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Proposed bill would eliminate Stark Law exception for some services; Oregon exchange won’t be completely ready by deadline; “Doc Fix” bill advances in house
  • Locke Lord LLP
  • USA
  • August 13 2013

The "Promoting Integrity in Medicare Act of 2013," introduced in the U.S. House of Representatives on August 1, would eliminate one of the Stark


Sequester to squeeze Medicare payments; CMS announces new participants in community-based care program
  • Locke Lord LLP
  • USA
  • 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


Federal government to delay employer mandate
  • Locke Lord LLP
  • USA
  • July 3 2013

The so-called "employer mandate" under the Affordable Care Act (ACA), requiring businesses to provide healthcare coverage to their employees or pay


CMS issues proposed MLR rule for Medicare advantage and Part D
  • Locke Lord LLP
  • USA
  • 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


Georgia insurance commissioner issues statement on PPACA
  • Locke Lord 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


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


HHS releases new exchange application forms
  • Locke Lord LLP
  • USA
  • 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 ups Medicaid expansion payments funding
  • Locke Lord LLP
  • USA
  • April 2 2013

On March 29, the U.S. Department of Health and Human Services (HHS) issued a final rule under which the federal government will pay the entire cost


BCBS of MI antitrust case dropped
  • Locke Lord LLP
  • USA
  • April 2 2013

On March 25, the U.S. Department of Justice (DOJ) and the State of Michigan agreed to dismiss an antitrust case against Blue Cross Blue Shield of


Wellpoint pays $1.7 million for HIPAA breach; CMS announces initial pioneer ACO results; CMS releases final rule on “navigators”
  • Locke Lord LLP
  • USA
  • July 16 2013

On July 11, the U.S. Department of Health and Human Services announced that health insurer Wellpoint Inc. has agreed to pay the sum of $1.7 million to