As HMOs and other participants in the US health care industry reorganize and adjust their financial, regulatory, and market conduct to comply with the Affordable Care Act and its ramifications, the economic effects will reverberate throughout the global marketplace. Our HMO team will assist your company in navigating these challenges.

Dentons brings a global perspective and can assist you with all aspects of HMO regulation—from product development to control filing changes and representation before state insurance regulators. We can also partner with you to form, acquire or merge with an HMO.

Take advantage of our extensive network within federal agencies, state capitals and trade associations, as well as on Capitol Hill. Our ability to access information and assess policy makes us ideal allies for your organization. Whatever your HMO needs, we are here to support you. Our lawyers and professionals advise and counsel on all aspects of HMO regulation, including:

• Product development
• Acquisitions and dispositions of blocks of business
• Change of control filings
• Representation of clients before state insurance regulators in connection with market conduct, financial matters and unfair trade practices examinations. 

In addition to advising on general compliance issues, we have experience in the formation, mergers and acquisitions of HMOs. We also represent several Blue Cross Blue Shield organizations in connection with health care and insurance regulatory issues. Find your way through the growing complexities of health care with Dentons as your guide.

Insights

President Trump acts to make changes to the Affordable Care Act

October 13, 2017

Yesterday, President Donald Trump signed an executive order “Promoting Healthcare Choice and Competition Across the United States,” setting in motion a process intended to lift restrictions placed upon association health plans by the Affordable Care Act. The Order focuses specifically on changes to association health plans, short-term limited-duration plans and health reimbursement arrangements. The President followed up with a late-night press release, pulling back cost-sharing payments to insurance companies under Obamacare. We break down what the President's Order and statements mean for insurers, individuals and state regulatory agencies.

IREG Update

August 7, 2015

Earlier this year, we published an update discussing the insurance pitfalls and opportunities associated with ride-sharing. In today's Hot Topic we address the unique insurance risks and opportunities surrounding shared lodging through companies like Airbnb, HomeAway and Couchsurfing.