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Health Care Policy Report

Health Care Policy Report™ offers the inside story on health care regulation and policy, with behind-the-scenes news and analysis of developments in Congress, the federal agencies, and the states.

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EXPERT NEWS & COMMENTARY

Get critical details and developing health policy news unreported elsewhere, courtesy of Bloomberg BNA's extensive reporting staff. Health Policy Report delivers up-to-date facts and figures on health policy issues from courtrooms, hearing rooms, and boardrooms across the country. Find out what health insurers, insurance regulators, employers, tax specialists, consumer groups, health care providers, HMOs, fraud investigators, and other interested parties — and the professionals who advise and represent them — are saying and doing.


TRUSTED LEGAL ANALYSIS

Know what's ahead to better influence the direction of policy — or prepare for changes — while receiving the same analysis and information relied on by the nation's most powerful decision makers, lobbyists, industry executives, and association leaders

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POWERFUL RESEARCH FEATURES

Access important primary source material in full text, including regulations, court decisions, reports, and testimony.


WHAT'S INCLUDED

Make efficient and informed decisions with comprehensive daily legal and regulatory news with Bloomberg BNA’s expertise.

TOPICS COVERED

  • Employers’ measures to control rising health insurance premiums
  • Federal regulatory proposals to help reduce medical errors
  • Government and private payer’s initiatives to control spiraling drug costs
  • Health IT incentives for state Medicaid programs
  • Health system reform:
    • Access to insurance
    • Quality improvement initiatives
    • Cost containment efforts
  • HIPAA privacy rule enforcement
  • Medicare drug benefit regulations
  • State efforts to cope with Medicaid expansion, cost growth
  • State efforts to curb rapidly rising medical malpractice insurance premiums
Key Laws and Regulations
  • ERISA provisions affecting employer group health plans
  • Federal and state health-insurance regulations
  • Federal health care reform legislation and regulations
  • Medicare, Medicaid, and Children’s Health Insurance Program (CHIP)
  • Tax laws and IRS regulations

SPECIFICATIONS

Product Structure

Notification current reports providing news and developments

Formats and Frequency

Print and Web notification formats are issued and available weekly. Print current reports are  indexed every six months, culminating annually. Web current reports are archived to 01.29.1996. 

Email summaries, providing the highlights and table of contents for each report, with URLs to full text articles and documents are also available.


RECENT HEADLINES

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HHS Issues Interpretation on Discount For Providers Under 340B Drug Program
July 28
House Lawmakers Launch Caucus To Encourage States to Expand Medicaid
July 28
Health Insurers Refunding $332 Million To Consumers Under Affordable Care Act
July 28
Fraudulent ACA Subsidy Applications Weren't Blocked, GAO Investigation Finds
July 28
Court Brief Says Administration Intends To ‘Augment’ ACA Contraceptive Rules
July 28
IRS Issues Pair of Regulations On Issues Related to ACA Tax Credits
July 28
Improving Transparency About ACA Plans, Networks Important Issue, Speakers Say
July 28
House Panel Approves Resolution Authorizing Lawsuit Against Obama
July 28
Advocacy Groups, Waxman Call for Policy Changes to Achieve Medicare Drug Savings
July 28
Lawmakers Differ Over ACA's Effect On Future of Medicare Advantage at Hearing
July 28
CMS Limits Prior Authorization Policy For Drugs for Beneficiaries in Hospice
July 28
House Panel Hears About Barriers To Use of Medical Treatment Advances
July 28
Business Groups Express Backing for Bill To Repeal ACA Auto-Enrollment Provision
July 28
IRS Releases Draft Forms for Reporting Of Employee Health Coverage Under the ACA
July 28
Project That Allows Quicker Admissions To Nursing Home Care Getting Little Usage
July 28
CMS Enters Second Phase Of Attempt to Restructure QIOs
July 28
Industry Stakeholders Oppose Proposed Rule That Would Expand OIG Exclusion Authority
July 28
HHS Secretary Names Former Wal-Mart Executive Leslie Dach as Senior Counselor
July 28
Wisconsin Senator's ACA Subsidy Suit For Congressional Members, Aides, Dismissed
July 28
Healthy Indiana Reaches Funding Cap; Plan Not Taking Applications, Agency Says
July 28
Eight Counties to Hold Advisory Votes On Placing Medicaid Expansion on Ballot
July 28
Advocacy Groups Sue TennCare Over Alleged Medicaid Enrollment Barriers, Delays
July 28
CCO Boosts Primary Care Medicaid Pay To Compete With Commercial Payer Rates
July 28
Medicaid Integrated Care Initiative Saves State More Than $10 Million in First Year
July 28
State Proposes Expanding Medicaid Coverage of Preventive Care Services
July 28
CMS Reviewing States' Plans to Fix Medicaid Eligibility, Enrollment Problems
July 28
Law Bans Physicians From Referring Patients to Self-Owned Clinical Labs
July 28
New Law Allows Terminal Patients To Try Non-FDA Approved Treatments
July 28
State's Medicaid Program Not Subject To ‘Any Willing Pharmacy’ Law, Opinion Says
July 28
Report Says Closing Coverage Gap Would Aid State's Economy, Working Class
July 28
Judge Issues Injunction to Block Law Restricting Medicaid Abortions
July 28
Court Says No Need for Physician Presence When Patients Take Abortion Medications
July 28
Medicaid Program Could Have Saved $1 Million in DME Costs, HHS OIG Finds
July 28
Business Stakeholders Object To Reporting, Other ACA Provisions
July 28
CVS Caremark Enters Information-Sharing Arrangement With Four Health-Care Systems
July 28
UnitedHealthcare Releases Health4Me App Providing Cost Data on Health-Care Services
July 28
Appeals Courts Hand Obama Administration Mixed Results in Tax Credit Rule Lawsuits
July 28
ACA Supporters Predict Court Ruling Against Subsidies Won't Go Into Effect
July 28
No Panic as Ruling on ACA Subsidies Likely to Be Benign
July 28
Loss of ACA Subsidies Would Boost Health Premiums, Chase Away Insurers
July 28
HHS Says 10.3M Uninsured Got Coverage During ACA's First Open Enrollment Period
July 28
Traditional Providers Must Adapt To New Care Alternatives, PwC Study Says
July 28
Health-Care Spending Slowdown Reversing Due to Some ACA Provisions, Report Says
July 28
Despite Decline in Health-Care Spending Growth, Consumers Perceiving Higher Costs
July 28
Enrollment Up 12 Percent in HSAs Paired With High-Deductible Health Plans
July 28
CareCredit Holds Majority of Marketplace For Medical Credit Cards, GAO Report Says
July 28
CONGRESSIONAL CALENDAR
July 28
REGULATORY CALENDAR
July 28
HHS Intends to Proceed With Interpretive Rule or Guidance on 340B Drug Discounts
July 21
CMS Launches Innovation ‘Accelerator' To Help States Improve Medicaid Delivery
July 21
CMS Reports on Enrollment Growth For Medicaid, CHIP Programs in May
July 21
Rep. Waxman Says Expanding Medicaid Across All States Must Be Top Priority
July 21
U.S. Territories Receive Exemption From Major ACA Insurance Market Rules
July 21
HHS Official: 2015 Premiums Will Be Lower Due to More Competition in Marketplaces
July 21
Plans That Drop Contraceptive Coverage Must Make Expedited Disclosures, DOL Says
July 21
Senate Rejects Democrats' Bill Responding to Hobby Lobby Decision
July 21
Senate Panel Explores Ways To Improve Care for Chronic Conditions
July 21
House Republicans Dismayed with CMS Effort to Fix Marketplace Inconsistencies
July 21
OIG: Limited Submission of Medicaid Data Contributed to Improper Payments
July 21
Senators Question Pricing Of Gilead's Hepatitis C Drug
July 21
Constitutional Experts, Lawmakers Debate Merits of House Lawsuit Against Obama
July 21
ONC Response to House Republicans' Concerns Not Sufficient, Blackburn Says
July 21
Congress Must Act to Ensure Benefits Of Health IT Revolution, House Panel Told
July 21
Senate Panel Hears Policy Solutions To Improve Patient Safety, Prevent Deaths
July 21
CMS Begins DME Bidding Process In Areas Where Contracts Expire in 2016
July 21
Data Point to Coverage Gaps For Residents Tossed From Medicaid
July 21
Massachusetts Governor Signs Bill On Compounding Pharmacy Safety
July 21
Medicaid, Individual Plan Enrollment Poised for Growth, Report Says
July 21
Agency Seeks Comments, Will Hold Meetings on State Health Plan Update
July 21
Google Allies With Novartis's Alcon Unit for Smart Contact Lenses
July 21
Giving Cancer Doctors Lump-Sum Payments Slashes Costs, Insurer Finds
July 21
GAO Finds Large Variations in State Spending, but Notes Data Limitations
July 21
Some 10.6 Million Helped by Assisters To Enroll in ACA Health Plans, Survey Finds
July 21
CBO: Health Spending Estimated At 8 Percent of GDP, Unchanged From 2013
July 21
GAO: Medicaid Pays Less for Certain Physician Services Than Private Insurance
July 21
Insurers Review Reimbursement Policies For Orphan Drugs, Tufts Center Study Says
July 21
2015 Plans Show Changes To Deductibles, Out-of-Pocket Costs
July 21
Budget Cuts to Public Health Funding Hurt Care, Access, Research Report Says
July 21
Most HSAs Had Leftover Funds Of Less Than $2,000 at End of 2012
July 21
E-Prescribing Rates Increase For Physicians, Pharmacies, ONC Reports
July 21
Prescription Drug Misuse Declining, But Still Prevalent in U.S., Study Says
July 21
Mouse Clicks Replace Stethoscopes as U.S. Web Care Grows
July 21
CONGRESSIONAL CALENDAR
July 21
REGULATORY CALENDAR
July 21
Senate to Consider Bill to Counter Hobby Lobby Decision Week of July 14
July 14
Proposed Doctor Fee Schedule Would Change Process for Setting New Payments
July 14
CMS Proposes Requiring Physicians to Use EHRs to Capture, Share Chronic Care Plans
July 14
Medicare Physician Fee Rule Would Add More ACO Quality Measures for 2015
July 14
Outpatient Hospital Payments Would Increase $5 Billion Under CMS Proposal
July 14
ACA Allies Scout Courthouses, Churches To Sustain ACA Enrollment Momentum
July 14
Boehner Faces Tough Climb, Political Risks in Bid to Sue Obama
July 14
Senate Report Recommends Changing RAC Payment Structure, Streamlining Contractors
July 14
CMS Certifies Nonprofit as First Entity To Have Access to National Medicare Data
July 14
Health Industry Groups Largely Support Proposed Framework for Health IT Oversight
July 14
HHS Announces $100M to Increase Access Via Community Health Centers
July 14
HHS Provides $83 Million to Support Training of New Primary Care Providers
July 14
Supreme Court Grants Injunctive Relief To College in ACA Contraception Case
July 14
HHS to Provide Up to $360M For Health Care Innovation Awards
July 14
Senators Take Issue With FDA Proposed Rule To Allow Destruction of Imported Drugs
July 14
Insurance Exchange's Website on Track To Achieve Full Functionality by Nov. 15
July 14
State Releases First-Year Report On Insurance Exchange Enrollment
July 14
Health Plans File Proposals For 2015 Premium Rate Increases
July 14
EmblemHealth Reaches Agreement With State Over Denied Mental Health Claims
July 14
New Laws Give Small Employers More Time For ACA Compliance, Clarify Cost Disclosure
July 14
Providers Ask Court to Halt Dual Eligibles Demonstration Project
July 14
Referendum to Ask Voters' Views On Insurance Coverage for Birth Control
July 14
Drop in Hospital Charity Care Early Sign Of ACA Success in State, Executive Says
July 14
DHS Finds 16,000 MNsure Applicants Still Without Medical Assistance Coverage
July 14
Four New Insurers Seek Approval to Sell Plans Through State's Exchange in 2015
July 14
Governor Signs Legislation Legalizing Medical Marijuana, Imposes Tax on Sales
July 14
U.S. Intervenes in FCA Action Against Hospitals Over Medicaid Overpayments
July 14
Law Requires Imaging Facilities to Inform Some Women About Mammogram Limitation
July 14
New Law Requires Health Providers, Others To Report Suspected Elder Abuse as of July 1
July 14
New State Law Limits Fees Charged For Copies of Patient Health Records
July 14
Blue Cross Plan Sued for Allegedly Misrepresenting ACA Plan Provider Networks
July 14
Court Bars State From Enforcing Restriction on Zohydro ER Prescriptions
July 14
Federal Court Refuses to Compel Abortion Clinic to Disclose Financial Data
July 14
Groups Launch Effort to Study Health Law's Impact on Hospitals
July 14
Blues Plans Moving Away From FFS, Investing in Value-Based Care Models
July 14
CareFirst Says Patient-Centered Program Produced Lower Costs, Higher Quality Care
July 14
Technical Problems With ACA Marketplaces Hindered Enrollment, J.D. Power Survey Says
July 14
More Individuals Insured; Majority Happy With New Coverage, Survey Finds
July 14
Survey Shows Fewer Employers Expect Significant Effect From ACA Than Year Ago
July 14
Excluding Broker Commissions From MLR Would Reduce Insurer Rebates, GAO Finds
July 14
Payment Reforms Likely to Drive Big-Data Initiatives, Health Policy Researchers Say
July 14
CONGRESSIONAL CALENDAR
July 14
REGULATORY CALENDAR
July 14
White House Report Says States Refusing Medicaid Expansion Lost Out on $88 Billion
July 7
ACA Marketplaces Failed to Resolve Inconsistencies in Applicants' Data, OIG Says
July 7
Patient Education Pivotal to Fixing Health-Care System, Senator Says
July 7
Hospitals Object to HAC Policy, No Solution To Short-Stay Pay Policy in Proposed Rule
July 7
Backlash Against RACs May Be Near Tipping Point, Congressional Aide Says
July 7
FDA Releases Several Policy Documents On Expectations for Drug Compounders
July 7
HHS Awards $840 Million to Boost Health Systems' Disaster Preparedness
July 7
Home Health Payments Would Drop $58 Million in 2015 Under CMS Proposal
July 7
ESRD Providers to Get Slight Increase In Payments Under 2015 Proposed Rule
July 7
AMA, MGMA Seek Extension of Deadline For Filing MU Hardship Exception Requests
July 7
11th Cir. Enjoins Contraceptive Mandate Enforcement Against Catholic TV Network
July 7
State Submits Waiver Request to Use ACA Funds for Medicaid Alternative Plan
July 7
CMS Gives State One-Year Extension For Its Medicaid Waiver Program Plans
July 7
New Law Reduces Hospital Medicaid Tax, Guarantees Uncompensated Care Payments
July 7
Medicaid Officials Developing Policy For Use of $1,000-Per-Pill Hepatitis C Drug
July 7
State Releases Preliminary Data On ACA Plans to Be Offered in 2015
July 7
One County's Health Plan Seeks Withdrawal From ACA Exchange
July 7
New Law Requires Hospitals to Assign No More Than Two ICU Patients Per Nurse
July 7
Lawmakers Pass Bill to Toughen Rules for Compounding Pharmacies
July 7
State Sees Surge in Individual Insurance, Medicaid Enrollment, Baumgarten Reports
July 7
Suit Alleges Oregon Blues Plan Fails to Live Up to Nonprofit Status
July 7
State Improperly Claimed Reimbursement For Some Nonemergency Medicaid Transports
July 7
WellPoint Exec Says Medical Claims Data for ACA Marketplaces Will Lag
July 7
Consumer Group Urges Joint Commission Investigation of Firm's Accreditation Claims
July 7
‘High-Value’ Network Plans Reducing Premiums Up to 20 Percent, Report Finds
July 7
Hospital Outpatient Costs Higher Than in Community Settings, Study Finds
July 7
Commonwealth Fund Report Says 20 Million Gained Coverage From ACA
July 7
Federal Health Program Costs Triple Those of Employer Plans, Study Says
July 7
Medicare Part D Plans Pay 32 Percent More Than Medicaid for Rx Drugs, Report Finds
July 7
Health-Care Spending Growth Slows Worldwide, but U.S. Exceeds Other Nations
July 7
Employers Requiring Workers to Pay More As Health Costs Continue to Rise, PwC Finds
July 7
HSA Owners More Cost-Aware Than HRA Users, EBRI Survey Finds
July 7
Wellness Programs Shouldn't Be Tied To Health Insurance Premiums, Public Says
July 7
For-Profit, Closely Held Corporations Can Opt Out of Contraceptive Mandate
July 7
ACA Supporters, Opponents React to Contraception Decision
July 7
ACA Birth-Control Benefits Under Pressure From Court Ruling
July 7
High Court Worsens Pain Of ACA Birth-Control Compromise
July 7
New Specialty Drug Puts Spotlight On Costs, Impact on U.S. Health-Care System
July 7
CONGRESSIONAL CALENDAR
July 7
REGULATORY CALENDAR
July 7
CONFERENCES
July 7
Burwell Justifies HHS Authority To Operate Risk Corridor Program
June 30
HHS Aims for Simplified ACA Enrollment Renewal in 2015
June 30
In Light of HHS Stance on 340B Rule, Drug Industry Group Asks Court for Relief
June 30
Lawmakers Grill Officials Over Medicare Program Integrity Lapses, Call for Action
June 30
HHS Hires UnitedHealth's Slavitt To Lead Health Law Effort at CMS
June 30
IRS Issues Final Rules on Tax Credit For Small Employer Health Coverage
June 30
Federal Government Has Few Changes In Final ACA Rules on Orientation Periods
June 30
New ACO Rules for Second Round Of Contracts Land at OMB for Review
June 30
House Bill Would Coordinate Care For Children With Complex Medical Needs
June 30
Harkin's Bill Aims to Encourage Community-Based Living for Disabled
June 30
Witnesses Tell House Panel of Need For Accuracy in Digital Health World
June 30
Senators Ask CMS to Put Changes To Doc Fee Codes in Proposed Rule
June 30
Senators Introduce Bill to Change Hospital Readmissions Penalty Program
June 30
House, Senate Leaders Introduce Bill To Change Post-Acute Care System
June 30
MedPAC Urges CMS to Suspend Policy On Drug Payments for Hospice Enrollees
June 30
District Courts Enjoin Enforcement Of Contraceptive Mandate Against Nonprofits
June 30
Federal Court in Illinois Denies College Injunction Against Enforcement of Mandate
June 30
IRS Issues Final Rules on Disregarded Entities, Indoor Tanning Services Excise Tax
June 30
Association Urges CMS to Issue Guidance Discouraging Excessive Transaction Fees
June 30
HHS Names New OCR Director To Replace Outgoing Leon Rodriguez
June 30
New Law Expands Medicaid Benefits, Raises Hospital Reimbursement Rates
June 30
House of Delegates Hires Attorneys To Fight Governor's Medicaid Expansion Bid
June 30
New Law Grants Clinical Psychologists Prescribing Authority for Controlled Drugs
June 30
State's Marketplace Likely to Expand From One Insurer to Five Offering Plans for 2015
June 30
Wellmark Again Chooses Not to Participate In State's Federally Facilitated Marketplace
June 30
State Reaches Agreement With CGI, Contractor Blamed for Website Problems
June 30
Budget Funds Medicaid Expansion, Continues Provider Reimbursement Cuts
June 30
CalPERS Board Approves Premium Rates With Modest Hikes, Reductions for Employees
June 30
New Law to Require Hospitals To Provide Notice of Observation Status
June 30
Governor Signs Biosimilars Bill With Patient Notification Provision
June 30
Governor Signs Bill Establishing Statewide Vaccine Purchase Program
June 30
Medicaid Program Should Collect Provider Overpayments, Audit Says
June 30
Supreme Court Won't Review Injunction Against Law on Abortion Provider Rules
June 30
State Amends Breach Notice Statute To Add Health Data, Set 30-Day Notice
June 30
State's Health Agency Says Hackers Gained Access to Personal Health Data
June 30
Employers Considering Sending Nonworkers To Exchanges as They Calculate ACA Costs
June 30
Project to Prevent Readmissions Nets Savings of About $70M Over Three Years
June 30
Claims That Blue Cross Association, Members Allocate Insurance Markets Survive Dismissal
June 30
Indiana HIE Says It Can Deliver Continuity Of Care Documents on Hospitals' Behalf
June 30
Care Delivery Group Receives $10M Loan to Fund New Care Models
June 30
GAO Finds 14 Percent of Applicants For Nursing Home Care Had Over $100,000
June 30
Number of Uninsured Lower in Cities In Medicaid Expansion States, Study Finds
June 30
More Plans to Be Offered in 2015; Subsidy-Eligible Could Face Premium Hikes
June 30
GAO Report on 2013 Small Group Premiums Establishes Benchmark
June 30
Stronger Economy, Specialty Drug Use Seen Leading to Higher Employer Costs
June 30
CONGRESSIONAL CALENDAR
June 30
REGULATORY CALENDAR
June 30