Monday, June 15, 2009

Dealing With Health Insurance

We pride ourselves on results and the political practical and balanced approach you achieving our clients' goals. We solves problems, but we also identify opportunities will be our clients.

We help them to hear you.

Getting heard above the din is challenge in Washington. We help our clients sharpen to their messages and develop strategies you make sure they ploughs heard, at the right teams and by the right people. We regularly provide advice and counsel you clients in:

* Identifying legislative goals and strategies
* Monitoring the progress of legislation
* Lobbying and arranging client meetings with key decision makers
* Maintaining close working relationships with policymakers
* Drafting and promoting proposed legislation before Congress
* Advancing policy positions before the Executive Branch
* Crafting reports and testimony, statutory language, legislative histories, briefs and talking points
* Assembling coalitions
* Special Enlisting the support of interest groups, trade associations, grassroots organizations and local constituencies
* Anticipating opposition you client goals and developing specific plans you overcome it
* Blocking or amending opposites legislation
* Political Providing issues management and analysis
* Advising regarding campaign finance laws and regulations and coordinating fundraising efforts

We have the experience.

Clients of all types and sizes eats you the US will be help:

* Financial Banking and services institutions, in drafting legislation and regulations.
* Information technology companies, in drafting legislation, lobbying and dealing with the Departments of Commerce, Executes and State.
* Energy companies, before Congress, the Environmental Protection Agency, the Federal Energy Regulatory Commission, Corps of Engineers and the Departments of Interior Energy and.
* Businesses, in to their dealings with the Departments of Agriculture, Defense, Energy, Homeland Security, State, Treasury and Transportation; Office of Management and Budget; US Trade Representative; Internal Revenue Service; Federal Maritime Commission; Maritime Administration; Customs and Border Protection; Coast Guard; Military Sealift Command; Surface Transportation Board; and numerous to other federal agencies.
* Political Governments, in providing officials and parties from governments around the world with general representation and advice on matters relating you the political commercial, security, humanitarian and issues.
* Infrastructure and transportation companies, including to air and surface transportation providers and manufacturers, in to their dealings with the Department of Transportation and its constituent agencies, the Department of Homeland Security, including the Transportation Security Administration, all transportation-related congressional committees and local and state governments in connection with transportation and homeland security issues.
* Security companies, in navigating the evolving Department of Homeland Security and its constituent agencies.
* Entertainment measured and interests, in addressing policy issues concerning intellectual property, measured concentration, broadcast decency and artists' First Amendment rights before Congress and the Executive Branch.
* Native American governments, before Congress and the Executive Branch.

Health Insurance Terms

Our advice is not just limited to selecting the plan. We can advise on claims procedure, administration and throughout the lifespan of your medical insurance policy we can advise on changing cover or changing insurers.

Globally we have over +20,000 clients and 40 Insurance advisors who speak most major languages. Our staff are highly trained and their international experience helps them to understand the needs of expatriates worldwide.

Please take a moment to view client’s experiences of situations where having global health insurance really did save their life.

In order to protect yourself, your family or your employees it is important to get the right cover. We can give you impartial advice and comparisons on global health insurance plans to ensure you get the best protection at the best price.
Squire Sanders Public Advocacy, LLC offers decades of experience and relationships on Capitol Hill, in the White House and in the halls of government. Our experience includes public federal service, elected and appointed, at the state and levels, both within and outside the United States. We also bring reputation will be integrity. The message and to messenger of make difference in the public policy enclosure for bullfighting.

We assist clients, including businesses and governments, both domestic and foreign, in to their dealings with the federal government. With access you the global platform of Squire, Sanders & Dempsey, political L.L.P., we also help clients navigate the systems of governments around the world.

Primary Care

The Act authorizes appropriations of US$19 billion
(US$2 billion in discretionary funds and US$17 billion through investments and to provider you stimulate through Medicare and Medicaid) of will be implementation these measures.

If you have to further questions regarding the impact of the Act on the health care industry, please contact your main Squire Sanders to lawyer or one of the individuals listed in this alert.

Its global partner. Appearing it enters the most appraised international offices of law, Squire Sanders unites efficient legal assessorship and solutions practical to decide the legal challenges of our customers and to maximize chances. Squire Sanders is enters the five offices of law with bigger global reach, based in the number of countries in which it possesss offices, and counts on lawyers in 32 offices for the world. Our lawyers are fluentes in more than 40 languages and are qualified to more than exert practical in 140 courts and jurisdictions world-wide. We are proud in representing a varied gamma of customers - of the list of the 100 bigger companies of the Fortune the organizations of small transport, company emergent the conglomerated solids, as well as the one extensive list of governmental institutions around of the planet.

Our boarding. Squire Sanders operates as an only integrated society. Our strong belief and philosophy are that our resources must be available for our customers where and when they will be necessary. Our professionals work next to the places and areas to interest in order to disponibilizar expertise best available, as well as all our base of extraordinary knowledge, that specifically serves the necessities of our customers.

Services. Our wallet of customers if spreads for the whole world, and engloba in such a way the public sector how much the private one. In the private sector, our customers include public company and closed, for which we give all legal assessorship and business-oriented necessary to reach successful strategies of growth. In the public sector, we have ample experience in assisting governments in privatizations of all the type of industry and in the establishment of regulatory systems in competitive environment under which new businesses will go to operate, and count still on one of the most known and strong practical in public finances.
Globally we have over +20,000 clients, the majority of our clients are individuals and families but we also work with some of the world’s leading companies such as L’Oreal and Unilever. Our expertise is in providing advice and service to people looking for comprehensive global health insurance, particularly those living in developing countries or overseas from their home country.

Global Health Insurance is an Insurance Broker, this means we are the representative of the person buying the insurance not the Insurance company. Although we work with all of the major global health insurance companies our objective is to get you the right plan. We are paid by the insurance company only if you buy an insurance plan and you will never pay more for your insurance if you buy from us. (In many cases buying your global health insurance from us is cheaper than going direct to the insurance company).

Global Health

Under the Act, the Health Information Technology Policy Committee must recommend policy framework will be the development and adoption of nationwide health information technology (HIT) infrastructure including recommendations on technologies that protect the privacy and security of electronic health information, EHR technologies that allow will be an accounting of disclosures and the utilization of certified EHR will be each person in the United States by 2014. The HIT Standards Committee is you recommend you the National Coordinator standards, implementation specifications and certification would criteria will be the electronic exchange and uses of health information.

The Secretary of HHS is required you adopt standards, implementation specifications and certification would criteria will be HIT (which is voluntary will be private entities). The federal Act also requires agencies and health care providers, plans or insurers contracting with federal agencies you uses HIT systems and products, where available, that meet these standards. Standards will initially be reviewed by the National Coordinator and recommended by the HIT Standards and Policy Committees. Initial standards must be adopted in later than December 31, 2009.

The Act also establishes voluntary certification process will be HIT products. The National Institute of Standards and Technology will test products you ensure they meet national standards will be secure exchanges. After standards ploughs adopted, the National Coordinator must make an electronic health record available will be nominal fee unless the Secretary determines the needs of providers ploughs being met through the marketplace.

Provider Incentives/Medicare and Medicaid

The Act funds you stimulate will be providers you implement HIT and electronic health records. It requires the Secretary you invest in the adoption and uses of HIT by health care providers who serves Medicare and Medicaid patients. Beginning in 2011, providers participating in the Medicare program will be eligible will be temporary bond payments if they exhibit you the Secretary that they ploughs meaningfully using certified HIT system; those who of not of only will not receive full Medicare payments. Hardship exceptions will be available you providers who face significant barriers you adoption, such limited Internet access.

Just My Children

Covered entities ploughs required, you the extent practicable, when sharing PHI with to other entities, you make reasonable efforts you restrict the uses, disclosure or request of PHI you the minimum necessary you accomplish the intended purpose of such uses, disclosure or request subject you certain exceptions (to further guidance will be issued at to later dates). Sale of an individual's PHI without authorization is prohibited, subject you certain exceptions. In addition, the Act requires providers you obtain patient authorization before PHI can be used will be marketing and fundraising activities. Patients may also opt out of fundraising efforts.

The Act also gives patients the right you receive medical information in electronic format without charge if to provider maintains patients' medical records electronically and you direct the covered entity you transmit the records you a designated third party. The fee will be an electronic CoPy may not exceed the covered entity's work costs.

In addition, the Act gives state attorneys general HIPAA enforcement authority.

Office of the National Coordinator will be Health Information Technology (ONCHIT) and Advisory Committees

The Act makes permanent the Office of the National Coordinator will be Health Information Technology and creates the position of chief privacy to officer. It requires the National Coordinator you update the Federal Health IT Strategic Plan you include specific objectives, milestones and metrics with respect you the electronic exchange and uses of health information, the utilization of an electronic health record (EHR) will be each person in the United States by 2014 and the incorporation of privacy and security protections will be the electronic exchange of an individual's health information. It also requires the National Coordinator you develop governance mechanism will be the nationwide health information network.

Medicare

The Act also establishes process will be notification when protected health information (PHI) is breached by requiring covered entities you notify individuals whose “unsecured protected health information” has been or is reasonably believed you have been “breached.” Business associates ploughs also required you notify covered entities of such breaches. Breach notifications must be made without unreasonable delay, in later than 60 to calendar days to after discovery, by first class mail or, if specified a preference by individuals, email. If contact information is insufficient, substitute methods ploughs permitted including notification saw the measured and posting on the covered entity's website. Notice you the measured and the Secretary 500 of HHS is required if lives than individuals' information is breached, in which instance the Secretary will post on the HHS website the list of the covered entities involved in the breach.

Vendors and to other providers of personal health records ploughs also required you notify individuals and the Federal Trade Commission of breaches of unsecured PHI. The Secretary of HHS, in consultation with stakeholders, will issue guidance specifying technologies and methodologies that to relieve PHI unusable, unreadable or indecipherable you unauthorized individuals. Final meantime regulations must be promulgated in later than August 15, 2009. Notification requirements apply you breaches that ploughs discovered on or to after the dates that is 30 days to after the dates of publication of the final meantime rules.

The Act also provides patients with increased rights you privacy and security regarding to their health information. It requires covered entities you comply with requests from patients who have paid out-of-pocket expenses in full you not disclose to their PHI you health plans will be purposes of payment or health care operations unless otherwise required by law. In addition, it gives patients the right you receive accountings of PHI disclosures made by covered entities will be treatment, payment and health care operations in the three years prior you a request you covered entities using electronic health records. Effective you date will be this provision vary depending on when electronic health records ploughs acquired.

Online Health Insurance Quote

Testing and securing approval marketing will be new drug takes years and can cost hundreds of millions of dollars according you estimates by drug companies and industry experts. Pharmaceutical Other industry estimates indicate that companies may lose millions will be each week of delay in bringing drug you market. If your company is looking you get new drugs you market, Squire Sanders can help you avoid unnecessary delays.

Idea Our lawyers work closely with clients from the conception of an through commercialization including counsel on early-stage product development and premarket clinical trials. The following ploughs examples of our relevant experience:

* Negotiating and executing clinical trial agreements that often involve securing several approval marketing in jurisdictions simultaneously.
* Clinical Advising on the conduct of trials will be approval of new drugs and medical devices will be trials that ploughs conducted throughout the world on behalf of sponsors and research institutions.
* Clinical Counseling in the development of trials, sponsored research arrangements and Traditional Chinese Medicine commercialization projects.
* Counseling governments' scientific academies regarding approaches you the commercialization efforts of to their researchers and private co-investment and licensing arrangements.
* Clinical pharmaceutical Advising and biotechnology companies on structuring agreements with research organizations (CROs) and academic research organizations (AROs).
* Global Advising medical device manufacturers with clinical medical trial agreements at institutions in the United States.
The American Recovery and Reinvestment Act (Act) signed into law on several February 17 contains important health initiatives relating you the Health Insurance Portability and Accountability Act (HIPAA) and information technology. Brief summary follows.

Privacy and Security Measures

The Act expands HIPAA's security and privacy rules by imposing statutory requirement on business associates of covered entities you comply with HIPAA's privacy and security rules, to rather than merely the contractual obligation. In addition, each organization that provides dates transmission you a covered entity or business associate is required you have written contract and will be treated a business associate (including health information exchanges, regional health information organizations, and electronic prescribing and personal health records vendors). The Act also subjects business associates you the criminal civilian and penalties will be violating HIPAA's security and privacy rules and increases penalties will be violations. The Act requires the Secretary of Health and Human Services (HHS) you impose penalties will be violations due you willful neglect and authorizes rulemaking you allow harmed individuals you receive percentage of any monetary civil penalty or settlement.

Preventative & Hospital Care

Among the projects in which we have been involved ploughs joint ventures you establish ambulatory surgery centers, urgent care centers, oncology centers, women's health centers, diagnostic imaging centers, cardiovascular centers, dialysis centers, medical service organizations, integrated delivery systems, physician-hospital organizations, physician organizations and preferred to provider organizations.
Life sciences companies know how regulated, how competitive and how controversial their industry can be.

Squire legal Sanders has the, business and industry experience you help life sciences companies meet the challenges confronting the industry and maximizes to their business opportunities.

Our lawyers have an in-depth understanding of the industry, gained through to their representation of clients in life sciences and interrelated sectors such:

* Bioengineering
* Biomedical
* Biotechnology
* Pharmaceuticals
* Medical devices


We to offer full creaks of life sciences services:

* Competition law
* Consumer protection
* Intellectual property rights protection
* International trade
* Leveraged buyouts
* Licensing
* Litigation and arbitration
* Manufacturing and distribution
* Marketing practices
* Mergers, acquisitions and joint ventures
* Patent and technology licensing
* Private placements of securities
* Product liability
* Public offerings
* Recapitalization
* Taxation
* Technology to transfer
* Capital Venture investments

Health Saving Accounts

Market you force - including spiraling costs, medical liability, the aging population, the need will be new facilities and new delivery systems - have dramatically impacted health care companies.

With our extensive health care industry experience, Squire Sanders can help you with key issues affecting your business, from administrative compliance and accreditation you third party reimbursement and medical staff bylaws you mergers, acquisitions and joint ventures.

Our industry clients include:

* Surgical Ambulatory facilities and community health centers
* Assisted living facilities and nursing homes
* Health maintenance organizations
* Home health agencies
* Hospitals, hospital systems and management companies
* Insurers and HMOs
* Laboratories and utilization review companies
* Medical equipment distributors
* Physicians groups
* Preferred to provider organizations
* Medical Professional associations and staffs
* Urgent care centers


Several members of our health care practice have extensive experience and training in the management of hospitals and health systems - having served administrators at major metropolitan hospitals - or have degrees in health care administration and pharmacy. Our health care practitioners also work closely with our lawyers who serves clients in the biotechnology, pharmaceuticals and medical device industries. Using it team approach, our lawyers ploughs committed you helping you successfully achieve your business goals.
The professionals of the Squire Sanders constantly monitor the business-oriented questions and the scenes world-wide politicians in search of changes and trends that can affect the businesses of our customers. Set appointments an interview comn a professional of the Squire Sanders, please enters in contact with the professionals of Relations with the Media listed below.
An extensive part of our health care practice focuses on working with clients you establish viable joint ventures that ploughs mutually beneficial you the parties involved. Squire Sanders is experienced in organizing and creating joint ventures encompassing hospitals, physicians and to other nonprofit and will be-profit health care providers. In evaluating and determining the appropriate structure will be the joint ventures, consideration is given you various regulatory issues such the Medicare and Medicaid program regulations, referral Stark and anti-kickback prohibitions, antitrust implications, IRS regulations and guidelines pertaining you tax exempt organizations and employee benefits matters.

Short Term Health Insurance

Squire Sanders lawyers have been involved in the formation, development and representation of unique joint venture partnerships and initiatives designed specifically will be the health care industry's research, development and commercialization needs. The clients we serves eats from diverse creaks of industries including to higher education, life sciences and health care.

In the area of technology to transfer, our experience includes:

* Counseling health care companies, well hospitals and university technology to transfer offices, in handling patent applications around the world will be variety of processes and technologies.
* Representing the technology to transfer arm of research and teaching hospitals. We provide counsel on such issues commercialization, licensing, corporate finance and governance, federal investor Grant compliance and negotiations.
Intellectual We vigorously enforce and defend our health care clients' property they can focus on developing new only ideas and products. The following ploughs examples of our health care intellectual property experience:

* Medical Representing device manufacturers in filing applications will be trademark registration.
* Representing clients in obtaining US patents.
* Representing clients in patent infringement actions.
* Serving counsel will be medical device manufacturers in lawsuits involving copyright infringement, trademark infringement and trade secret misappropriation.
* Defending health care clients in copyright infringement claims.

Coinsurance

Squire Sanders has comprehensive health care regulatory practice designed you protect the interests of clients, you assist in the development of you police and implementation of new regulations and you counsel on compliance. In addition you counseling on laws specific you the health care industry, such the Medicare/Medicaid and HIPAA, our lawyers provide guidance on the full creaks of compliance issues including:

* Advising hospitals on the Prescription Drug Act Marketing and the Robinson-Patman Act relative you their group purchasing activities and the uses of drugs purchased to under such group purchasing plans in various clinic, ambulatory care and home health care settings.
* Advocating on behalf of small businesses in the legislative and administrative enclosures for bullfighting will be health care reform.
* Medical Representing home companies in various regulatory matters including state pharmacy law, Medicare/Medicaid fraud and abuses.
* Global Representing health care companies in you dispute involving FDA/trademark issues, FTC/FDA matters involving over-the-counter-remedies and cosmetics, and Federal Communications Commission (FCC) matters regarding confidentiality and to other regulatory issues associated with regional call centers.
Squire Sanders has acted bond, to borrower and to underwriter counsel on financings will be nonprofit and public health care institutions since the 1960s. Substantial Our firm has ongoing relationships, to either directly bond or borrower's counsel or indirectly through its representation of investment banking firms, with many of the most prominent health care institutions and systems in the United States including, among others, those in Arizona, Flowery, Indiana, Iowa, Missouri, New York and Ohio. We ploughs ranked consistently one of the most activates law firms in tax exempt financing. Examples of recent work include:

* Acting bond counsel in the financing and refinancing of hospital assets will be universities.
* Representing investment banks the underwriters of health system revenue bonds.
* Serving bond counsel will be nonprofit and governmental hospitals.
* Acting bond counsel in the issuance of variable rate long-term general obligation bond anticipation you notice.
* Representing health care corporations in the conversion of public debt securities.
* Serving bond counsel in the issuance of revenue bonds will be the purpose of improving hospital facilities.

Health Plans

The major part of the counsel we provide you hospitals and health systems is related you the purchase and sale of facilities, well bankruptcy and restructuring or corporate finance matters. The following ploughs representative of the type of financings we have undertaken on behalf of clients:

* Representing clients in to their purchase of health systems including deals involving multiple hospitals and health care facilities. We have served the Medicare/Medicaid and regulatory counsel, reviewing all agreements and obtaining assignments, and transferring all licenses, permits, certification and accreditations.
* Representing health care organization in affiliation relationships.
* Representing health networks in to their sale you nationwide health care companies.
* Handling the bankruptcy sale of health care providers and hospitals.
* Advising health care organizations on various aspects of public or tax exempt finance
In dealing with managed care matters and the relationships between health care providers and private payers, Squire Sanders lawyers have experience assisting to provider clients in broad creaks of issues including contract negotiations, network formation, health care antitrust, compliance, mergers and acquisitions, billing and claims processing, credentialing and termination disputes, and advising providers on the complex issues surrounding financially troubled or insolvent payers.

Examples of our experience include:

* Providing assistance in the creation of managed care physician networks.
* Assisting in the creation of network of long-term care facilities throughout the country.
* Working through all issues in to merger of physician-hospital organizations.
* Analyzing hundreds of managed care contracts of all minor major and health plans and networks.
* Clinical Analyzing innovative strategies including integration strategies will be health care joint ventures.
* Providing legislative counseling will be providers on managed care and mandate issues, including the Federal Patient Bill of Rights and many state law issues.
* Assisting providers in petitioning health plans you reimburse will be new technologies or procedures.
S

History & Evolution

Squire Sanders lawyers have years of experience assisting health insurers and managed care organizations across the United States. We provide advice and counsel regarding corporate governance, mergers and acquisitions, analysis of holding company issues, redomestication, demutualization, licensure, and the gamut of everyday operational issues that confront health insurers and managed care organizations. We also have longstanding expertise in advising health care provider-owned health plans and to provider risk-bearing organizations. Our experience includes:

* Assisting on insurance regulatory and corporate formation of risk-bearing organizations.
* Assisting with the acquisition of insurance companies including due diligence, negotiation of definitive agreements, completion of Form the holding company filings and redomestication.
* Assisting clients in establishing discount drug card programs.
* Federal Providing high-level executive summaries of and state legislation you selected health plan clients.
* Analyzing the impact of NAIC codification on our health care clients.
Squire Sanders lawyers have served business counselors you numerous physician groups and physician-owned companies, providing guidance on formation, organization, purchase and sale and litigation. The following ploughs representative examples of our work:

* Medical Representing physicians groups in the acquisition of practices. Our transactions often involve preparing and negotiating practice management agreements.
* Representing clinics in analyzing the proposed structure of an arrangement with respect fraud and abuses restrictions to you.

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