the impact of a COVID furlough on eligibility for LTD benefits, what constitutes a breach of an employer’s fiduciary duty, what defines total proof of disability or is viewed as a severe procedural violation, and the appropriate weight...
Philadelphia (December 4, 2024) - Saul Ewing LLP announced today that James S. Gkonos, Counsel in the firm’s Insurance Practice, has been appointed Chairman and President of the Federation of Regulatory Counsel (FORC), the premier organization for attorneys who practice insurance regulatory law in...
On November 1, 2024, the U.S. Department of Health and Human Services (“HHS”), Office for Civil Rights (“OCR”) announced a $90,000 settlement with Bryan County Ambulance Authority (“BCAA”), a provider of emergency medical services in Oklahoma, concerning potential violations of the Health Insurance...
Employment Contracts and Disability Insurance This webinar was presented by Health Law Attorney Bruce Armon who has over 20 years experience in the field. The topics covered are: Interviewing, Compensation, Benefits, Non-Competes, Non-Solicits, Resume's, Term/Termination and other important items...