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Obama administration proposes 2017 ACA marketplace plan benefit and payment parameters
  • Reed Smith LLP
  • USA
  • November 30 2015

On December 2, 2015, CMS is publishing its annual proposed Notice of Benefit and Payment Parameters, which would govern participation in the


CMS proposes funding methodology for ACA Basic Health Program for 2017-2018
  • Reed Smith LLP
  • USA
  • October 26 2015

On October 22, 2015, CMS published a proposed methodology for determining federal payment amounts to states that elect to establish a Basic Health


OIG calls for stronger HIPAA compliance efforts
  • Reed Smith LLP
  • USA
  • October 5 2015

The OIG has issued two reports calling for stronger ONC oversight of covered entity compliance with HIPAA standards. In the first report, “OCR Should


House hearings to focus on ACA insurance issues
  • Reed Smith LLP
  • USA
  • September 8 2015

On September 9, 2015, the House Energy and Commerce Committee is holding a hearing on H.R. 1624, Protecting Affordable Coverage for Employees Act of


GAO examines geographic variation in private payer spending on high-cost procedures
  • Reed Smith LLP
  • USA
  • January 29 2015

On January 28, 2015, the Government Accountability Office (GAO) released a report entitled "Private Health Insurance: Geographic Variation in


Territories not bound by key ACA insurance market provisions
  • Reed Smith LLP
  • USA
  • July 25 2014

CMS has reversed course on the applicability of certain ACA provisions to health insurance issuers in the territories. While HHS previously used the


Circuit split on availability of ACA tax credits in federal Exchanges
  • Reed Smith LLP
  • USA
  • July 25 2014

As has been widely reported, on July 22, 2014, two circuit court panels handed down conflicting decisions on whether ACA insurance premium tax


GAO reviews financial characteristics of applicants for Medicaid nursing home coverage
  • Reed Smith LLP
  • USA
  • June 25 2014

The GAO has issued a report entitled "Medicaid: Financial Characteristics of Approved Applicants and Methods Used to Reduce Assets to Qualify for


CMS extends deadline for individuals to enroll in health insurance through exchanges
  • Reed Smith LLP
  • USA
  • April 8 2014

CMS has extended the Affordable Care Act (ACA) insurance enrollment period for individuals (1) who have had difficulty signing up for a health


CMS releases subregulatory guidance on ACA insurance coverage, exchange issues
  • Reed Smith LLP
  • USA
  • March 24 2014

Recent CMS subregulatory guidance and related announcements regarding ACA insurance coverage and insurance exchange issues include the following: On