Healthcare Law Blog

JANUARY 4, 2023

The HHS Notice of Benefit and Payment Parameters for 2024 (“Proposed Rule”) would streamline ACA health plan selection, simplify marketplace enrollment, and expand access to care for low-income and medically underserved consumers through revision of network adequacy and essential community provider (“ECP”) standards.

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Jane Sarashon

FEBRUARY 27, 2024

NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. The Affordable Care Act (ACA) of 2010 had embedded within the law a Patient’s Bill of Rights.

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Healthcare Law Blog

MAY 17, 2022

On January 5, 2022, we discussed the Notice of Benefit and Payment Parameters for 2023 proposed rule released by the Centers for Medicare & Medicaid Services (CMS). On April 28, 2022, CMS issued the NBPP 2023 Final Rule. Essential Health Benefits Policy for Plan Designs. Clayton County.

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Compliance Now

DECEMBER 20, 2022

With this extension, employers need to make sure that 2022 forms are distributed to employees by March 2, 2023. 2022 Forms 1095-B/C and Form 1094-B/C must be successfully e-Filed with the IRS by March 31, 2023. Applicable large employers should carefully analyze affordability for their 2023 plan year in advance of open enrollment.

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Compliance Now

DECEMBER 20, 2022

With this extension, employers need to make sure that 2022 forms are distributed to employees by March 2, 2023. 2022 Forms 1095-B/C and Form 1094-B/C must be successfully e-Filed with the IRS by March 31, 2023. Applicable large employers should carefully analyze affordability for their 2023 plan year in advance of open enrollment.

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Bill of Health

NOVEMBER 9, 2023

has some of the world’s leading medical facilities and research institutions, and the ability to deliver the highest available quality of care, it ranks last among rich nations in providing equitable, accessible, affordable, and high-quality health care. America is the only wealthy nation to lack universal health coverage.

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Center for Health Insurance Reform

MAY 19, 2023

On May 15, 2023, the 5th Circuit Court of Appeals temporarily paused the Braidwood v. That court's decision would have blocked federal enforcement of the ACA's requirements that insurers cover and waive cost-sharing for preventive services. Becerra ruling by a federal district court.

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ACA 85

Kaiser Health News

JANUARY 27, 2022

million Americans have signed up for health insurance under the Affordable Care Act for 2022. But many millions of those newly insured could face significantly higher premiums for 2023 unless Congress extends the temporary subsidies it passed last year. The Biden administration announced that 14.5

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Bill of Health

JANUARY 8, 2024

An important aspect of this “ Economic Stabilization ” order was allowing businesses to use health insurance as a way to compete for employees. Employers increasingly used health insurance as a recruitment tool, and legislatures nationwide established injury coverage as a bare minimum requirement for employers.

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ACA Health Insurance Public Health Governance 111

Kaiser Health News

JANUARY 19, 2022

Although the practice does not appear widespread, it has prompted the Department of Health and Human Services to seek changes to some oversight rules affecting brokers. They would start in 2023.

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Compliance Now

OCTOBER 13, 2022

The Biden Administration issued a final regulation and a new IRS notice on October 11, 2022, which eliminate the Affordable Care Act’s (ACA) “family glitch” beginning on January 1, 2023. 1] For plan years beginning in 2023, an extra year is permitted to complete the amendment (e.g.,

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Compliance Now

OCTOBER 13, 2022

The Biden Administration issued a final regulation and a new IRS notice on October 11, 2022, which eliminate the Affordable Care Act’s (ACA) “family glitch” beginning on January 1, 2023. 1] For plan years beginning in 2023, an extra year is permitted to complete the amendment (e.g.,

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Healthcare Blog

NOVEMBER 9, 2023

The healthcare industry has extensive regulations, with laws such as the Health Insurance Portability and Accountability Act (HIPAA) and the Affordable Care Act (ACA) imposing stringent obligations on providers. DEPARTMENT of HEALTH and HUMAN SERVICES Food and Drug Administration. November 2023, [link] U.S.

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Hall Render

JANUARY 27, 2023

Laura Kelly argues Kansans deserve bipartisan progress on tax, health care, K-12 policy Kansas hospital goes live with Meditech EHR New western Kan. turns to in-home care for children’s mental health How to incorporate Fitbit, Apple data into EHRs?

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Compliancy Group

FEBRUARY 12, 2024

Urinary Catheter Medicare Fraud In August 2023, angry phone calls flooded the Pretty in Pink Boutique in Tennessee with complaints that their insurance companies were billed thousands of dollars for urinary catheters that they didn’t ask for and weren’t received.

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Healthcare Law Blog

JANUARY 26, 2023

On January 5, 2023, the U.S. Department of Health and Human Services (“HHS”) published a notice of proposed rulemaking entitled “Safeguarding the Rights of Conscience as Protected by Federal Statutes” (the “ Proposed Rule “).

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Health Populi

JUNE 30, 2023

In 2023, the Humira biosimilar launch is seen as a “new milestone” for biosimilars in the U.S. Here is a de ep analysis from GoodRx on the launch of at least 9 Humira biosimilars for 2023, foretelling this one product alone could have a major impact on the overall cost of prescription drugs in the U.S.

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Prescription Drug Pricing COVID-19 ACA Hospitals 81

Kaiser Health News

JUNE 2, 2022

Meanwhile, Congress is running out of time to decide whether to extend the current additional subsidies for people buying their own health insurance under the Affordable Care Act. Democrats are also under pressure to move quickly if they want to extend the premium subsidies for plans purchased on the ACA insurance marketplaces.

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Hall Render

MAY 2, 2023

As the COVID-19 pandemic took its toll, the year 2020 ushered in declarations of a National Emergency (“NE”) and a Public Health Emergency (“PHE”). The PHE is set to expire on May 11, 2023. 7 was signed by President Biden on April 10, which ends the NE on May 11, 2023 as well. In addition, H.J.

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Public Health COVID-19 COVID-19 Vaccine ACA 40

MedTrainer

JANUARY 31, 2024

In 2023, the OIG provided updated guidance with a promise of updates to industry-specific guidance in 2024. The introduction of laws like the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Modernization Act have added layers of complexity to healthcare compliance.

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MedTrainer

MARCH 28, 2024

Here are key dates in compliance history: 1965 – Medicare and Medicaid 1996 – Health Insurance Portability and Accountability Act (HIPAA) 2009 – Health Information Technology for Economic and Clinical Health (HITECH) Act 2010 – Affordable Care Act (ACA) 2015 – Medicare Access and CHIP Reauthorization Act (MACRA) 2023 – OIG Issues update – (..)

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Compliance Compliance Officers Licensing Regulatory Compliance 52

Healthcare IT Today

APRIL 10, 2023

The only way to actually change health behaviors—and therefore health outcomes—is by creating motivation on an individual basis. Behavioral Economics at the Core We partner with health insurers and providers to set up a monthly reward system that’s built on behavioral science, utilizing concepts such as loss aversion.

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Healthcare Law Blog

MARCH 20, 2023

1] In addition to the challenges presented by provider shortages, even when patients are able to locate an available mental health provider, many are hesitant to engage in treatment due to cost uncertainties, which often arise due to limited availability for in-network care and the subsequent need to seek out-of-network care. [2] 21, 2023).

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Healthcare Law Blog

AUGUST 25, 2022

The drug publication date for 2026 will be chosen by September 1, 2023. Additional updates of note include: ACA Premium Tax Credit Eligibility. The IRA includes a three-year extension of enhanced financial assistance for people enrolled in health insurance through the marketplaces under the Affordable Care Act.

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Kaiser Health News

FEBRUARY 9, 2023

” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to Z,” now in its third edition. Health care was a recurring theme throughout President Joe Biden’s 2023 State of the Union address on Capitol Hill this week.

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Hall Render

OCTOBER 27, 2023

Here’s why Grady Health System recognized as health care I.T. Million Health Care Fraud Conspiracy in Idaho Orthopedic activity in the 5 most underserved states St. Louis-based health system to form Michigan joint venture Mercy opens ‘high-tech’ multispecialty center, ASC in St.

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Hall Render

SEPTEMBER 1, 2023

Louis hospital ‘You can’t do this to people’: Patients say they waited 12 hours to be treated at hospital Missouri health system names CEO Petitions seek to add rape, incest exceptions to Missouri abortion law Cigna exiting ACA exchanges in Kansas, Missouri for 2024 ‘It’s a win-win for everybody’: Gov.

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Healthcare Law Blog

DECEMBER 15, 2022

Further, payers should consider submitting comments on the Proposed Rule, which are due on March 13, 2023. In this post, we focus on the potential impact on MAOs of 1) the payer-to-payer data exchange and 2) prior authorization requirements.

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C&M Health Law

NOVEMBER 23, 2020

On October 29, 2020, the Departments of Health and Human Services, Labor, and the Treasury (“the Departments”) issued a final rule requiring private-sector health insurers and self-insured health plans to disclose treatment prices and cost-sharing information with consumers.

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Hall Render

APRIL 7, 2023

workers were laid off in Q1 Fast closures of nursing homes in Massachusetts raise alarms and worry over patients Former executives at Billerica lead poisoning test maker facing federal charges Lawmakers eye reforms to Health Policy Commission oversight Mass. has one of the highest rates avoidable hospital visits in U.S. on revenue of $2.1B

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US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

JUNE 16, 2023

Vincent’s to begin ER construction, gains CON approval Birmingham CRE firm acquires South Carolina medical office property Encompass Health prepares to open rehab hospital, fill gap in care Nearby ED means more avoidable visits from AL residents, study finds Nurse salaries rose last year, dipped in 2023. emergency rooms D.C.

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

MAY 12, 2023

Elizabeth Community Hospital receives top marks for safety Strike set at Los Angeles hospital Sutter Health credit rating upgraded ahead of $750 million bond issue Sutter Health in talks to acquire Sansum Clinic in Santa Barbara Sutter Health opens 2023 with $194M gain, 2.3%

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COVID-19 US Department of Health and Human Services Nurses Hospitals 40

Kaiser Health News

JANUARY 12, 2023

12, 2023 Tamar Haspel: A lot of us want to eat better for the planet, but we’re not always sure how to do it. Finally this week, but not least, there’s also news on the health insurance coverage front. They can take some dollars out of Medicaid, you know, the largest expansion of which is part of ACA.

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Health Populi

APRIL 3, 2023

public does not want politicians to “up-end” government-funded health programs, according to the Kaiser Family Foundation’s March 2023 Health Tracking Poll. adults between March 14-23, 2023. We are all health citizens at the end of the day. We are all health citizens at the end of the day.

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