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AHA letter calls for medical loss ratio rule changes

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • February 4 2011

In a comment letter to the U.S. Department of Health and Human Services, the American Hospital Association has asked that the final medical loss ratio (MLR) rules under the Patient Protection and Affordable Care Act be changed

White House issues health reform progress report

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • January 23 2012

In a January 18, 2012 report, the White House stated that all states have “taken some action to implement health reform,” and that 28 states and the District of Columbia are “on their way toward establishing their own Affordable Insurance Exchange.”

CMS delays data collection under Sunshine Act; new rules to ease burdens on providers; MA bills target healthcare costs; CMS proposes Medicaid payment increase; New bill proposes repeal of SGR

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • May 15 2012

In a May 3 notice on its official blog, the Centers for Medicare & Medicaid Services announced that it will not require data collection under the Physician Payments Sunshine Act, part of the Patient Protection and Affordable Care Act, until January 1, 2013

HHS issues final rules on Medicaid expansion and insurance plan coverage

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

White House brief says PPACA can survive without individual mandate

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • February 6 2012

In a brief filed on January 27, the Obama administration told the U.S. Supreme Court that the Patient Protection and Affordable Care Act could survive even if the individual mandate provision were declared unconstitutional

More than 1,000 waivers of PPACA provision granted

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • March 17 2011

The U.S. Department of Health and Human Services has approved more than 1,000 one-year waivers of the Patient Protection and Affordable Care Act (PPACA) provision that restricts annual limits for essential benefits

New guidance issued on “fixed indemnity” insurance benefits under Affordable Care Act

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • April 18 2013

When the Health Insurance Portability and Accountability Act (“HIPAA”) was enacted in 1996, it exempted coverage of “excepted benefits” from its

Georgia insurance commissioner issues statement on PPACA

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • February 3 2011

On February 1, Georgia Insurance Commissioner Ralph Hudgens issued the following statement regarding the recent Florida court decision holding the Patient Protection and Affordable Care Act unconstitutional

CCIIO issues broker guidelines for exchanges

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • 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 issues final rule for insurance exchanges

  • Edwards Wildman Palmer LLP
  • -
  • USA
  • -
  • March 19 2012

On March 12, HHS released a final rule (CMS-9989-F) establishing guidelines for states to set up the “Affordable Insurance Exchanges” mandated by PPACA