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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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Read expert reports on the establishment of state health insurance exchanges, legislation, and regulations that affect health insurance companies, and actions taken by state insurance departments and the National Association of Insurance Commissioners to regulate insurance coverage and delivery.

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Access HealthDocs™, Bloomberg BNA's full-text collection of key documents related to the impact of the Patient Protection and Affordable Care Act of 2010 on the availability and regulation of health insurance.

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  • Costs
  • Coverage
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  • 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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Federal Government Increases Payments To Cover High-Cost Health Insurance Claims
June 24
Medicare Plans Not Showing Expected Improvement on Audits, CMS Official Says
June 24
Health Insurers May Use 2015 Subsidies In 2016 Notices as Estimates, Guidance Says
June 24
CBO Says Scrapping Health-Care Law Would Increase Budget Gap, Number of Uninsured
June 24
CBO: ACA Repeal Would Increase Uninsured, Medicare Spending
June 24
Medicare Pilots to Focus on Networks, Medicine Management, Rx Sale Rejections
June 24
House Passes Series of Bipartisan Bills Affecting Medicare Advantage
June 24
House Delays 21st Century Cures Proposal to Address Insurers' Objections
June 24
Lawmaker Pushes for Support of Bill To Overhaul Mental Health Treatment System
June 24
Senators Request More Information On Oversight of ACA Insurance Subsidies
June 24
Greater Health Spending Will Drive Increased Debt, CBO Report Says
June 24
Legislation to Watch On the Affordable Care Act
June 24
CBO's Hall Warns About Price of Delay On Budget; Hints ACA Repeal Could Cost
June 24
CMS Official Floats Idea of Creating ACO-Type Model for Dual Eligibles
June 24
With ACA in Peril at High Court, Government Offers Scant Relief
June 24
Federal Agencies Charge 243 Individuals In $712 Million Medicare Fraud Crackdown
June 24
Group Issues Predictions of Dire Effects Of Adverse Court Decision on ACA Subsidies
June 24
Consultant Finds Medicare Quality Measures Lacking for Some Costly, Prevalent Diseases
June 24
No Kickback Sanctions From Medigap Discount Arrangement With Hospitals
June 24
About 3 Million in Southeast Risk Losing Health Insurance With Supreme Court Ruling
June 24
Draft Versions of 2015 ACA Reporting Forms Issued
June 24
CMS HPMS MEMORANDA
June 24
BCBS, Aetna Must Defend Antitrust Claims Of Allegedly Boycotted Surgical Centers
June 24
Religious Nonprofits Ask Supreme Court To Review Contraceptive Mandate Cases
June 24
Fifth Circuit Partly Revives Suit Seeking Benefit Payments From Blue Cross Texas
June 24
8th Cir. Enforces Two-Year Limitation Period To Bar Worker's Claim for Health Coverage
June 24
ACA Issue Raised in State-Court Action Doesn't Require Review by Federal Court
June 24
Group Sees New Mexico As Model for State ACA Exchanges
June 24
HHS Grants One-Year Rating Factor Waiver to Massachusetts Health Connector
June 24
Illinois Hospitals Float Plan Responding To Potential Adverse ACA Court Ruling
June 24
More Plans, Higher Premiums for Colorado Health Consumers and Small Plans in 2016
June 24
State Regulations for California, Colorado, Indiana, Iowa, Massachusetts, Montana and New Hampshire
June 24
Biggest Health Insurers to Get Even Bigger Under Affordable Care Act
June 24
Kill ‘Cadillac' Tax, Change Mandate, Employer Group Urges Congress
June 24
CONFERENCES
June 24
Federal Government Finalizes Changes For ACA Summary of Benefits and Coverage
June 17
HHS Gives Three States Approval To Operate State-Based Marketplaces
June 17
HHS Campaign to Focus On Preventive Services, Burwell Says
June 17
States Can Use Federal Money For ACA Outreach, Education
June 17
Government Report Questions Accuracy Of $2.8B in Subsidy Payments to Insurers
June 17
Republicans Will Offer Subsidy Solution Despite Presidential Veto Threat
June 17
Administration Won't Sign Republican Bills Responding to Subsidy Case, Burwell Says
June 17
Obama Calls Attacks on ACA ‘Cynical’ Ahead of Court Ruling
June 17
MedPAC Expected to Consider Changes to Part D Policies in Fall
June 17
Health Plans, Providers Generally Support CMS Medicaid Mental Health Proposal
June 17
MACPAC: More Oversight Needed For Medicaid Value-Based Purchasing Waivers
June 17
CBO Releases Estimates on Bills to Repeal Medicare Board, Delay MA Termination Power
June 17
TIGTA: IRS Won't Be Able to Verify Premium Tax Credit Eligibility With Data It Is Using
June 17
Study Finds Medicare Coverage of Opioids Decreasing, Particularly Abuse Deterrents
June 17
Aetna, Providers Ask Lawmaker to Press CMS On Including Medical Device IDs in Claims
June 17
CMS HPMS MEMORANDA
June 17
Court Finds No Provider Derivative Standing, Rules Patient Assignments Were Insufficient
June 17
11th Cir.: Small Drug Stores Didn't Show Health-Plan Exclusion Harmed Competition
June 17
United HealthCare Wins Provider Dispute; Judge Notes Confusion on ERISA Preemption
June 17
Insurers Face Copay Limits, Anti-Bias Review for 2016 Florida Health Plans
June 17
Pennsylvania Seeks Registration, Background Checks for ACA Navigators
June 17
Hawaii Governor to Help Transition State's Noncompliant Exchange to HealthCare.gov
June 17
Colorado Health Insurance Exchange OKs Increase in Enrollment Fees for 2016
June 17
California, States Using Incentive Pay In Medicaid Must Evaluate Effectiveness
June 17
Calif. Governor Opposes Budget Provision On Medicaid for Illegal Immigrant Children
June 17
State Regulations for Alabama, Indiana, Kentucky, Maryland, New Mexico, Oregon, Texas, Washington and West Virginia
June 17
Insurers: Drugmakers Have ‘Blank Check' On Pricing, System Isn't Sustainable
June 17
ACA Insurers Propose 12 Percent Average Rate Increase for 2016
June 17
Pilot Programs Needed to Test Ways To Pay for High-Cost Drugs, Analyst Says
June 17
AMA Unfazed by Potential Negative High Court Ruling in Insurance Subsidy Case
June 17
AMA to Assist Physicians During Transition to Value-Based Payment Models
June 17
Study Says For-Profit Hospitals Dominate List of Those With High Markups
June 17
CCIIO FAQs on the Clarification of the Use of 1311 Funds for Establishment Activities (6/8/15)
June 17
GAO Report, ‘Private Health Insurance: Premiums and Enrollment for New Nonprofit Health Insurance Issuers Varied Significantly in 2014' (6/1/15)
June 17
CCIIO Summary of Benefits and Coverage and Uniform Glossary Final Rule Fact Sheet (6/11/15)
June 17
80 FR 34292, 06/16/2015— IRS, CMS and EBSA Final Rule on Summary of Benefits and Coverage (6/16/15)
June 17
CRS Report, ‘Overview of Health Insurance Exchanges' (6/10/15)
June 17
CONFERENCES
June 17
BCBS Plans Report $1 Billion In Savings From New Care Models
June 10
Health Insurers Trying to Pass On Brokerage Fees to Consumers, CMS Says
June 10
Medicare Program Issues ACO Final Rule With New Risk Model for Providers
June 10
Stakeholders Say ACO Rule Should Have Offered More Waivers
June 10
Report: Republican Supreme Court Victory On ACA Could Backfire in 2016 Swing States
June 10
Enrollment Declines in ACA Exchanges, But Data Show 10.2 Million Paid Premiums
June 10
Insurers Say Risk Mitigation Programs Promoted Market Participation, GAO Finds
June 10
Pharmacy Benefit Managers Object To Medicare Offsets in ‘Cures’ Bill
June 10
China's Hack of U.S. Data Tied to Health-Care Record Thefts
June 10
White House Says States Refusing Medicaid Expansion Lost Out on $29 Billion
June 10
CMS: Medicaid, CHIP Enrollment Tops 71 Million at End of March
June 10
Republicans Have Choose-Your-Own-Baseline Option for Health-Care Reconciliation Bill
June 10
Official: ACA Repeal's Economic Effect Could Ease Impact on Deficit
June 10
Multiemployer Group, Unions Warn Cadillac Tax Will Hit More Than Anticipated
June 10
‘Troubled Picture’ of IRS Development Of Insurance Subsidy Rule, Witness Says
June 10
Panel OKs Medicare Pay Board Repeal, Bills Affecting Medicare Advantage
June 10
Expanding Bundled Payments May Improve Medicare Payment System, Study Says
June 10
CMS HPMS MEMORANDA
June 10
High Court Rejects Maine's Challenge To Medicaid Maintenance Provision
June 10
Court OKs Mental Health Coverage Denial, Can't Determine if ERISA Claim Was Vested
June 10
Beneficiary's Estate Ordered to Reimburse Health Fund for $141K in Medical Expenses
June 10
Horizon Can't Escape Chiropractor Suit; Judge Certifies Class Action Against Insurer
June 10
Pennsylvania Formally Applies For a State-Based ACA Marketplace
June 10
Oregon Bill Requires Health Plans Pay For Dispensing Full Year of Contraceptives
June 10
New York Health Plans Request Hikes Averaging 13.5 Percent for 2016
June 10
Florida House Votes Down Plan For Exchange-Based Medicaid Expansion
June 10
Six Insurers Submit Double-Digit Increases For 2016 for Individual Plans in Louisiana
June 10
Louisiana Senate Passes Hospital Measure Paving Way for Possible Medicaid Expansion
June 10
Accounting Rule to Force U.S. Cities To Report Health-Care Liabilities
June 10
University of Iowa Health Care Launches Internet-Based Clinic for Minor Illnesses
June 10
State Regulations for California, Iowa and Maine
June 10
Breakthrough Drugs to Cost Government $50 Billion Over Decade, Insurers Say
June 10
Americans Should Expect Out-of-Pocket Health-Care Costs to Rise Again by 2019
June 10
Highmark Completes Merger With Blue Cross of Northeastern Pennsylvania
June 10
Hepatitis Cruise, India Trips Among Plans to Save on $1,000 Pill
June 10
GAO Report, ‘Patient Protection and Affordable Care Act: Despite Some Delays, CMS Has Made Progress Implementing Programs to Limit Health Insurer Risk' (6/1/15)
June 10
CCIIO Technical Guidance (CCIIO 2015—0001): Questions and Answers Regarding the Medical Loss Ratio (MLR) Reporting and Rebate Requirements (5/27/15)
June 10
80 FR 32692, 06/09/2015—CMS Final Rule on Accountable Care Organizations in the Medicare Shared Savings Program (6/9/15)
June 10
CONFERENCES
June 10
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