News
June 28, 2012

From The Denver Business Journal

The U.S. Supreme Court’s decision to uphold almost the entire Patient Protection and Affordable Care Act (PPACA) will have little effect on the way Colorado businesses offer health insurance and Colorado health-care providers treat patients in the short term, local experts said Thursday.

The state will move ahead with developing a health care exchange, insurers will maintain new mandates such as a ban of lifetime coverage limits and hospitals will continue to look for ways to reduce costs to comply with provisions of the law.

About the only major change that could come from the decision on the federal health care reform law would occur if the Legislature attempts to roll back Medicaid eligibility, as the court ruled Thursday that it is allowed to do without incurring federal penalties.

“I don’t think the decision today affects the business planning process, except to provide greater certainty,” said Gerry Niederman, a shareholder in the health law practice group of Polsinelli Shughart PC of Denver. “It’s not going to, by itself, have an effect on the obligation of employers to provide coverage.”


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About Gerald Niederman


Gerry Niederman represents health care organizations and related nonprofit entities in Colorado and throughout the United States. His clients include facilities, practitioner groups, and related businesses, as well as trade associations and other enterprises serving the health care industry. He is a frequent author and speaker on a variety of contemporary health care issues.

Mr. Niederman offers clients a detailed understanding of legal and business variables involving the delivery and reimbursement of health care services. He has extensive experience working in the managed care field, developing integrated networks, and helping hospitals and physicians build and sustain innovative business arrangements. He is actively engaged in addressing challenges and opportunities related to health care reform initiatives.

Mr. Niederman frequently confronts complex regulatory and related business issues including antitrust, exempt organization, Medicare/Medicaid fraud and abuse, and Stark Law self-referral considerations. In addition, his representation of acute care and ambulatory health care facilities, as well as ancillary service providers, involves numerous third-party reimbursement, insurance law, licensure, contracting and related matters on an ongoing basis.

Gerry Niederman represents health care organizations and related nonprofit entities in Colorado and throughout the United States. His clients include facilities, practitioner groups, and related businesses, as well as trade associations and other enterprises serving the health care industry. He is a frequent author and speaker on a variety of contemporary health care issues.

Mr. Niederman offers clients a detailed understanding of legal and business variables involving the delivery and reimbursement of health care services. He has extensive experience working in the managed care field, developing integrated networks, and helping hospitals and physicians build and sustain innovative business arrangements. He is actively engaged in addressing challenges and opportunities related to health care reform initiatives.

Mr. Niederman frequently confronts complex regulatory and related business issues including antitrust, exempt organization, Medicare/Medicaid fraud and abuse, and Stark Law self-referral considerations. In addition, his representation of acute care and ambulatory health care facilities, as well as ancillary service providers, involves numerous third-party reimbursement, insurance law, licensure, contracting and related matters on an ongoing basis.