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North Carolina granted MLR waiver; Wisconsin’s request denied
  • Locke Lord LLP
  • USA
  • February 22 2012

On February 17, the U.S. Department of Health and Human Services (HHS) granted the request by the North Carolina Department of Insurance for a waiver of the medical loss ratio (MLR) requirements mandated by PPACA, while denying a similar request by Wisconsin’s Office of the Commissioner of Insurance


Congress passes “doc fix"
  • Locke Lord LLP
  • USA
  • February 22 2012

The payroll tax cut deal approved by the House and Senate on February 17 includes $21 billion in healthcare spending, much of which comes from blocking the physician pay rate drop of 27.4 that would have taken effect on March 1


CMS announces first ACO participants
  • Locke Lord LLP
  • USA
  • April 17 2012

On April 10, the Centers for Medicare & Medicaid Services (CMS) announced the first 27 accountable care organizations (ACOs) that will participate in the Medicare Shared Savings Program (MSSP), established under the Patient Protection and Affordable Care Act (PPACA


HHS proposes delaying ICD-10 compliance deadline, adopts unique health plan identifier
  • Locke Lord LLP
  • USA
  • April 17 2012

On April 9, the Department of Health and Human Services (HHS) released a proposed rule that would delay the compliance deadline for the International Classification of Diseases, 10th Revision (ICD-10) diagnostic code set from October 1, 2013 to October 1, 2014


New York Governor issues Executive Order for Health Exchange
  • Locke Lord LLP
  • USA
  • April 17 2012

On April 12, New York Governor Andrew M. Cuomo issued an Executive Order establishing a statewide Health Exchange


CMS issues proposed IPPS rule
  • Locke Lord LLP
  • USA
  • April 30 2012

On April 24, the Centers for Medicare and Medicaid Services (CMS) issued its proposed Inpatient Prospective Payment Systems (IPPS) rule setting forth hospital payment rate changes for the 2013 fiscal year, which begins October 1, 2012


PPACA expected to save $200 billion through 2016
  • Locke Lord LLP
  • USA
  • April 30 2012

According to a report released on April 23 by CMS’s Office of the Actuary, PPACA is expected to save Medicare more than $200 billion through 2016


Consensus at Senate hearing: Medicare reform is necessary
  • Locke Lord LLP
  • USA
  • June 19 2012

Healthcare industry executives speaking at a Senate Finance Committee roundtable hearing on June 14 agreed that the current Medicare physician payment system is in need of reform


HHS and contractor lag in development of PPACA quality measures
  • Locke Lord LLP
  • USA
  • January 23 2012

The Government Accountability Office (GAO) released a report on January 13, 2012 stating that HHS has failed to properly supervise the development of quality measures that are required by PPACA


Massachusetts Governor signs health care payment reform bill
  • Locke Lord LLP
  • USA
  • 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