New York Appellate Court Recognizes Private Right to Sue Under New York’s “Prompt Pay Law”

April 10, 2014

New York’s “Prompt Pay Law” (Insurance Law Section 3224-a), requires insurers and HMOs (“Health Plans”) to pay undisputed claims within 30 days after receipt of an electronic submission, or within 45 days after receipt by other means. A Health Plan which violates the law is liable to the healthcare provider for the amount of the …

OMIG Releases 2014-2015 Work Plan

The New York State Office of the Medicaid Inspector General (“OMIG”) has released its Fiscal Year 2014-15 Work Plan which provides an overview of OMIG’s planned reviews and other activities between April 1, 2014 and March 31, 2015. The Work Plan is an important tool that providers should use as part of their own risk …

LIMITED TIME OFFER: GIFT BEFORE APRIL 1, 2014: New York Proposes Dramatic Change to Estate and Gift Taxes

February 12, 2014

Governor Cuomo is taking steps to alter what he calls New York’s “outdated” estate tax system. To meet the increasing Federal estate exemption, he has proposed raising the state’s exemption from $1,000,000 to $5,250,000 and lowering the top estate tax rate from 16% to 10% by 2017 and indexing the exemption for inflation beginning in …

Second Circuit Court of Appeals Affirms Preliminary Injunction Against United Healthcare, Staying Inappropriate Termination of Connecticut Physicians *** PROMPT ACTION REQUIRED ***

In a Summary Order on February 7, 2014, the United States Court of Appeals for the Second Circuit affirmed the December, 2013 decision and preliminary injunction order by Judge Stefan Underhill of the District Court of Connecticut, which precluded United Healthcare from proceeding with its termination of Fairfield and Hartford County Medical Association members from …

New York State DOH Finalizes Policies for Transition of the Medicaid Nursing Home Benefit and Population Into Managed Care

February 11, 2014

The Department of Health (DOH) recently distributed its final policies setting forth the rules governing the transition of the Medicaid nursing home benefit and population into managed care. DOH’s goal in implementing these policies is “to foster a care delivery model that promotes transitional planning across the health care delivery system with the focus on …