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Results: 11-20 of 27

NAIC adopts model regulation for final medical loss ratios

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • November 4 2010

On October 21, 2010, the Executive and Plenary committees of the National Association of Insurance Commissioners ("NAIC") voted to adopt a model regulation containing the definitions and methodologies for calculating medical loss ratios as stipulated under the Patient Protection and Affordable Care Act ("PPACA"

NYID implements “prior approval” of health insurance rates

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • 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

Judge allows healthcare reform challenge to move forward

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • 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

CMS administrator touts creation of innovation center

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • October 25 2010

In other healthcare reform news, Centers for Medicare and Medicaid Services (CMS) Administrator Donald Berwick spent time on October 18 promoting a provision of the healthcare reform law - Public Law 111-148 - that will establish a new Center for Medicare and Medicaid Innovation (CMI

HHS awards consumer assistance grants

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • 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

Congressional research unveils missed reform deadlines

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • October 12 2010

Also in early October, the non-partisan research arm of Congress - the Congressional Research Service (CRS) - released a memorandum stating that HHS did not meet seven of 22 recent deadlines regarding the implementation of the new healthcare reform law

Medicare physician payment debate awaits in lame duck session

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • 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
  • -
  • USA
  • -
  • 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

Florida plans to seek waiver of medical loss ratio requirements of PPACA

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • September 30 2010

On September 24, 2010, the Florida Health Insurance Advisory Board and the state's Office of Insurance Regulation (OIR) held a joint public hearing to review the impact of the Medical Loss Ratio (MLR) requirements contained in the Patient Protection and Affordable Care Act of 2010

36-month rule comments made public

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • September 27 2010

Healthcare matters remained highly relevant throughout the month of September, as comments were released on important home health regulations, as a lawsuit appeared likely to move forward, and as lawmakers and the President marked the six-month anniversary of the new healthcare reform law