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CCIIO issues broker guidelines for exchanges

Edwards Wildman Palmer LLP
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USA
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May 7 2013

On May 1, the Center for Consumer Information and Insurance Oversight (CCIIO), a part of the Centers for Medicare and Medicaid Services (CMS), issued

HHS releases new exchange application forms

Edwards Wildman Palmer LLP
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USA
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May 7 2013

The U.S. Department of Health and Human Services (HHS) has released revised, more user-friendly application forms for use by consumers who apply for

New ACOs approved; more states receive approval for exchanges

Edwards Wildman Palmer LLP
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USA
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January 15 2013

On January 10, the U.S. Department of Health & Human Services (HHS) announced that it had approved 106 new accountable care organizations (ACOs

Sequester to squeeze Medicare payments; CMS announces new participants in community-based care program

Edwards Wildman Palmer LLP
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USA
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March 12 2013

The automatic spending cuts that went into effect on March 1 under the Budget Control Act, also known as the sequester, included 2 cuts to provider

Community health center grants announced; PPACA individual mandate ruled unconstitutional; skilled nursing facilities will see rate cuts

Edwards Wildman Palmer LLP
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USA
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August 22 2011

The Department of Health and Human Services (HHS) recently announced more than $28 million in grant funding geared toward the development and expansion of community health centers

Fraud and abuse waivers can assist ACO development

Edwards Wildman Palmer LLP
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USA
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November 30 2011

On November 2, 2011, the Department of Health and Human Services issued an interim final rule announcing the revised fraud and abuse waivers for accountable care organizations participating in the Medicare Shared Savings Program

CMS releases ACO notice for using identifiable data

Edwards Wildman Palmer LLP
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USA
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September 26 2011

The Centers for Medicare and Medicaid Services (CMS) recently released a notice that will establish a system of collecting and using Medicare beneficiary information for those who participate in Accountable Care Organizations (ACOs

First Circuit affirms that hospital employees in Massachusetts are exempt from overtime pay

Edwards Wildman Palmer LLP
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USA
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June 11 2012

Recently, the First Circuit Court of Appeals affirmed in Cavallaro v. UMass Memorial Healthcare, Inc. (2012) that a putative class of hospital employees was not permitted to pursue state law claims for overtime pay because hospitals in Massachusetts are exempt from paying their employees overtime under the Minimum Fair Wage Law, Mass. Gen. Laws c. 151, 1, et seq. (“Minimum Wage Law”

House Committee approves medical loss ratio bill; New York court dismisses challenge to Wage Parity Law

Edwards Wildman Palmer LLP
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USA
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September 24 2012

On September 20, the House Energy and Commerce Committee approved a bill that would exclude brokers’ commissions from the calculation of a health insurance plan’s medical loss ratio (MLR

HHS releases "market reform" rule and report

Edwards Wildman Palmer LLP
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USA
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February 25 2013

On February 22, the Department of Health and Human Services (HHS) released a final rule to implement several key provisions of the Patient Protection

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