CMS, Affordable Care Act | JD Supra Law News

CMS Issues Final MLR Rule for Medicare Advantage and Part D Programs

by Roy M. Albert, Susan Berson | Mintz Levin - Health Law on 5/22/2013

Last week, CMS published a final rule implementing the ACA’s medical loss ratio (“MLR”) requirements that will apply to the Medicare Advantage (Part C) and prescription drug (Part D) programs beginning in contract year 2014. ...more

CMS Announces $1 Billion in Funding for Innovation Grants

by King & Spalding on 5/21/2013

On May 15, 2013, CMS released a funding opportunity announcement for round two of the Health Care Innovation Awards. The grants are administered by the CMS Innovation Center, which is authorized by the Affordable Care Act to...more

Health Care Reform Update -- May 20th, 2013

by Joseph P. Hammang, Alexander Hecht, Abby Matousek, Jeremy Rabinovitz | Mintz Levin - Health Law on 5/21/2013

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

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 Implementation Update - May 15, 2013

by Mark Alderman | Cozen O'Connor on 5/16/2013

Last week the Senate agreed to vote on Marilyn Tavenner’s nomination to lead the Centers for Medicare and Medicaid Services (CMS); the Department of Health and Human Services (HHS) announced an initiative that will give...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

OIG Revises Special Advisory Bulletin on Exclusions

by Howard Young | Morgan Lewis on 5/10/2013

OIG continues its aggressive interpretation of scope and effect of exclusion from participation in Federal health care programs and clarifies several open questions....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

Capital Infusion: Private Equity Update - May 2013

by Sean Clancy, Adam Connatser, Lindsay Faine, Jon Finger, Rani Hauth Guerra, J. Atwood Jeter, Robert Johnston III, Amy Kaufman, David McLean, Ryan Mitchell, George Schutzer, Akash Sethi | Patton Boggs LLP on 5/8/2013

In This Issue: - DIGGING DEEPER: A Guide to Health Care Regulatory Due Diligence in Private Equity Deals 1 - Policy Spotlight: Affordable Care Act 6 - Case Spotlight: Best Practices in Down-Round Financings &...more

Health Care Reform Implementation Update - May 6, 2013

by Mark Alderman | Cozen O'Connor on 5/7/2013

Last week the Centers for Medicare & Medicaid Services (CMS) issued new proposed regulations on FY 2014 payment updates and regulatory policy changes for inpatient and long term care hospitals, skilled nursing facilitates,...more

CMS Releases Proposed Inpatient Payment Regulation

by King & Spalding on 5/2/2013

On April 26, 2013, CMS released the proposed 2014 payment schedule for inpatient stays at general acute care and long-term care hospitals. In addition to the annual adjustment to payment rates, the proposed rule also reduces...more

Health Care Reform Update -- April 29, 2013

by Mintz Levin - Health Law on 5/1/2013

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

Affordable Care Act: Navigators Get Clarified and Standardized in CMS's Latest Proposed Rule

by Baker, Donelson, Bearman, Caldwell &... on 5/1/2013

On Friday, April 5, 2013, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule (45 CFR Part 155) that clarifies and implements standards for providers of consumer-related assistance under the...more

Health Care Reform Implementation Update - April 26, 2013

by Mark Alderman | Cozen O'Connor on 4/26/2013

Marilyn Tavenner received bipartisan support from members of the Senate Committee on Finance in her confirmation hearing to lead the Centers for Medicare and Medicaid Services (CMS) though a full Senate vote is being held up,...more

Health Care Reform Update -- April 15, 2013

by Joseph P. Hammang, Alexander Hecht, Tom Koutsoumpas, Jeremy Rabinovitz, Robert C. Skinner | Mintz Levin - Health Law on 4/16/2013

In This Issue: Leading the News; 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...more

Health Care Reform Implementation Update - April 12, 2013

by Mark Alderman | Cozen O'Connor on 4/12/2013

While Congress was in recess, the Centers for Medicare and Medicaid Services (CMS) surprised many when it changed course on Medicare Advantage payment rates – switching from a 2.3 percent reduction to a 3.3 percent increase,...more

Highlighting Transparency Through The Federal Sunshine Act Regulations

by Bruce D. Armon | Saul Ewing LLP on 4/9/2013

The final regulations implementing the Physician Payments Sunshine Act take effect April 9, 2013. Pharmaceutical manufacturers, group purchasing organizations, academic medical centers and physicians need to be ready to...more

The New DSH - Are You Supplying The Correct Data That Will Drive Your Payments?

by Leslie Demaree Goldsmith | Ober|Kaler on 4/8/2013

Effective October 1, 2013, CMS will begin paying disproportionate share hospitals differently. Congress ordered the change to the disproportionate share hospital (DSH) adjustment payment methodology as part of the Patient...more

CMS Issues Final Rule on Increased Federal Medical Assistance Percentage Changes

by King & Spalding on 4/4/2013

CMS has posted a final rule regarding increased federal medical assistance percentage (FMAP) changes for payments for certain Medicaid populations and is simultaneously seeking comment on selected provisions of the final rule...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

HEALTH REFORM: Federally Facilitated Exchanges Are Almost Ready

by Linda Tiano | Epstein Becker & Green, P.C. on 4/1/2013

On March 1, 2013, the Center for Consumer Information and Insurance Oversight (“CCIIO”) and the Centers for Medicare & Medicaid Services (“CMS”) released lengthy and detailed draft guidance regarding the federally facilitated...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

Getting Ready For The Physician Payment ‘Sunshine’ Rule

by Kathleen Howard, Joel R. Levin, Charles Mulaney, Jerica L. Peters | Perkins Coie on 3/22/2013

Originally Published in BNA Bloomberg, Medical Devices Law & Industry Report on March 20, 2013. On February 1, 2013, the Centers for Medicare and Medicaid Services (CMS) published the long-awaited final regulations for...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

Home

Legal News

Find a Lawyer

Browse Subjects

Subscribe

Pro Services

For Reporters

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

CMS Issues Final MLR Rule for Medicare Advantage and Part D Programs

CMS Announces $1 Billion in Funding for Innovation Grants

Health Care Reform Update -- May 20th, 2013

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

Health Care Reform Implementation Update - May 15, 2013

Health Care Reform Update -- May 13, 2013

OIG Revises Special Advisory Bulletin on Exclusions

Health Care Reform Update -- May 6, 2013

Capital Infusion: Private Equity Update - May 2013

Health Care Reform Implementation Update - May 6, 2013

CMS Releases Proposed Inpatient Payment Regulation

Health Care Reform Update -- April 29, 2013

Affordable Care Act: Navigators Get Clarified and Standardized in CMS's Latest Proposed Rule

Health Care Reform Implementation Update - April 26, 2013

Health Care Reform Update -- April 15, 2013

Health Care Reform Implementation Update - April 12, 2013

Highlighting Transparency Through The Federal Sunshine Act Regulations

The New DSH - Are You Supplying The Correct Data That Will Drive Your Payments?

CMS Issues Final Rule on Increased Federal Medical Assistance Percentage Changes

Health Care Reform Update -- April 2, 2013

HEALTH REFORM: Federally Facilitated Exchanges Are Almost Ready

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

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

Getting Ready For The Physician Payment ‘Sunshine’ Rule

OIG Recommends Increased CMS Enforcement of SNF Standards

Expand Your Reach