Phia Group Russo & Minchoff

Insurers May Slash Rates to Hospitals

Adam V. Russo | May 24, 2010

By Liz Kowalczyk, The Boston Globe www.boston.com
Massachusetts health insurers say they want to freeze or slash payments to some hospitals and large physician groups this year, setting up the toughest contract negotiations in memory and creating the potential for disruptions in where patients get their care. Other providers would get small increases, at most.

MD State Health Care Reform Update

Adam V. Russo | February 23, 2010

Maryland. A bill pending in the state would allow young adults to continue enrollment in their parents’ health care plan until age 30. Current law allows dependent individuals to remain on a parent’s plan until they attain age 25. By expanding this to age 30, graduate students, veterans returning to school, and young adults who [...]

State Supreme Courts Rule on COB Between Insured-Group and No-Fault Auto Coverage

Adam V. Russo | February 12, 2010

The highest appellate courts of Maryland and Montana handed down decisions relating to the method by which insured group health plans and the personal insurance protection (PIP) benefits are to be coordinated. In both cases, a group plan refused to cover medical expenses for which PIP reimbursement is provided through auto liability policies. The courts [...]

State Courts Rule On Insured-Group And No-Fault Auto COB

Adam V. Russo | February 12, 2010

High courts of Maryland and Montana handed down contrasting decisions relating to coordination of insured group-health and personal insurance protection (PIP) benefits. in both cases, a group plan refused to cover medical expenses for which PIP reimbursement was provided through auto liability policies. In Maryland, a court gave precedence to a provision saying group plans [...]

Maryland Hospital Billing

Adam V. Russo | October 23, 2009

The following article was submitted from Kevin Chapman of  Boon-Chapman
BALTIMORE — In the fight over a health-care overhaul, Maryland’s experience with setting hospital rates suggests the federal government could realize savings on health spending, but at a price of more regulation for health providers.

Restaurateurs Seek Supreme Court Review of San Francisco Health Insurance Mandate

Adam V. Russo | June 29, 2009

by Amanda Bronstad of The National Law Journal, www.law.com
An association representing the restaurant industry has filed a petition for writ of certiorari before the U.S. Supreme Court to overturn a ruling by the U.S. Court of Appeals for the 9th Circuit upholding a law requiring employers in San Francisco to provide health insurance to their [...]

State Laws Cannot Require More From Self Funded Plans Than ERISA. . .

Adam V. Russo | April 4, 2007

Recently, in the state of Washington, a law was passed that prohibits workplace discrimination based upon sexual orientation. When an employee protested the denial of health care coverage to her partner by her employer’s self funded ERISA plan, she brought the matter to court. The court in turn determined that the law could not be [...]