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CMS issues proposed MLR rule for Medicare advantage and Part D

Edwards Wildman Palmer LLP
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USA
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February 25 2013

On February 15, the Centers for Medicare & Medicaid Services issued a proposed rule to implement medical loss ratio (MLR) requirements for the

FTC sues to undo St. Luke's health system acquisition of specialty physician practice

Edwards Wildman Palmer LLP
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USA
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March 14 2013

On March 12, 2013, the Federal Trade Commission joined with the Idaho Attorney General in filing a complaint in federal district court seeking to

House passes bill to amend PPACA

Edwards Wildman Palmer LLP
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USA
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March 7 2011

The House took up legislation last week that would repeal the so-called "1099 provision" in the PPACA

HHS issues final rules on Medicaid expansion and insurance plan coverage

Edwards Wildman Palmer LLP
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USA
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March 19 2012

On March 16, HHS released a final rule (CMS-2349-F) to implement PPACA provisions that replaced existing Medicaid eligibility categories with a fixed income-based standard of 133 of the federal poverty level

New HHS reporting rule will help define “essential health benefits”; CMS ends marketing outreach for high-risk pools

Edwards Wildman Palmer LLP
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USA
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June 5 2012

On June 1, the U.S. Department of Health and Human Services (HHS) released a proposed rule that would require the three largest small-group health insurance issuers in each state to report detailed benefit information to HHS, as well as prescription drug coverage information and any limits on the benefits offered

Physician groups propose permanent “doc fix”; HIPAAHITECH enforcement expected to increase in 2013

Edwards Wildman Palmer LLP
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USA
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October 22 2012

In an October 15 letter, the American Medical Association (AMA) and more than 100 other medical societies and physicians’ organizations urged Congress to consider a permanent replacement for the Medicare physician payment system

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

Medical device groups push for repeal of excise tax

Edwards Wildman Palmer LLP
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USA
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July 25 2011

In response to an upcoming excise tax that is expected to cost the medical device industry $2.7 billion per year, a group of more than 400 medical device companies and other organizations recently sent a letter to House and Senate leaders, asking for a repeal

Meaningful use update

Edwards Wildman Palmer LLP
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USA
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March 7 2011

As the Office of the National Coordinator (ONC) for Health Information Technology (IT) at HHS works to implement meaningful use requirements in the adoption of electronic health records (EHR), industry stakeholders have begun to weigh in on the need to delay the onset of Stage 2 in this process

Last week in DC: the healthcare reform debate

Edwards Wildman Palmer LLP
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USA
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September 28 2009

After months of behind the scenes negotiations, the Senate Finance Committee began debating healthcare reform on the record last week, as its long-awaited markup got underway

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