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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

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

Massachusetts Governor signs health care payment reform bill

Edwards Wildman Palmer LLP
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USA
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August 13 2012

On August 6, 2012, Gov. Deval Patrick (D-MA) signed into law a nearly 350-page bill that builds on the health reform legislation signed into law by Gov. Mitt Romney in 2007, and supports the Patient Protection and Affordable Care Act

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

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

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

"Save and Strengthen Medicare Act" introduced; CMS issues nine conditional approval for exchanges; HHS rejects "partial" medicaid expansions

Edwards Wildman Palmer LLP
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USA
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December 17 2012

On December 11, the outgoing chairman of the House Ways and Means Health Subcommittee introduced a bill (the "Save and Strengthen Medicare Act," H.R. 6645) that proposes major changes to the Medicare program

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

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