Reynolds Holding

MARCH 12, 2024

Department of Health and Human Services announced that they are seeking public comment on private equity investment in the healthcare sector. The announcement coincided with the FTC’s workshop, Private Equity, Public Impact: An FTC Workshop on Private Equity in Health Care. On March 5, 2024, the FTC, the DOJ and the U.S.

Equity 45

Equity Private Equity Firm Finance Marketability 45

Law 360 M&A

JULY 24, 2023

The Federal Trade Commission has reached terms with IQVIA, the world's largest health care data provider, and Propel Media to push off the closing date of their merger until at least late November while the agency challenges the deal.

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ThomsonReuters

JULY 15, 2021

QUESTION: We have heard from our company’s group health plan insurer that our plan must continue covering certain patients who are undergoing treatment when we change our contractual relationship with their provider. If these continuity of care conditions are satisfied, the group health plan must—.

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ThomsonReuters

DECEMBER 10, 2020

ANSWER: Here’s an explanatory list of common acronyms primarily used in our Cafeteria Plans, Consumer-Driven Health Care, ERISA Compliance, Self-Insured Health Plans, and Fringe Benefits manuals. AHP — Association Health Plan. CDHC — Consumer-Driven Health Care. DCTC — Dependent Care Tax Credit.

Compliance 90

Compliance 90

ThomsonReuters

JUNE 15, 2023

The guidance details the process for obtaining the extension, including providing CMS with documentation of the effective date and term of existing CBAs, receiving CMS approval, and then submitting a renewal opt-out election to extend the plan’s existing election. 3 (“Plans Sponsored by Certain Governmental Entities”).

Equity 96

Equity 96

ThomsonReuters

DECEMBER 23, 2020

ANSWER: Here’s an explanatory list of common acronyms primarily used in our Health Care Reform manual. ACA — Patient Protection and Affordable Care Act. PHSA — Public Health Services Act. QHP — Qualified Health Plan. SHOP Exchange — Small Business Health Options Program Exchange.

Compliance 98

Compliance 98

ThomsonReuters

OCTOBER 20, 2022

Health FSAs. For 2023, the dollar limit on employee salary reduction contributions to health FSAs will be $3,050 (up from $2,850). For 2023, the dollar limit on employee salary reduction contributions to health FSAs will be $3,050 (up from $2,850). Small Business Health Care Tax Credit. Archer MSAs.

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ThomsonReuters

JULY 29, 2021

QUESTION: A few participants in our company’s health FSA told us that their doctors have started charging patients a monthly fee that is payable whether or not the patients visit the office. Can our health FSA reimburse this fee? as these terms may mean different things for different providers.

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ThomsonReuters

DECEMBER 17, 2020

ANSWER: Here’s an explanatory list of common acronyms primarily used in our COBRA, HIPAA, and Group Health Plan Mandates manuals. CARES Act — Coronavirus Aid, Relief and Economic Security Act. ePHI — Electronic Protected Health Information. HCTC — Health Coverage Tax Credit. MHPA — Mental Health Parity Act.

Compliance 92

Compliance Equity Technology 92

ThomsonReuters

OCTOBER 14, 2021

Cigna Health and Life Ins. An out-of-network health care provider performed surgery on a participant in an ERISA health plan. In legal terms, he lacked standing.) However, the court explained that it was unlikely that a health care provider would qualify as an attorney-in-fact under applicable state law.

Compliance 98

Compliance 98

Benzinga

NOVEMBER 6, 2023

06, 2023 (GLOBE NEWSWIRE) -- ExactCare ® , a national provider of medication management and comprehensive long-term pharmacy services and a Nautic Partners portfolio company, today announced that the acquisition of Tabula Rasa HealthCare, Inc. ® CLEVELAND, Nov. ExactCare and Tabula Rasa have nearly.

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Shephard Mullin M&A

NOVEMBER 1, 2023

Background A 2014 analysis of hospital M&A trends published by Deloitte LLP predicted a rapid consolidation of health systems over the next ten years, largely due to a desire by hospitals and health systems to increase cost efficiencies by scaling and improving value-based care.

Marketability 52

Marketability 52

ThomsonReuters

NOVEMBER 18, 2021

They can be offered by employers of any size that want to provide an account-based supplement to their group health coverage without being constrained by the requirements for integrated HRAs. An EBHRA must be made available under the same terms and conditions to all similarly situated individuals, as provided by agency regulations.

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105

ThomsonReuters

NOVEMBER 11, 2021

Health FSAs. For 2022, the dollar limit on employee salary reduction contributions to health FSAs will be $2, 850 (up from $2,750). For 2022, the dollar limit on employee salary reduction contributions to health FSAs will be $2, 850 (up from $2,750). Small Business Health Care Tax Credit. Archer MSAs.

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ThomsonReuters

MARCH 31, 2022

CMS has indefinitely extended the limited nonenforcement policy allowing states to permit insurers in the individual and small group markets to renew health insurance policies that would otherwise have to be canceled due to noncompliance with certain Affordable Care Act (ACA) insurance market reforms.

Marketability 98

Marketability 98

Benzinga

DECEMBER 6, 2023

The partnership lays the foundation for R1 to continue to automate revenue management and to extend its scale and diversification to build long-term value for providers, patients and shareholders. with 51 hospitals, more than 1,000 physician clinics, senior services, supportive housing, and many other health and educational services.

Technology 40

Technology Compliance 40

ThomsonReuters

APRIL 7, 2022

United Behavioral Health, 2022 WL 850647 (9th Cir. The Ninth Circuit has reversed a federal trial court’s ruling that a large insurer breached its fiduciary duty to health plan participants by using overly restrictive guidelines for administering claims. Available at [link]. Contributing Editors: EBIA Staff.

Compliance 97

Compliance 97

RNC

MAY 14, 2024

Understanding goodwill is essential for investors as it represents an intangible asset that can significantly impact a company’s valuation and financial health. This advantage could stem from superior technology, innovative products, or strong customer loyalty, enhancing the company’s long-term prospects. What is Goodwill?

Intangible Assets 52

Intangible Assets Fair Market Value Marketability Technology 52

ThomsonReuters

JUNE 30, 2022

Jackson Women’s Health Org., For more information on the underlying employee benefits issues, see EBIA’s Cafeteria Plans manual at Sections XX.D (“Expenses Reimbursed Must Be for Medical Care”) and XX.L.8 2022 WL 2276808 (U.S. Available at [link].

Compliance 98

Compliance 98

Benzinga

JANUARY 2, 2024

This acquisition was effective January 1, 2024 and is subject to a long-term, triple net lease. This acquisition is a significant milestone for our organization, as this is our first skilled nursing facility in Tennessee," said Barry Port, Ensign's Chief Executive Officer. We have been carefully reviewing.

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45

ThomsonReuters

MAY 5, 2022

In a dispute over an insurer’s interpretation of a health plan provision incentivizing use of generic drugs, a federal appeals court has held that the regulation establishing an “embedded” individual cost-sharing limit under the Affordable Care Act (ACA) does not apply before January 1, 2016. 2022 WL 1193999 (2d Cir.

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98

ThomsonReuters

FEBRUARY 10, 2022

The DOL, IRS, and HHS have issued additional FAQ guidance addressing the terms and conditions under which group health plans must cover over-the-counter (OTC) COVID-19 diagnostic tests. However, plans must cover these types of tests in accordance with the rules for tests ordered by a health care provider.

Compliance 98

Compliance 98

ThomsonReuters

JANUARY 7, 2021

QUESTION: What is “transparency in coverage” cost-sharing disclosure, and does it apply to our company’s group health plan? The requirements apply to most insured and self-insured group health plans, and to insurers, but grandfathered health plans, excepted benefits, and short-term limited-duration insurance are exempt.

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Benzinga

OCTOBER 26, 2022

26, 2022 (GLOBE NEWSWIRE) -- Risk Strategies, a leading national specialty insurance brokerage and risk management firm, today announced it has acquired Aquarius Capital Solutions Group, an actuarial firm with expertise in health care benefits, employee and retirement benefits. Terms of the deal were not made public.

Finance 40

Finance 40

Benzinga

DECEMBER 13, 2022

13, 2022 (GLOBE NEWSWIRE) -- Risk Strategies , a leading national specialty insurance brokerage, and risk management firm, today announced it has acquired Worldwide Assurance, a health and benefits-focused retail agency. The terms of the deal were not released. BOSTON, Dec. Full story available on Benzinga.com.

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40

ThomsonReuters

DECEMBER 22, 2021

Moreover, it will generally be considered a group health plan potentially subject to several other laws. EAPs typically offer a wide-ranging set of benefits to address circumstances that might otherwise adversely affect employees’ work and health. For a discussion of COBRA issues for EAPs, see our Checkpoint Question of the Week.)

Compliance 59

Compliance 59

Benzinga

MARCH 10, 2023

Chicago, March 10, 2023 (GLOBE NEWSWIRE) -- The Health Information Exchange industry is set to experience a major transformation over the next few years, as advances in technology make it easier for healthcare providers to manage patient data, automate processes, and improve patient care. billion in 2020 and is poised to reach $2.0

Marketability 40

Marketability Technology 40

ThomsonReuters

OCTOBER 21, 2021

A long-term acute care facility sued a welfare benefits fund after the fund denied coverage for a participant’s care and treatment at the facility because it was “non-covered.” Available at [link]. Contributing Editors: EBIA Staff. Contributing Editors: EBIA Staff.

Marketability 52

Marketability 52

ThomsonReuters

APRIL 1, 2021

Thus, COVID-19 PPE expenses qualify for tax-free payment or reimbursement from health FSAs, HRAs, HSAs, and Archer MSAs. In addition, retroactive amendments may not be adopted after December 31, 2022, and the plan’s operation must be consistent with the amendment’s terms beginning on the amendment’s effective date.

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52

Benzinga

MARCH 20, 2023

The acquisition was effective March 16, 2023 and will be subject to a long-term, triple-net lease. "We We are very excited to expand our senior living offerings in the State of Wisconsin," said Brent Guerisoli, Chief. Full story available on Benzinga.com

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Business Wire M&A

MARCH 14, 2023

Terms of the deal were not disclosed. Manchester Specialty Programs (Manchester Specialty) provides comprehensive business insurance solutions for home care, medical staffing, allied health, and human/social services organizations. Coverage is available on a national basis, with a specialist underwriting and marketing ap

Marketability 52

Marketability 52

Business Wire M&A

MAY 16, 2023

--(BUSINESS WIRE)--Solaris Health Holdings announced today that Spokane Urology, serving Spokane and Spokane Valley in Washington state, has joined as an affiliate. Terms have not been disclosed.

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52

Benzinga

APRIL 9, 2024

Egg, winner of Phoenix Magazines 2023 Best Breakfast Award, pet care service provider Companion Pet Partners and BevMo which serve a surrounding community with a 3-mile average household income of $138k. The 69,000 square foot center is 96.6% based on actual or projected year one NOI.

Marketability 52

Marketability 52

ThomsonReuters

JULY 15, 2021

United Behavioral Health, 2021 WL 2554109 (D. An employee and child—both covered under a self-insured group health plan—sued the plan’s claims administrators for denying coverage for the child’s long-term residential mental health treatment. Utah 2021).

Compliance 52

Compliance 52

Sun Acquisitions

MARCH 29, 2024

Understanding the terms and structure of the financing is the first step in evaluating the deal’s potential. Assess the Seller’s Financial Health: One of the primary concerns in any seller financing deal is the financial health of the seller.

Finance 64

Finance Business Valuation Compliance Marketability 64

Business Wire M&A

MARCH 31, 2023

AUSTIN, Texas--(BUSINESS WIRE)--Continental General Insurance Company (together with its affiliates, “Continental General” or the “Company”), today announced that it signed a definitive agreement to acquire a block of long-term care (“LTC”) policies from Elevance Health, Inc. NYSE: ELV).

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Business Wire M&A

FEBRUARY 2, 2023

BUSINESS WIRE)--Solaris Health Holdings announced today that two additional urology practices have joined as affiliates. Terms have not been disclosed. UroPartners, the Midwest’s largest independent urology group, brings to Solaris the skills and talents of 90 providers who care for 100,000 unique patients each year.

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