Affordable Care Act, Medicare, CMS

Bringing Sunlight to Healthcare Pricing: The CMS Release of Hospital Charge Data

by Robert Wolin | BakerHostetler on 5/17/2013

Former U.S. Supreme Court Justice Louis D. Brandeis once said that "Sunlight is the best disinfectant." The release of charges billed by some 3,337 Medicare hospitals for 100 of the most common inpatient diagnosis related...more

Health Care Reform Update -- May 13, 2013

by Joseph P. Hammang, Alexander Hecht, Abby Matousek, Jeremy Rabinovitz | Mintz Levin - Health Law on 5/15/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

Health Care Reform Update -- May 6, 2013

by Joseph P. Hammang, Alexander Hecht, Abby Matousek, Jeremy Rabinovitz | Mintz Levin - Health Law on 5/8/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups Scheduled....more

Health Care Reform Update -- April 2, 2013

by Joseph P. Hammang, Alexander Hecht, Kevin M. Kappel, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 4/3/2013

In This Issue: Implementation of the Affordable Care Act (ACA); Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

Payment Adjustments for Low-Volume Hospitals and Medicare-Dependent Hospital Program Extended

by Mark A. Stanley | Ober|Kaler on 3/30/2013

CMS has issued a notice that (1) payment adjustments for certain low-volume hospitals and (2) the Medicare-dependent hospital (MDH) program will be extended through federal fiscal year 2013 (FY 2013). The extension of the...more

Ordering/Referring Phase 2 Begins May 1st - Claims Will Be Denied

by Donna Senft | Ober|Kaler on 3/30/2013

In an April 24, 2009 transmittal, CMS announced a two-phase claims editing expansion designed to allow verification that the physician or non-physician practitioner (NPP) listed as the ordering/referring provider on a...more

OIG Recommends Increased CMS Enforcement of SNF Standards

by Holly Barker, Kathleen McDermott | Morgan Lewis on 3/22/2013

Amid alleged failures of skilled nursing facilities to meet care and discharge planning requirements, OIG identifies substantial payment errors....more

CMS Issues Rules On Physician Payments Sunshine Act

by Michael Volkov on 3/15/2013

People like to think they have it the hardest in life. I call it the competition among victims. If you are in the healthcare industry and fall under the Physician Payments regulations, then I think you are on your way to...more

Health Care Reform Implementation Update - March 14, 2013

by Mark Alderman | Cozen O'Connor on 3/14/2013

Last week, the Department of Health and Human Services (HHS) conditionally approved state partnership marketplaces in Iowa, Michigan, New Hampshire and West Virginia; Accountable Care Organizations wrote to the Centers for...more

CMS Provides Progress Report to Senate Finance Committee on Healthcare Reform Efforts, Highlighting Decrease in Hospital...

by King & Spalding on 3/12/2013

On February 28, 2013, the acting principal deputy administrator and director of CMS, Jonathan Blum, provided a progress report to the Senate Finance Committee on CMS’s efforts to reform the healthcare delivery system,...more

Health Care Reform Update -- March 4, 2013

by Gary Bacher, Joseph P. Hammang, Alexander Hecht, Kevin M. Kappel, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 3/5/2013

In This Issue: Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

President Obama Issues Sequestration Order, CMS Has Yet to Publish Implementation Instructions

by King & Spalding on 3/5/2013

On March 1, 2013, President Obama issued a sequestration order directing the Office of Management and Budget (OMB) to administer across-the-board cuts to federal spending. Concurrently, OMB issued a report to Congress...more

CMS Announces Proposed Rule Implementing the ACA's MLR Requirements for MA and Prescription Drug Plans

by Darryl Landahl, Ishra Solieman | Brownstein Hyatt Farber Schreck on 2/22/2013

On February 15, the Centers for Medicare & Medicaid Services (CMS) released its Proposed Rule, effective calendar year (CY) 2014, implementing the Medical Loss Ratio (MLR) requirements for Medicare Advantage (MA)...more

CMS Issues Final Rule for Implementing Sunshine Act

by Wilson Sonsini Goodrich & Rosati on 2/14/2013

On February 8, 2013, 16 months after the statutory deadline, the Centers for Medicare & Medicaid Services (CMS) published in the Federal Register the final regulation implementing the physician payment transparency...more

Health Care Reform Implementation Update - February 13, 2013

by Mark Alderman | Cozen O'Connor on 2/13/2013

In the past week, the Congressional Budget Office (CBO) released an updated federal budget to account for new regulations from the Department of Health and Human Services (HHS) and the Internal Revenue Service (IRS),...more

CMS Publishes Annual Update On Recovery Audit Activity, Says Program Returned Nearly $490 Million to Medicare Trust Fund in 2011

by King & Spalding on 2/13/2013

On February 5, 2013, CMS sent Congress a report summarizing developments related to its Medicare recovery audit program for fiscal year (FY) 2011. According to the report (titled Recovery Auditing in the Medicare and...more

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Patient Protection and Affordable Care Act (PPACA) › Medicare › Centers for Medicare & Medicaid Services

Bringing Sunlight to Healthcare Pricing: The CMS Release of Hospital Charge Data

Health Care Reform Update -- May 13, 2013

Health Care Reform Update -- May 6, 2013

Health Care Reform Update -- April 2, 2013

Payment Adjustments for Low-Volume Hospitals and Medicare-Dependent Hospital Program Extended

Ordering/Referring Phase 2 Begins May 1st - Claims Will Be Denied

OIG Recommends Increased CMS Enforcement of SNF Standards

CMS Issues Rules On Physician Payments Sunshine Act

Health Care Reform Implementation Update - March 14, 2013

CMS Provides Progress Report to Senate Finance Committee on Healthcare Reform Efforts, Highlighting Decrease in Hospital...

Health Care Reform Update -- March 4, 2013

President Obama Issues Sequestration Order, CMS Has Yet to Publish Implementation Instructions

CMS Announces Proposed Rule Implementing the ACA's MLR Requirements for MA and Prescription Drug Plans

CMS Issues Final Rule for Implementing Sunshine Act

Health Care Reform Implementation Update - February 13, 2013

CMS Publishes Annual Update On Recovery Audit Activity, Says Program Returned Nearly $490 Million to Medicare Trust Fund in 2011

Capital Thinking Update - February 4, 2013

The Physician Payment Sunshine Act Final Rule A Summary Of Key Provisions

CMS Announces Participants in Bundled Payments for Care Improvement Initiative

Long Term Care Hospital Moratorium Expires

Health Care Reform Implementation Update - February 4, 2013

Recent CMS Guidance Partially Lifts Veil on Stark Self-referral Disclosure Protocol

National Provider Call on FY 2014 Medicare DSH Changes

Health Reform + Related Health Policy News Update - December 19, 2012

Birmingham Medical News: 2012 Health Care Year In Preview

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