Affordable Care Act, Medicare, Open Enrollment

NAIC Working Group Approves Revisions to Regulate Health Insurance Lead Generators

Venable LLP on 9/20/2023

This August, a working group sponsored by the National Association of Insurance Commissioners (the "NAIC") unanimously approved revisions to the NAIC's Unfair Trade Practices Act Model #880 (the "Model Law") to restrain...more

Open Enrollment Update: CMS Releases Benefit And Market Data

Husch Blackwell LLP on 11/1/2018

Anticipating open enrollment season for coverage in 2019, the Centers for Medicare and Medicaid Services (CMS) released coverage and premium information that will factor into consumer decisions about Medicare and individual...more

Better Healthcare Newsletter from Patrick Malone - October 2018

Patrick Malone & Associates P.C. | DC Injury... on 10/4/2018

For Americans and their health coverage, October and November will be a time to remember. And act. The season is upon us when it pays to learn the critical facts about your current health insurance coverage and your...more

Hospitals & Physician Organizations Summary Report - November 2017

Benesch on 11/21/2017

Uncertainty and pressures continue to mount for healthcare providers, creating a new operating environment – Uncertainty around Medicaid and other programs, the shift to value-based care, margin pressures, the need to search...more

Trump Administration Takes First Steps to Support Exchanges, but Key Questions Remain

McDermott Will & Emery on 2/27/2017

In an effort to stabilize the Exchanges and encourage issuer participation, the Centers for Medicare & Medicaid Services (CMS) recently extended the federal Exchange application and rate filing deadlines and published a...more

Washington Healthcare Update

McGuireWoods LLP on 3/8/2016

This Week: The President took a victory lap in Wisconsin, announcing that 20 million people have gained health insurance through the Affordable Care Act... That figure includes people newly covered through insurance...more

It’s health insurance open enrollment — research, choose carefully

Patrick Malone & Associates P.C. | DC Injury... on 11/11/2015

November has become more than the month devoted to families and feasting: It’s now the start of the season when Americans try like heck to avoid becoming health insurance turkeys. Open enrollment periods are under way — for...more

Health Care Update - November 2015

Mintz - ML Strategies on 11/4/2015

Ways & Means Leadership Changes – Health Policy Implications Looming: As Congress pushes forward with a two-year budget deal, and new Speaker Paul Ryan begins his tenure as the top Republican in the House of...more

Washington Healthcare Update

McGuireWoods LLP on 10/20/2015

Bicameral Bill Introduced to Provide HHS Authority to Reject Proposed Insurance Rates - Before Congress left for its Columbus Day recess, Rep. Jan Schakowsky (D-IL) and Sen. Diane Feinstein (D-CA) introduced the Health...more

Washington Healthcare Update

McGuireWoods LLP on 8/25/2015

This Week: FDA Begins Device User Fee Talks with Patients and Consumers Sept. 15... CMS Extends Partial Enforcement Delay of Two-Midnight Policy Through 2015... Alaska Legislature Sues Governor Over Medicaid Expansion....more

Manatt on Health Reform: Weekly Highlights - August 2015 #2

Manatt, Phelps & Phillips, LLP on 8/12/2015

Reductions in uninsured rates are greatest in states with Medicaid expansions and State-based or State Partnership Marketplaces; Kentucky finds increased use of preventive healthcare following Medicaid expansion; and,...more

Manatt on Health Reform: Weekly Highlights - August 2015

Manatt, Phelps & Phillips, LLP on 8/5/2015

Increased plan choice on HealthCare.gov is linked to lower premium growth; Arizona seeks changes to Medicaid expansion; and California and New York release detailed Marketplace and Medicaid enrollment reports....more

Washington Healthcare Update

McGuireWoods LLP on 2/24/2015

This Week: Upcoming Hearing: HHS Sec. Burwell Appearing Before E&C Committee on FY2016 Budget... CMS Issues 2016 Payment and Policy Updates for Medicare Health and Drug Plans... CMS Releases Improved Rating System for Nursing...more

Getting the Best Medical Care: a Newsletter from Patrick Malone - November 2014

Patrick Malone & Associates P.C. | DC Injury... on 11/4/2014

In This Issue: - Time Equals Money - What Are They Talking About? - Medicare Is Not Free - The Period of "Open Enrollment" Might Be Limited - Get Additional Help - Excerpt from Introduction: ...more

Health Care Update

Mintz - Health Care Viewpoints on 3/25/2014

In This Issue: Implementation of the Affordable Care Act; Other Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Upcoming Hearings and Markups. Excerpt from...more

Ordering/Referring Provider Edits To Be Turned On Effective January 6, 2014

King & Spalding on 11/15/2013

On November 6, 2013, CMS announced that it plans to turn on claims processing edits (effective January 6, 2014) to deny Part B clinical laboratory and imaging, and DMEPOS, and Part A home health agency claims that fail...more

Health Care Reform Implementation Update - October 22, 2013

Cozen O'Connor on 10/23/2013

After 16 days of government shutdown, Congress voted to reopen the government and avert default without defundingthe Affordable Care Act, delaying the individual mandate, stripping the medical device tax from the law or...more

Health Reform + Related Health Policy News - October 2013

Polsinelli on 10/16/2013

In This Issue: - Top News ..Judge Orders $237.4 Million Penalty Against Tuomey for Stark Law and False Claims Act Violations ..Glitches and Demand Lead to Marketplace Frustration ..HHS Delays Small...more

Medicare Enrollment Moratoria: Implications for Service Expansion and Certain Transactions

Baker Donelson on 9/9/2013

One of the provisions of the Affordable Care Act provided CMS with the authority to impose a temporary enrollment moratorium for a particular type of provider or supplier if determined to be necessary to combat fraud and...more

CMS Issues Final Program Integrity Rule for Affordable Insurance Exchanges

King & Spalding on 9/4/2013

On August 30, 2013, CMS published a final rule establishing certain program integrity requirements for the private health insurance marketplaces—called Affordable Insurance Exchanges (or Health Insurance...more

Health Care Reform Implementation Update - August 26, 2013

Cozen O'Connor on 8/27/2013

In response to security concerns about personal information in the health insurance exchanges, the Centers for Medicare and Medicaid Services (CMS) released a new security agreement for the data hubs where this information...more

CMS Issues Final Rule on Medicaid and Children’s Health Insurance Program Eligibility Provisions, Appeals, and Related...

King & Spalding on 7/17/2013

On July 5, 2013, CMS issued a final rule supplementing the Exchange final rule, reflecting new statutory eligibility provisions and implementing changes related to Medicaid and the Children’s Health Insurance Program (CHIP)...more

Patient Protection and Affordable Care Act (PPACA) › Medicare › Open Enrollment

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