October 24, 2021

Volume XI, Number 297

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October 22, 2021

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Health Benefit Exchanges: False Claims Gold Mines?

The Affordable Care Act enables the establishment of Health Benefit Exchanges of several types, including (i) State-based, (ii) State-Federal partnerships and (iii) Federally Facilitated Exchanges. The purpose of the Exchanges is to, among other things, "provide competitive marketplaces for individuals and small employers to directly compare available private health insurance on the basis of price, quality and other factors.

In theory, the information provided by the exchanges will "give small businesses the same purchasing clout as larger businesses." Those goals are laudable and hard to quarrel with--anyone who has tried to buy individual health insurance knows that the available information on comparability of insurance plans is at best insufficient and at worst opaque.

Click here to read the entire article as published by Bloomberg BNA

Copyright © 2021, Sheppard Mullin Richter & Hampton LLP.National Law Review, Volume III, Number 138
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Sheppard Mullin provides a full range of legal services to clients that do business with governmental entities.  We advise clients on complying with complex government regulations and defending them in the event of litigation.  We specialize in handling government contract disputes, bid protests, claims and defending individuals and corporations in a wide range of administrative, civil and criminal proceedings, including fraud investigations and whistle blower lawsuits.  Sheppard Mullin also has the ability to serve clients in such areas as legislative advocacy, public relations and other...

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