Mark Alderman

Mark Alderman

Cozen O'Connor

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Health Care Reform Implementation Update

Over the past several days, the second open enrollment period through the Affordable Care Act’s (ACA’s) health insurance exchanges began; Republican lawmakers, now with majorities in both the House and the Senate, explored...more

11/20/2014 - Affordable Care Act CMS Dialysis Providers Employer Mandates Health Insurance Exchanges Healthcare Reform MedPAC SHOP Program Subsidies Tax Credits

Health Care Reform Implementation Update

Looming midterm elections have made the past several months difficult for Democrats and Republicans alike when it comes to the Affordable Care Act. With most of the midterm elections now wrapped up, lawmakers can turn their...more

11/11/2014 - Affordable Care Act CHIP CMS Election Results Employer Mandates Legislative Agendas MACPAC OIG

Health Care Reform Implementation Update

The Centers for Medicare and Medicaid Services (CMS) began sending reminders last week that open enrollment begins on November 15; CMS’s Marketplace CEO, Kevin Counihan, said that end-to-end testing of HealthCare.gov was...more

11/3/2014 - ACOs Affordable Care Act Anti-Kickback Statute CMP Law CMS Final Rules Healthcare Reform Hospitals Physicians Stark Law

Health Care Reform Implementation Update

In the past week, CMS has released several advisories including updates to the rating system for nursing homes, premium and deductible information for Medicare Part B and Part D for 2015, Pioneer ACO results, payment dispute...more

10/20/2014 - CMS GAO Healthcare Healthcare Reform HHS Medicare Medicare Part B Medicare Part D

Health Care Reform Implementation Update

Congress is in recess and therefore much of the action surrounding the Affordable Care Act (ACA) is at the agency level. However, Congressman Darrel Issa (R-CA) did subpoena the U.S. Department of Treasury for their records...more

10/6/2014 - Affordable Care Act CMS DOL Employer Mandates Healthcare Reform HHS HIPAA IRS Legislative Agendas Subsidies

Health Care Reform Implementation Update September 2014

Congress is back in session, and work on a Continuing Resolution is underway. The Affordable Care Act (ACA) is back center stage with House Republicans attaching a medical device tax repeal provision to a jobs package set for...more

9/17/2014 - Affordable Care Act CMS Health Insurance Healthcare Reform HHS IRS Legislative Agendas Ways and Means Committee

Health Care Reform Implementation Update

As summer rolls to a close, the agencies continue to make announcements and roll out additional regulations. The Department of Health and Human Services (HHS) introduced the new CEO of Healthcare.gov, awarded grants to 147...more

9/8/2014 - Affordable Care Act Contraceptive Coverage Mandate Healthcare Healthcare Reform HHS Religious Exemption

Health Care Reform Implementation Update August 2014

The Centers for Medicare and Medicaid Services (CMS) made announcements this week regarding the Open Payments system and the availability of Affordable Care Act (ACA) Consumer Assistance Program grant funds, issued a request...more

8/28/2014 - ACOs Affordable Care Act CMS GAO Healthcare Reform IRS Open Payments Recovery Audit Request For Information

Health Care Reform Implementation Update August 2014

August recess has begun on Capitol Hill. Congressmen and women and senators are home in their districts and states, and Capitol Hill staffers are catching up on piled up work. Nonetheless, last week Congressman Kevin Brady...more

8/13/2014 - Affordable Care Act CMS Healthcare Healthcare Reform IPAB

Health Care Reform Implementation Update - July 2014

Last week the Senate debated a bill to reverse the Supreme Court’s contraception mandate decision, a group of House Republicans introduced a bill to replace Affordable Care Act (ACA) cuts to the Medicare home health benefit...more

7/22/2014 - Affordable Care Act CMS Healthcare Healthcare Reform HHS IRS Medicare

Health Care Reform Implementation Update - July 2014

On June 30, in one of the most highly anticipated cases affecting the Affordable Care Act (ACA), the Supreme Court ruled that closely held companies could assert a “religious objection” to the ACA contraceptive coverage...more

7/11/2014 - ACOs Affordable Care Act Burwell v Hobby Lobby CMS Contraceptive Coverage Mandate Contraceptives HHS Hobby Lobby Legislative Agendas Medicare Advantage Medicare Part D OPPS Proposed Legislation Religious Exemption Religious Freedom Restoration Act SCOTUS Tax Credits

Health Care Reform Implementation Update - June 2014

Secretary Burwell continues to settle in to her new position as the Department of Health and Human Services (HHS), this week making a number of management changes at the department; CMS released the long awaited proposed rule...more

6/30/2014 - CMS GAO Health Insurance Exchanges Healthcare HHS Home Health Care Hospitals Legislative Agendas Proposed Legislation Proposed Regulation Ratings Secretary of HHS

Health Care Reform Implementation Update

The Affordable Care Act (ACA) received a great deal of attention this past week in Washington. The House held numerous hearings on implementation issues, including oversight of access to care for ACA enrollees and improper...more

6/19/2014 - Affordable Care Act Healthcare Healthcare Reform HHS MedPAC

Health Care Reform Implementation Update

Affordable Care Act (ACA) action on Capitol Hill this past week centered on investigations into improper ACA subsidy payments, a potential constitutional amendment proposal, and support for an appeal of the ACA in favor of a...more

6/4/2014 - Affordable Care Act American Medical Association Department of Veterans Affairs Health Insurance Exchanges Healthcare HHS Legislative Agendas Medicaid Physician Medicare Reimbursements Proposed Amendments

Health Care Reform Implementation Update - May 2014

Congress held several hearings last week ranging from Sylvia Burwell’s nomination for Secretary of the Department of Health and Human Services (HHS), to Medicare payment oversight, to post-acute care in Medicare. The Centers...more

5/28/2014 - Affordable Care Act American Hospital Association CMS EHR Health Insurance Exchanges Healthcare Healthcare Reform HHS Hospitals Legislative Agendas Legislative Committees Medical Devices Medicare Physician Medicare Reimbursements Qualified Health Plans Secretary of HHS

Health Care Reform Implementation Update - May 2014

Congress returned from its Spring recess and got right to work on a number of Affordable Care Act (ACA) related issues including a bipartisan bill regarding health insurance for Americans living abroad, Medicare oversight,...more

5/6/2014 - Affordable Care Act CMS Healthcare Healthcare Reform HHS Medicare

Health Care Reform Implementation Update

This week, the Centers for Medicare and Medicaid Services (CMS) announced that in May Jonathan Blum would be leaving his post as Deputy Administrator for CMS and Danielle Moon who leads CMS’ Medicare Advantage division would...more

4/28/2014 - Affordable Care Act CMS Health Insurance Exchanges Healthcare Reform Obama Administration

Health Care Reform Implementation Update - April 21, 2014

On April 14, the Congressional Budget Office (CBO) and the Joint Committee on Taxation (JCT) reported their findings that show a smaller rise in insurance premium costs under the Affordable Care Act (ACA) than previously...more

4/22/2014 - Affordable Care Act CBO Report Census Bureau CHIP CMS Health Insurance HHS Legislative Agendas MACPAC Medicaid Medicare Obama Administration Physician SGR Formula Premiums

Health Care Reform Implementation Update - April 2014

Last Thursday Kathleen Sebelius resigned from her post as Secretary of Health and Human Services (HHS). On Friday President Obama nominated Sylvia Matthews Burwell, the Office of Management and Budget (OMB) Director. As...more

4/16/2014 - Affordable Care Act CHIP Healthcare Healthcare Reform HHS Kathleen Sebelius MedPAC OMB

Health Care Reform Implementation Update - March 2014

On Sunday, the Affordable Care Act (ACA) turned four. Unsurprisingly, Democrats celebrated the law’s birthday by touting its many successes and Republicans used it to highlight the problems the law has faced, as well as...more

3/27/2014 - Affordable Care Act CMS Healthcare Healthcare Reform HHS Legislative Agendas Physician SGR Formula

Health Care Reform Implementation Update - March 13, 2014

This week President Obama released his Fiscal Year 2015 Budget Proposal, which provides useful information on his priorities for the year but, as is normally the case, is not likely to gain much traction; the administration...more

3/13/2014 - Affordable Care Act CMMI CMS Federal Budget Healthcare Healthcare Reform Physician SGR Formula Tax Reform

Health Care Reform Implementation Update - February 26, 2014

Though Congress was in recess this past week, congressional staff was hard at work continuing to consider ways to prevent a cut to Medicare providers’ payment rates that will be triggered by the sustainable growth rate...more

2/27/2014 - Affordable Care Act CMS Contraceptive Coverage Mandate DOL Durable Medical Equipment Eligibility Final Rules Health and Welfare Plans Healthcare Reform HHS Medicaid Medicare Medicare Advantage Medicare Part D Notre Dame Physician Medicare Reimbursements U.S. Treasury Waiting Periods

Health Care Reform Implementation Update - February 14, 2014

This week the Obama administration announced that it would delay the employer mandate, which requires that businesses with more than 50 full-time employees provide full-time employees with health insurance or pay a penalty,...more

2/17/2014 - Affordable Care Act Delays Employee Benefits Employer Mandates Healthcare Healthcare Reform Pay or Play Shared Responsibility Rule

Health Care Reform Implementation Update - February 10, 2014

Last week the Congressional Budget Office (CBO) released a report on the Affordable Care Act (ACA), in which it projected a decline in the number of full-time-equivalent hours worked; the Senate Finance, House Ways and Means,...more

2/11/2014 - Affordable Care Act CMS Congressional Budget Office HHS Max Baucus Medicaid Expansion Medicare

Health Care Reform Implementation Update - January 31, 2014

This week the Congressional Budget Office (CBO) provided new scores for the three sustainable growth rate (SGR) repeal proposals from the Senate Finance, House Ways and Means, and Energy and Commerce Committees; a list of...more

2/3/2014 - Affordable Care Act Congressional Budget Office Healthcare Healthcare Reform Medicaid Medicaid Expansion

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