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Health Insurance Report

Health Insurance Report™ helps you track and analyze legal, legislative, and regulatory developments affecting the health-insurance industry throughout implementation of the Affordable Care Act and the insurance exchanges.

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Keep on top of new federal regulations from the Department of Health and Human Services as well as the Center for Consumer Information and Insurance Oversight under the Centers for Medicare & Medicaid Services. Learn first of the latest insurance industry developments, trends, mergers and acquisitions, studies on health care and insurance costs, new benefit plan designs, HMOs, pharmacy benefits, health care technology costs and innovations, and other private sector developments.


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  • Consumer satisfaction
  • Costs
  • Coverage
  • Employee benefits
  • Financing
  • Fraud and abuse
  • HMOs
  • Information technology
  • Health-insurance exchanges
  • Insurance-industry trends
  • Insurance regulation
  • Medicare Advantage, Part D
Key Laws and Regulations
  • Affordable Care Act
  • CMS, DOL, and IRS regulations implementing health reform
  • National Association of Insurance Commissioners Model Regulations
  • State health insurance regulations

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Notification: current reports providing news and developments.

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Web notification, including a PDF and e-mail summary, is available weekly.

Email alerts are sent to subscribers as often as needed and whenever significant new documents are issued. Archive (Health Plan & Provider Report back issues) dates to 01.07.1998.

 


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Health Plans Will Seek Higher Rates In 2016, Blue Cross Executive Says
May 20
‘Cures’ Legislation Expands Program Criteria for Part D Rx Abusers
May 20
Patient Coalition Calls on CMS To Reject Discriminatory Health Plans
May 20
Senate Panel Begins Investigation Into ACA Subsidy Distribution
May 20
Form 1095-A Glitches Will Improve in 2016 But Challenges From New Forms Could Arise
May 20
Finance Committee Aims to Pass Medicare Chronic Care Bill This Year
May 20
CMS Official: No Concerns Over Medicare-Medicaid Demo
May 20
Sen. Alexander Begins Investigation Into Agencies' Use of Regulatory Guidance
May 20
CMS HPMS MEMORANDA
May 20
UnitedHealth Defeats Medical Labs' Suit For Reimbursement; Judge Finds No Standing
May 20
Federal Court Rejects Challenge to Actions Agencies Took to Delay Coverage Mandate
May 20
Central States Loses Yet Another Lawsuit Seeking Reimbursement From Insurers
May 20
Lifetime Coverage Limit Ban Doesn't Apply To Retiree-Only Health Plans, Court Rules
May 20
Balance Billing Claims Against Providers Given Class Action Treatment in Louisiana
May 20
Hawaii Working With Federal Government To Resolve Health Exchange Noncompliance
May 20
Wellmark Again Won't Participate In Iowa's Insurance Marketplace
May 20
State Regulations for Connecticut, Illinois, Indiana, Kentucky, Oregon, Texas and Washington
May 20
Insurers Should Offer ACA Plans With Lower Out-of-Pocket Costs, Families USA Suggests
May 20
Hepatitis C, Cancer, Compounded Drugs Driving Increase in Rx Costs, Report Says
May 20
Decision to Adopt Private Health Exchanges Depends on More Than Money, Panelists Say
May 20
Concerns About Cadillac Tax Growing, Employers Taking Action, ACA Survey Finds
May 20
CMS Interim Final Rule Revising Requirements Related to Beneficiary Access to Covered Part D Drugs (5/6/15)
May 20
CONFERENCES
May 20
Federal Marketplace CEO Cites Risk of ‘Too Much Choice’
May 13
Administration Clarifies Contraceptive Coverage Requirements in FAQs
May 13
Republican Leaders Consider Preserving ACA Subsidies Until After 2016 Election
May 13
RAND: Net Number of Insured Grew By 16.9 Million During ACA Implementation
May 13
CCIIO Clarifies Out-of-Pocket Limits For Individuals in Family Health Plans
May 13
CMS Will Examine Treatment Of MA Plans With Many Dual Eligibles
May 13
17 Senators Ask HHS to Improve Mental Health Coverage Protections
May 13
OMB Reviewing Final Rule On Medicare Accountable Care Organizations
May 13
Section 1332 Innovation Waivers Could Reinvigorate Health-Care Reform
May 13
Senate Passes Budget Resolution Conference Report on 51-48 Vote
May 13
Postmarket Surveillance Comments Expose Rift on Adding Device Identifiers to Claims
May 13
CMS HPMS MEMORANDA
May 13
New York Medical Society Settles Long-Standing Suit With United Healthcare
May 13
Pennsylvania Faith-Based College Wins Stay In 3rd Cir. Contraceptive Mandate Case
May 13
Lawsuit Accuses Dave & Buster's of Cutting Workers' Hours to Deny Them Health Benefits
May 13
5th Cir. Denies ERISA Standing to Humana, Dissent Argues Sufficient Authority Granted
May 13
Third Circuit Formally Adopts Catalyst Theory Of Attorneys' Fees in ERISA Lawsuits
May 13
Kelsey-Hayes Retirees Certified as Class In Challenge to Health Benefit Changes
May 13
Aetna's 19.2 Percent Increase Unreasonable, California Regulator Says
May 13
OIG: California's Insurance Marketplace Had Significant Security Weaknesses
May 13
California Can Improve Medicaid Managed Care Performance, Analyst Says
May 13
N.Y. Attorney General Schneiderman Proposes Expanded Free Birth Control
May 13
Florida Governor Meets With HHS Secretary, Still Awaiting Answer on Hospital Funding
May 13
Maryland's Special Enrollment Period Brings In 4,700 More Insured
May 13
Tennessee Governor Signs Bills Increasing HMO Premium Tax, Extending Other Taxes
May 13
Oregon Lawmakers Pass Bill to Ensure Adequacy of Health Plan Provider Networks
May 13
Debate Under Way in Maine Over Costs, Benefits of Medicaid Expansion
May 13
State Regulations for Alaska, Massachusetts, Mississippi, New Hampshire, South Dakota and Virginia
May 13
UnitedHealthcare Rolls Out Coverage of Patients' Telemedicine Visits
May 13
Medicaid Managed Care Stakeholders Await New Rule to Completely Overhaul Industry
May 13
State Approved Low-Balling of Health Insurance Premiums Leads to No Opportunity for CoOportunity
May 13
CCIIO Embedded Self-Only Annual Limitation on Cost Sharing FAQs (5/8/15)
May 13
CCIIO FAQS About Affordable Care Act Implementation (Part XXVI) (5/11/15)
May 13
OIG Memorandum, ‘Early Alert: Without Clearer Guidance, Marketplaces Might Use Federal Funding Assistance for Operational Costs When Prohibited by Law' (4/27/15)
May 13
CRS Report, ‘An Introduction to Health Insurance: What Should a Consumer Know?' (4/30/15)
May 13
CONFERENCES
May 13
CMS Pushes Back Requirement for Providers To Be in Medicare to Prescribe Part D Drugs
May 6
Tax Preparers Report Many Having to Repay Portion of ACA Subsidies
May 6
Witness: Adverse ACA Ruling Could Sweep Millions Out of Small Business Coverage
May 6
Acid Reflux, Blood Pressure Drugs Top CMS Lists on Part D Spending, Usage
May 6
Patient Care Coordination Test May Expand To Other Medicare Programs, Officials Say
May 6
ACA Risk Fund May Pay Just 10 Percent of Insurer Claims, S&P Says
May 6
Bill Introduced to Repeal ACA's ‘Cadillac Tax’
May 6
HHS Inspector General Warns States May Be Misusing ACA Funds
May 6
CMS Asked to Clarify State Guidance On Marketplace Use of Federal Funds
May 6
CMS: Medicaid, CHIP Enrollment Tops 70 Million at End of February
May 6
OIG Says Medigap Deal With PPO, Hospitals Won't Result in Sanctions
May 6
House Adopts Budget Resolution Allowing for ACA Repeal Attempt
May 6
Little Change in HSA Tax Deduction Caps, High-Deductible Health Plan Limits for 2016
May 6
TIGTA: More Data Will Help Compliance For $3.3M in Unpaid Health Insurance Fees
May 6
FDA, CMS Officials Outline Efforts to Combat Opioid Abuse
May 6
Safety-Net Hospitals Want CMS To Ensure Higher Medicaid Rates
May 6
CMS HPMS MEMORANDA
May 6
Cigna's Mail-Order Plan for Specialty Drugs Alleged to Discriminate Against HIV Patients
May 6
Florida Governor Sues HHS, Claims Medicaid Expansion Coercion
May 6
Challenge to ACA on Origination Clause Failed Due to Procedural Defect, Court Says
May 6
Express Scripts Subsidiary to Pay $60M In Settlement for Novartis Kickback Scheme
May 6
ProMedica Health System's Review Request In Divestiture Litigation Denied by High Court
May 6
Pennsylvania Declares Intent To Implement State-Based Marketplace
May 6
Montana Governor Signs Medicaid Expansion Bill; CMS Waiver Application Next
May 6
Law Requires Certain Health Plans To Cover Autism Therapy for Young Children
May 6
State Asks HHS Secretary for Cap On State's Share of Medicaid Expansion
May 6
Laws Allow Industry Groups to Start Medicaid Insurance Group, Change UPL Rate
May 6
Report Says ‘High Harm' Events Decline Sharply in Pennsylvania
May 6
State Regulations for California, Louisiana, Maryland, New Hampshire, Ohio, Oklahoma and Tennessee
May 6
Group Aims for Health-Care Quality, Cost Information for Half of U.S. by 2020
May 6
Large Companies Looking to Foster Startups With Innovative Ideas for Health Applications
May 6
Many Employers Unsure How They'll Comply With ACA Reporting Rules, Survey Finds
May 6
Humana Enrollment Up ‘Substantially,' As Company Sees Inpatient Admissions Rise
May 6
Anthem, Aetna Profits Beat Estimates as Insurers' Enrollments Climb
May 6
Poll: Doctors Say ER Use Rising, Despite ACA Coverage Expansion
May 6
Gilead's Gaffe Leads Drugmakers To Pledge More Openness on Price
May 6
Correction
May 6
CRS Report, ‘Patient Protection and Affordable Care Act (ACA): Resources for Frequently Asked Questions' (4/23/15)
May 6
CRS Report, ‘CHIP and the ACA Maintenance of Effort (MOE) Requirement: In Brief' (4/23/15)
May 6
HHS, DOL, Treasury FAQs About Affordable Care Act Implementation (Part XXV) (4/16/15)
May 6
IRS Notice 2015-37 on Eligibility for Premium Tax Credit Minimum Essential Coverage
May 6
CONFERENCES
May 6
ACA Federal Marketplace Will Recalculate Premium Tax Credits for 2016, CMS Says
April 29
Advisory Panel's Mammogram Proposal Threatens to Reignite Screening Battle
April 29
Senate Republicans' Bill Aims to Protect ACA Exchange Subsidies After Court Ruling
April 29
Rep. Pitts Vows Republicans Will Have Legislation Before ACA Subsidy Ruling
April 29
ACA Enrollment Ends Soon for Tax Filers
April 29
Citing OIG Report, Florida Senator Calls for Medicare-Medicaid Rebate Parity
April 29
Ways and Means Approves Trade Bill Extending Health-Care Premium Tax Credit
April 29
Burwell Doubles Down on Lack Of Contingency Plan for Subsidies
April 29
CMS Using Medicaid Expansion Status In Renewals of Uncompensated Care Funds
April 29
Choice of Hospital Networks in ACA Exchanges Expanded in 2015, McKinsey Says
April 29
Cancer Centers in Most ACA Plan Networks, But Many in Highest Tiers, Survey Finds
April 29
CMS HPMS MEMORANDA
April 29
High Court Again Punts on Nonprofit Groups' Challenge to ACA Contraceptive Mandate
April 29
Regence BlueShield Agrees to Settle Mental Health Parity Class Action for $6M
April 29
Anthem Blue Cross's Increases ‘Excessive' Again, Insurance Commissioner Says
April 29
Senate Passes Medicaid Expansion Bill; Governor Expected to Sign It Into Law
April 29
State Senate Passes Resolution Opposing Medicaid Expansion
April 29
State Regulations for Kansas, New Hampshire, Ohio, Rhode Island, Texas and Utah
April 29
Blue Cross Plans Will Launch Private Exchange for Retirees in 2016
April 29
The Doctor Is Out: LabCorp to Let Consumers Order Own Medical Tests
April 29
CCIIO Guidance on Annual Eligibility Redeterminations and Re-Enrollments for Marketplace Coverage for 2016 (4/22/15)
April 29
CONFERENCES
April 29
CMS Bumps Up MA Rates for 2016, In Light of New Data From Previous Years
April 8
CMS Releases Proposed Mental Health Parity Rule for Medicaid, CHIP Plans
April 8
36,000 Tax Filers Signed Up for ACA Plans Using Special Enrollment, CMS Says
April 8
Recipients of Erroneous Marketplace Forms Can File for Extension to Avoid Penalties
April 8
White House Economic Adviser Says ACA Improved U.S. Economy
April 8
IRS Reduces Affordable Care Act Fee For Expatriate Health Plan Providers
April 8
Report: $5.8 Billion in ACA Advance Tax Credits Disbursed in Early FY 2015
April 8
Senators Question HHS On Acting CMS Head and UnitedHealth
April 8
Self-Insured Plan Assets Jump $35B In Three Years, DOL Reporting Data Says
April 8
Less Than 20 Percent of MA Enrollment In Employer Plans, Health Plan Analyst Finds
April 8
MedPAC Wants to Discourage Payments For ‘Low-Value,' Potentially Harmful Services
April 8
Study Says Medicare Plan Ratings Should Account for Dual Eligibles
April 8
CMS Releases Documents on Paying For Biosimilars in Medicare, Medicaid
April 8
Families USA Deputy Joining CCIIO
April 8
CMS HPMS MEMORANDA
April 8
Hidden Fee Case Against BCBSM Proceeds; Another Judge Questions Timeliness of Suit
April 8
Horizon Members Can't Sue Insurer for Injury Allegedly Caused by Data Breach, Court Says
April 8
Michigan Blues Will Pay $30 Million to Close Litigation Over Most Favored Nation Clauses
April 8
Final Brief Filed in Administration's Bid to Dismiss House's ACA Lawsuit
April 8
Religious Nonprofit Plaintiffs Seek Rehearing In Third Circuit Contraceptive Mandate Case
April 8
High Court Will Address Tracing Requirement In Case Involving ERISA Benefit Overpayment
April 8
CMS Is Sole Authority for Determining Medicare Part D Coverage Exceptions
April 8
Providers: Recent Medicaid Ruling Could Limit Access to Care
April 8
Former Employee Wins COBRA Claim; Court to Consider Penalties, Fees, Costs
April 8
State Halts Construction of Exchange, Opts to Lease HealthCare.gov Platform
April 8
Colorado Governor Signs Bill Requiring Plans to Provide Telehealth When Appropriate
April 8
Minnesota Health Plan Enrollment Grew By Nearly 7 Percent in ACA's First Year
April 8
Governor Signs Mental Health Parity Bill, Others on Drug Authorization, Telemedicine
April 8
Talks on Hospital Funding Suspended; Senate Advances Medicaid Expansion
April 8
Court Says ‘Filed Rate Doctrine' Bars Consumer Claims Against Insurers, Trust
April 8
State Regulations for Alaska, California, Colorado, Illinois, Louisiana, Maine, Mississippi, Ohio, Texas and Wisconsin
April 8
Insurance Plans Falling Short in Coverage For Mental Health, Advocacy Group Says
April 8
Report: Private Health Insurance Exchange Enrollment to Double to 6 Million in 2015
April 8
COMPLIANCE CORNER: 12 ACA Compliance Boxes You Should Have Checked Already
April 8
DOL Annual Report to Congress on Self-Insured Group Health Plans (March 2015)
April 8
Joint HHS OIG/TIGTA Report, ‘Review of the Accounting Structure Used for the Administration of Premium Tax Credits' (3/31/15)
April 8
CRS Report, ‘Patient Protection and Affordable Care Act (ACA): Resources for Frequently Asked Questions' (3/27/15)
April 8
CONFERENCES
April 8
Anthem, Cigna to Help Obama Add Value to U.S. Medical Billing
April 1
Report: MLR Provision Has Yielded $5 Billion In Consumer Benefits, Reduced Overhead
April 1
House, Senate Approve Budget Blueprints That Would Repeal Health Law
April 1
GAO: CHIP Plans Generally Cheaper For Consumers Than Exchange Plans
April 1
SBC Rules to Be Finalized in ‘Near Future,' Template by January 2016, Agencies Say
April 1
ACA Didn't Result in Dramatic Rise In Patient Volume for Doctors, Study Says
April 1
OIG Reviewing How States Are Coping With Medicaid Expansion, Official Says
April 1
CER's Impact on Health-Care Decisions Is Three Years Away, Webinar Told
April 1
CMS HPMS MEMORANDA
April 1
Private Insurer Must Pay Double Damages Under Medicare Secondary Payer Act
April 1
Court Rejects ERISA Claims Against Insurer, Says Evidence of Medical Necessity Lacking
April 1
Hospital's Sherman Act Claims Against Rival That ‘Locked Up' Insurers Can Proceed
April 1
Health Plan Must Defend FCA Action Filed by Salesman Alleging Marketing Fraud
April 1
Government Says 6th Cir. Correctly Decided Catholic Group's Contraceptive Mandate Case
April 1
High Court Won't Hear Argument on Validity Of Law Creating Medicare Ceiling Panel
April 1
Cigna Can't Challenge Hospital Overbilling; Court Finds ERISA Preemption, No Standing
April 1
Federal Trial Court in Parallel Rulings Allows Claims Against Insurer to Proceed
April 1
Court: Auto Insurer Can't Bring Suit Against Health Plan, Insured Beneficiary
April 1
Maryland Incorrectly Allocated $28M In Costs to Insurance Exchange, OIG Says
April 1
Medicaid Expansion Included in Senate Budget Bills Will Force House Consideration
April 1
State Regulations for California, Florida, Georgia, Indiana, Louisiana, North Dakota and Ohio
April 1
Aetna to Lower Costs for Most HIV Drugs After Group's Complaint
April 1
United's OptumRx to Combine With Rx Benefit Manager Catamaran
April 1
Washington, Alaska Insurance Regulators Lead Probe of Premera Blue Cross Hack
April 1
Fewer Plans May Hit Cadillac Tax In 2018, but That Won't Last, Speaker Says
April 1
Financial Incentives Spur Participation In Employer Wellness Programs, EBRI Finds
April 1
EBRI: Fewer Employers Contributing to HRAs, HSAs
April 1
GAO Report, ‘Private Health Insurance: Early Evidence Finds Premium Tax Credit Likely Contributed to Expanded Coverage, but Some Lack Access to Affordable Plans' (3/23/15)
April 1
CONFERENCES
April 1
Obama Administration Issues Final Rules On Limited Wraparound Coverage Under ACA
March 18
16.4M Adults Gained Coverage Under ACA, HHS Report Says
March 18
Administration Highlights ACA Special Enrollment for Tax Filers
March 18
HealthCare.gov CEO Tells Insurers To Submit Risk Adjustment Data
March 18
HHS Releases Breakdown of Enrollment In Affordable Care Act Exchanges
March 18
CMS Unveils New ACO Model With More Financial Risk, More Shared Savings
March 18
Bipartisan House Group Asks CMS Not to Cut Pay to Medicare Advantage Plans
March 18
MedPAC Report to Congress Cites Growth in Medicare Advantage Plans
March 18
CBO Says President Obama's Budget Has Net Medicare Cut of $240 Billion
March 18
1.1M Children Would Lose Coverage Without CHIP Extension, MACPAC Reports
March 18
Oregon Failed to Collect $3 Million In Medicaid Drug Rebates in 2010, OIG Says
March 18
PCORI Has Awarded Over $670M To Fund Research, GAO Finds
March 18
IRS Issues Two Health Care-Related Publications
March 18
CMS HPMS MEMORANDA
March 18
Fifth Circuit Makes It Easier for Hospitals To Sue Insurers, Follows Ninth Circuit, DOL
March 18
Agency Interpretative Changes Don't Require Rulemaking, Unanimous Supreme Court Says
March 18
Court OKs Lien on Injury Settlement, Denies Application of ‘Make-Whole' Doctrine
March 18
IPAB Challengers Maintain Issue Is Ripe In Reply to Government Opposition Brief
March 18
Court: Insurer and Union Not Liable For Hostess's Cancellation of Insurance
March 18
Two Southern California Residents Guilty In $50M Health Insurance Fraud Scheme
March 18
Eleven Charged in Identity Theft, Fraud Conspiracy Involving Michigan Blues
March 18
New York Insurer Pays $400,000 to Cover Anesthesiology Services in Colonoscopies
March 18
Prime Healthcare Drops Offer to Buy Hospitals, Says Conditions Too Tough
March 18
Senate Panel OKs Medicaid Alternative, But Lawmakers See Tough Path for Passage
March 18
Extended Enrollment Period Allowed More Marylanders to Obtain Coverage
March 18
House Scuttles Governor's Proposal To Expand Medicaid to 70,000 People
March 18
Utah Legislature Fails to Expand Medicaid; Governor Forms Group to Reach Compromise
March 18
Uncompensated Care Legislation To Become Law Without Governor's OK
March 18
State Regulations for Alaska, Alabama, California, Colorado, Kentucky, Maryland, Massachusetts, Texas and Virginia
March 18
Pfizer Executive Suggests ‘Creative’ Financing for Costly Drugs
March 18
Employers Should Consider Several Measures To Comply With ACA Reporting, Speaker Says
March 18
Drug Costs Grew Last Year At Fastest Rate in Decade, Report Says
March 18
Alternative Way to Pay for Expensive New Drugs May Be Needed, RAND Says
March 18
Drugmakers Turn Heat on Insurers by Backing Copay Limits in States
March 18
Proposed Rates, Policy Changes in Notice Lauded, Panned by MA, Part D Stakeholders
March 18
CONFERENCES
March 18
HHS Official Says Some Enrollees Not Getting Correct 2015 Subsidies
March 4
More Than 8.8M Enrolled in ACA Coverage Through Federal Marketplace for 2015
March 4
Final Rule Implements Medicare Secondary Payer Law
March 4
CMS Extends Good-Faith Safe Harbor To 2015 for Noncompliant Health Plans
March 4
Actuaries Call for Rate Revisions If Federal ACA Subsidies Overturned
March 4
House Republicans Outline Alternative to ACA in WSJ Op-Ed
March 4
OIG: Insurance Marketplaces a Focus Area For Upcoming Affordable Care Act Reviews
March 4
Integrated Care May Be Incompatible With ACA System, Speaker Says
March 4
CMS Official Questions How Much Coordination Needed Among Payers
March 4
OIG Won't Sanction Hospital Network For Discounts Offered to Medigap Plan
March 4
IRS Notice on ‘Cadillac' Tax Gives Indication of Intention, Asks for Collaboration
March 4
No Plan in Place Should Supreme Court Strike Down ACA Subsidies, Burwell Says
March 4
Burwell Unaware of Document on Plans If High Court Rules Against ACA Subsidies
March 4
HHS Focusing on Improving ‘Back End' of HealthCare.gov
March 4
Taxpayers Who Filed Based on Wrong ACA Data Won't Owe U.S.
March 4
CMS Official Says New ACO Model May Be Unveiled in March
March 4
Congressional Republicans Tell Obama MA Cuts Will Limit Beneficiary Choices
March 4
DOJ Official Offers Enforcement Insight At Health-Care Competition Workshop
March 4
CMS Clarifies Use of ICD-9 Codes for Some Claims Submitted After Conversion Deadline
March 4
DOL Seeks to Extend Two ACA-Related ICRs
March 4
Filing Deadline Extended for Farmers, Fishermen
March 4
CMS HPMS MEMORANDA
March 4
2nd Cir. Requests Briefing in Parity Act Case, Seeks Opinion on Effect of Recent Precedent
March 4
Government Says Case Challenging IPAB Not Ripe for Resolution, in High Court Brief
March 4
Insurance Firms Must Defend Claims That They Boycotted Surgical Centers
March 4
Judge: Hi-Lex Not Automatic Path to Victory For Companies Suing BCBSM Over Fees
March 4
Maine Tells Supreme Court That Government Can't Require It to Maintain Age Extension
March 4
Man Denied Coverage for Cancer Procedure Stated Breach of Insurance Contract Claim
March 4
NAIC Announces Seven States Leading Examination of Anthem Cyberattack
March 4
Attorney General OKs Conditional Sale Of Nonprofit Hospitals to For-Profit Purchaser
March 4
Special Enrollment Period Benefits Those Facing Tax Penalty for Being Uninsured
March 4
Preliminary Numbers Show State Fell Short on Exchange Private Plan Goal
March 4
Iowa Chiropractors Fail to State Per Se Claim Against Wellmark
March 4
House Speaker Vows to Block Vote On Governor's Medicaid Expansion Plan
March 4
Law Allows Ending Risk-Pool Coverage For People With Access to ACA Coverage
March 4
Legislature Clears Bill Expanding Breach Notice, ID Theft Laws to Health Data
March 4
Congressional Employees Can Buy Insurance On D.C. Small Business Exchange, Court Says
March 4
Governor Proposes Some Health Cuts, Keeps Current Funding Level for Hospitals
March 4
State Regulations for California, Georgia, Kansas, Massachusetts, Missouri, Texas, Utah and Virginia
March 4
FBI Says It Is Close to Discovering Hackers in Anthem Health-Care Data Theft
March 4
Anthem Hack May Have Involved Millions Who Aren't Customers
March 4
Massive Data Breaches Fuel Pressure To Fortify Security Practices, Attorney Says
March 4
Drug Breakthroughs Stir Payer Pushback at $5,000 a Month and Up
March 4
Second Year of ACA Has Good Sign-Ups but More Market Information Needed
March 4
ACA's Survival Hangs on Four Words at U.S. High Court: Q & A
March 4
Stakeholders See Range of Impacts From MA Rate Proposal but No Dramatic Change
March 4
OIG Report, ‘Health Reform Oversight Plan Fiscal: Year 2015' (2/25/15)
March 4
80 FR 10750, 02/27/2015—CMS Final Rule on Notice of 2016 Benefit and Payment Parameters for ACA Insurance Exchanges
March 4
IRS Notice 2015-16 on Excise Tax on High-Cost Employer-Sponsored Health Plans (2/23/15)
March 4
CONFERENCES
March 4
HHS Releases Wide-Ranging Final Rule On Requirements for 2016 Exchanges
February 25
Special ACA Enrollment Period Allowed; Updated Tax Form Being Resent to 800,000
February 25
Most Who Received ACA Subsidies Must Repay a Portion of Them, H&R Block Finds
February 25
Burwell Says 2015 ACA Sign-Ups On Track To Meet Goal of 9.1 Million Paid Enrollees
February 25
CMS Says MA Plans Should Expect About a 1 Percent Increase in 2016
February 25
OPM Issues Multi-State Plan Rule As Program Expands to 36 States
February 25
IRS Issues Initial ‘Cadillac' Tax Guidance, Welcomes Comments on Various Topics
February 25
Business Groups Want Delay In Small Group Market Expansion
February 25
CMS Outlines Methodology to Determine 2016 Payments Under Basic Health Program
February 25
Report Finds Decreased MA Funding Led to Drop in Value of Plan Benefits
February 25
CMS Introduces New Program Audit Areas Focusing on Medication, Network Adequacy
February 25
Congressional Republicans Ask Governors For Input on Health-Care Proposal
February 25
IRS Provides Relief for Small Employers Providing Employer Payment Plans
February 25
Senate Republicans Introduce Anti-ACA, Health-Care Extender Bills
February 25
IRS Refines Rules for Exclusion From $100B Health Insurers Fee
February 25
ACA Proving Not a Burden To U.S. From Chipotle to Wal-Mart
February 25
Patrick Conway to Become Acting Principal Deputy Administrator of CMS
February 25
FTC, DOJ Release Agenda for Joint U.S. Health-Care Competition Workshop
February 25
CMS HPMS MEMORANDA
February 25
Anthem Should Return Part of Premiums Due to Customer Data Breach, Lawsuit Says
February 25
DOJ Asks Humana to Hand Over Medicare Advantage Data, Risk Policies
February 25
11th Circuit Won't Reconsider Dismissal Of Case Challenging Employer Mandate Delay
February 25
HHS's ‘Term of Art' Argument Has No Basis In Law, Common Sense, Plaintiffs Tell Court
February 25
High Court Won't Hear Doctors' Challenge To Contempt Finding in Antitrust Lawsuit
February 25
ERISA Preempts Provider's Claims For Lack of Payment, Ninth Circuit Rules
February 25
High Court Denies Cert in Preemption Case, Won't Address Anti-Subrogation Circuit Split
February 25
ERISA-Based Equitable Lien Dispute Won't Be Heard by U.S. Supreme Court
February 25
Covered California Expects Over 500,000 New Enrollees in Second Year by Feb. 22
February 25
Sign-Ups in State Exchanges Stagnate, But Surge in States Using HealthCare.gov
February 25
Governor's Plan for $1.5B in Medicaid Cuts Criticized by Hospital Association, Democrats
February 25
Democratic Lawmakers Urge Gov. Walker To Adopt Iowa's Medicaid Expansion Model
February 25
Medicaid Expansion Costs Offset By Savings, New Revenue, Study Finds
February 25
Wyoming House Defeats Latest Attempt to Expand Medicaid
February 25
Gov. Hogan Softens Tone on Exchange As Enrollment Season Ends Successfully
February 25
Report Says New York Medicaid Failed to Maximize Available Drug Rebates
February 25
State Regulations for Colorado, Kansas, Maryland and Oregon
February 25
Managing Business Associates a Challenge For HIPAA-Covered Entities, Attorney Says
February 25
ACA Increasing Many Companies' Focus On Wellness Programs, IFEBP Survey Finds
February 25
Aetna Signs Pact to Offer Prevention Plans Based on Genes, Behavior to Improve Health
February 25
View From Groom: DOL and HHS Enforcement Activities Targeting Health Plans and Insurers
February 25
CMS Fact Sheet on Basic Health Program Funding Methodology Final Notice (2/19/15)
February 25
IRS Notice 2015-17 on ACA Penalty Relief for Small Employers (2/18/15)
February 25
CCIIO Final 2016 Letter to Issuers in the Federally-facilitated Marketplaces (2/20/15)
February 25
CMS Fact Sheet, ‘Moving Medicare Advantage and Part D Forward’ (2/20/15)
February 25
CMS Fact Sheet on Final HHS Notice of Benefit and Payment Parameters for 2016 (2/20/15)
February 25
80 FR 9649, 02/24/2015—OPM Final Rule Establishing Multi-State Plan Program for the Affordable Insurance Exchanges (2/24/15)
February 25
80 FR 9636, 02/24/2015—CMS Final Notice on Federal Funding Methodology Under Basic Health Program for Program Year 2016 (2/24/15)
February 25
CMS Advance Notice of Methodological Changes for Calendar Year (CY) 2016 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2016 Call Letter (2/20/15)
February 25
CONFERENCES
February 25