In This Issue: - Top News ..CMS Finalizes MLR Rule for Plans, Maintaining Application to Part D Sponsors ..Early State Filings Show Premium Reductions under ACA ..HHS Received More Than 830 Letters of...more
6/11/2013 - Abortion Affordable Care Act Anti-Kickback Statute CMS FDA Health Insurance Exchanges Healthcare HHS Medicaid Expansion Medicare Preexisting Conditions State Health Plans Wellness Programs
In This Issue: - Top News ..Tavenner Wins Senate Confirmation to Head CMS ..US Charges 89 in Nationwide Medicare Fraud Crackdown - State News ..Vermont Becomes Fourth State to Allow Physician-Assisted...more
5/30/2013 - Affordable Care Act CMS DOL Fraud Healthcare Medicaid Medical Loss Ratio Medicare OIG Physician-Assisted Suicide Prescription Drugs Supply Chain
In This Issue: - Top News ..HHS Releases Hospital Pricing Data in Transparency Effort; Results Show Significant Variation ..States Divided on Medicaid Expansion ..CMS Issues FY 2014 Proposed Rules for...more
5/13/2013 - CMS Contraceptives Health Insurance Exchanges HHS Hospice Hospitals Long-Term Care Medicaid Medicaid Expansion Nurses Proposed Regulation
In this Issue: - Top News ..Large Hospital Systems Settles for $25.5 Million for False Claims Act Allegations ..Catholics’ Challenge to Contraceptive Coverage Mandate Dismissed As Not Ripe - States...more
4/17/2013 - CMS Contraceptive Coverage Mandate False Claims Act Healthcare Hospitals IRS Medicaid Expansion Medicare Advantage Physician Payments Physicians Subcontractors Sunshine Act Supervision Sustainability
In This Issue: - Top News ..CMS Announces Round 2 Competitive Bidding Single Payment Amounts ..CBO Lowers SGR Repeal Cost by $100 Billion ..Republicans Press HRSA on 340B Audits ..HHS Proposes...more
2/7/2013 - CMS Competitive Bidding Contraceptive Coverage Mandate FDA GAO Health Insurance Exchanges HHS Medicaid Shared Responsibility Rule Sunshine Act
In This Issue: - Top News ..CMS, IRS Issue Proposed Rules on Health Insurance Mandate, Minimum - Essential Coverage ..Insurers Weigh Options for Exchange Participation ..Quality Improvements in Care...more
1/31/2013 - Affordable Care Act CMS DOL Health Insurance HHS HIPAA Individual Mandate IRS
In This Issue: - OMB Directs Department Heads to Prepare for Sequestration - HHS Finalizes Omnibus HIPAA Rule, Enhances Privacy Requirements - SCOTUS Says Equitable Tolling Not a Factor in DSH Case - Report...more
1/25/2013 - Data Protection DSH Equitable Tolling HIPAA HIPAA Omnibus Rule HITECH Hospitals Medicaid Medicare OMB Pay-For-Delay Pharmaceutical SCOTUS Sequestration
In response to the government’s continued focus on improving quality of care through payment policy, several changes to new and existing regulatory requirements recently came about through the 2013 Inpatient Prospective...more
1/18/2013 - CMS Healthcare Hospitals Inpatient Quality Reporting Medicare Outpatient Quality Reporting Physician Medicare Reimbursements Value-Based Purchasing
In This Issue: - Fiscal Cliff Deal Lengthens Medicare Overpayment Recovery Period - Cutting Medicaid Provider Tax May Shift Costs to States, CRS Finds - MedPAC Finalizes Payment Recommendations, GAO Solicits...more
1/18/2013 - American Taxpayer Relief Act CDC CMS Fiscal Cliff GAO Health Advisor Medicaid Medicare MedPAC OIG Overpayment SMART
In This Issue: - CMS Releases FY 2012 Financial Report; Misses Target forReductions in Improper Payments - CMS Releases Guidance on Medicaid/CHIP Issues - HHS Secretary Extends Deadline for Decision on...more
12/3/2012 - CMS FDA Health Insurance Exchanges HHS Medicaid Medical Devices Medicare OIG
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