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Proposed changes to the hospital Outpatient Quality Reporting (OQR) and Ambulatory Surgical Center Quality Reporting (ASCQR) programs

USA - July 15 2013 Hospitals and ASCs that fail to meet Hospital OQR Program and ASCQR Program reporting requirements will receive a 2.0 percentage point reduction to…

Stephanie F Johnson, Catherine G Lucas (Katy), Susan Banks, Jennifer Simmen Lewin

HHS and BCBST settle HIPAA case for $1.5 million

USA - March 19 2012 On March 13, 2012, HHS announced that Blue Cross Blue Shield of Tennessee (BCBST) has agreed to pay HHS $1.5 million to settle potential violations of the HIPAA privacy and security rules. 

Aetna files antitrust suit against Blue Cross Blue Shield of Michigan concerning use of most favored nation clauses

USA - December 12 2011 On December 6, 2011, Aetna filed an antitrust lawsuit against Blue Cross Blue Shield of Michigan, the dominant insurer in Michigan. 

Medicare delays face-to-face encounter requirement for certain durable medical equipment

USA - September 16 2013 On September 9, 2013, CMS announced that it would delay a requirement that medical providers have a face-to-face encounter with a Medicare…

NY OMIG issues 2011 Medicaid Work Plan

USA - December 13 2010 On December 6, 2010, the New York State Office of the Medicaid Inspector General (OMIG) issued its 2011 Medicaid Work Plan (the Work Plan).

Ann M. Cook