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Medicare physician payment debate awaits in lame duck session

Edwards Wildman Palmer LLP
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USA
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October 12 2010

Earlier this year, Congress enacted a short-term fix to ensure that physicians did not see drastic reductions in their Medicare reimbursements - an issue that has been plaguing lawmakers and physicians alike for years, due to a payment formula that has routinely scheduled reimbursement reductions

Senior Medicare Patrol programs receive federal grants

Edwards Wildman Palmer LLP
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USA
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October 12 2010

On October 1, the Centers for Medicare and Medicaid Services (CMS) announced a series of Senior Medicare Patrol (SMP) program grants totaling $9 million

HHS awards consumer assistance grants

Edwards Wildman Palmer LLP
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USA
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October 25 2010

The following day, HHS announced $30 million in grants in conjunction with another portion of Public Law 111-148 - the effort to strengthen consumer assistance programs

Judge allows healthcare reform challenge to move forward

Edwards Wildman Palmer LLP
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USA
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October 25 2010

On October 14, a federal judge declined to dismiss two of the six claims in a healthcare reform lawsuit filed by 20 states

NYID implements “prior approval” of health insurance rates

Edwards Wildman Palmer LLP
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USA
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November 2 2010

Effective October 1, 2010, the New York Insurance Department (the "Department") has authority to review health insurance rate requests before they go into effect

Federal government issues final medical loss ratio regulations

Edwards Wildman Palmer LLP
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USA
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November 24 2010

On November 22, 2010, the U.S. Department of Health and Human Services (HHS) issued final regulations on the medical loss ratio requirements provided for in the Patient Protection and Affordable Care Act (PPACA

Final GINA regulations published in Federal Register

Edwards Wildman Palmer LLP
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USA
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November 24 2010

On November 9, 2010, the Equal Employment Opportunity Commission (the "EEOC") published final regulations (the "Regulations") implementing the employment provisions (Title II) of the Genetic Information Nondiscrimination Act of 2008 ("GINA"

Some large insurers stop offering children's policies

Edwards Wildman Palmer LLP
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USA
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September 24 2010

Aetna, Anthem Blue Cross, Cigna, Humana, WellPoint, and the Golden Rule subsidiary of UnitedHealth are among the companies that have decided to stop selling child-only policies rather than comply with the new Patient Protection and Affordable Care Act (PPACA) requirement that they cover children with pre-existing conditions effective September 23, 2010

Healthcare news from Capitol Hill and the Department of Health and Human Services August 30, 2010

Edwards Wildman Palmer LLP
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USA
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August 30 2010

The Centers for Medicare and Medicaid Services (CMS) announced on August 18 that states have until September 24 to request an extension of the enhanced Federal Medical Assistance Percentage (FMAP) - the federal government's share of Medicaid funding

Massachusetts health insurer settles with division of insurance on rate increases

Edwards Wildman Palmer LLP
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USA
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August 26 2010

Earlier this month, the Massachusetts Division of Insurance (the "Division") struck a deal with Health New England to settle a dispute over rate increases