CMS Issues Final Rules on Medicaid Expansion FMAP

 

The Centers for Medicare and Medicaid Services (CMS) issued final rules on April 2, 2013 on calculating Medicaid expenditures that will qualify for enhanced Federal medical assistance percentages (FMAP) under section 2001 of the Affordable Care Act. [More]

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Categories:CMS Regulations | Federal Health Care Reform

 

Commission Recommends Physician Payment Reforms

 

The National Commission on Physician Payment Reform released a report on March 4, 2013 which concludes that health care spending cannot be controlled effectively without fundamental changes in how physicians are reimbursed under public and private health plans. [More]

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Categories:Payment Reform

 

CMMI Announces $289 Million in State Health Care Innovation Awards

 

The Center for Medicare and Medicaid Innovation (CMMI) announced on February 21, 2013 that it has approved $254 million in "model testing" awards to six States, $31 million in "model design" awards to 16 States, and $4 million in "model pre-testing" awards to four States. [More]

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Categories:Federal Health Care Reform | Payment Reform | State Health Care Reform

 

HHS Finalizes Rules on Essential Health Benefits

 

The U.S. Department of Health and Human Services released draft final rules on February 20, 2013 on the ten categories of "essential health benefits" that qualified health plans (QHPs) must cover to be certified by health insurance Exchanges for 2014. [More]

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Categories:CMS Regulations | Essential Health Benefits | Federal Health Care Reform | Health Insurance Exchanges

 

CMS Implements Bundled Payments Initiative

 

The Centers for Medicare and Medicaid Services (CMS) announced on January 31, 2013 over 500 provider organizations that will be participating in its nationwide Bundled Payments for Care Improvement Initiative. [More]

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Categories:Demonstration Projects | Federal Health Care Reform | Payment Reform

 

HHS Rules Define Exchange Role in Exemptions to Individual Mandate

 

Proposed rules issued by the U.S. Department of Health and Human Services on February 1, 2013 provide new guidance on the required functionality of health insurance Exchanges in determining whether individuals may qualify for exemptions to the "individual mandate" under the Affordable Care Act. [More]

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Categories:CMS Regulations | Federal Health Care Reform | Health Insurance Exchanges

 

HHS Releases Proposed Rules on ACA Eligibility and Appeals

 

The U.S. Department of Health and Human Services (HHS) released draft proposed rules on January 14, 2013 on eligibility, notification, and appeals procedures for individuals seeking coverage through Medicaid, the Children's Health Insurance Program, and health insurance Exchanges. [More]

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Categories:CMS Regulations | Federal Health Care Reform | Health Insurance Exchanges

 

U.S. Treasury Issues Rules to Implement Employer Shared Responsibility under the ACA

 

The U.S. Department of the Treasury published proposed rules on January 2, 2013 to implement section 1513 of the Affordable Care Act (ACA), the "employer shared responsibility" provision which imposes two types of tax assessment penalties on some large employers. [More]

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Categories:Federal Health Care Reform