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8 Aug 2014, 5:40 am
HHS says insurers and TPAs have work to complete by 9/27 to prepare to comply with the EDGE system data reporting that HHS will require them to conduct as part of ACA’s reinsurance premium and risk adjustment risk sharing provisions. [read post]
6 Aug 2014, 4:18 am
The Third Circuit Court of Appeals ruled that a Medicare recipient could not prevent CMS from recovering conditional payments from a liability settlement by holding that the NJ Collateral Source Statute (NJCSS) did not prevent Medicare from recovering medical expenses as part of her damages in a tort suit and that the state court's oder apportioning settlement proceeds did not bar the Federal government from seeking reimbursement for medical expenses.Taransky v Sec of US HHS No.… [read post]
5 Aug 2014, 8:58 pm
" HHS is supporting the mission by developing a voluntary national adult protective services (APS) data system. [read post]
1 Aug 2014, 1:49 pm
Also, the Representatives' bill would task the Secretary of Health and Human Services (HHS) with developing standards for remote patient monitoring. [read post]
30 Jul 2014, 9:00 am
In fact, the Labor/HHS Subcommittee of the Senate Appropriations Committee recently approved $10 million that will go toward the Elder Justice Initiative. [read post]
30 Jul 2014, 7:19 am
It's available for a limited time only (well, at least until HHS Secretary Burntwell unilaterally extends it).And just how much of your money are we talking about here? [read post]
29 Jul 2014, 9:51 pm
In less than twelve months from August 13, 2013 to July 29, 2014, 239 more marchers have joined the parade on the HHS List. [read post]
27 Jul 2014, 11:13 pm
Other HHS Developments. [read post]
25 Jul 2014, 11:25 am
The final rule interprets the Act as authorizing the IRS to grant tax credits to individuals who purchase health insurance on both state-run insurance “Exchanges” and federally-facilitated “Exchanges” created and operated by HHS. [read post]
25 Jul 2014, 10:28 am
On July 14, 2014, HHS announced a $100 million Medicaid Innovation Accelerator Program to assist state health system reform efforts designed to improve health care while reducing costs. [read post]
25 Jul 2014, 10:28 am
The HHS Office of Medicare Hearings and Appeals (OMHA) has announced the Settlement Conference Facilitation (SCF) program, a pilot alternate dispute resolution process designed to bring the appellant and CMS together to discuss the potential of a mutually-agreeable resolution to the claims appealed to an Administrative Law Judge (ALJ) hearing. [read post]
25 Jul 2014, 8:49 am
While HHS previously used the Public Health Service Act definition of "state" that applied ACA market reforms to the territories, CMS has modified this interpretation in light of concerns that it is undermining the stability of the territories' health insurance markets. [read post]
24 Jul 2014, 1:20 pm
Adding it in was unnecessary unless it had some purpose — such as to distinguish exchanges “established by the State” from those “established” by HHS as required by Section 1321. [read post]
24 Jul 2014, 12:44 pm
"And Pat offers this:"The bigger point is that HHS isn’t verifying jack squat. [read post]
23 Jul 2014, 11:50 pm
HHS, No. 13-5368, and Roman Catholic Archbishop of Washington v. [read post]
23 Jul 2014, 10:30 pm
—are things that one suspects HHS would be happy to help out with, if asked. [read post]
23 Jul 2014, 12:03 pm
If a state elected not to establish an exchange or was unable to establish an operational exchange by January 1, 2014, the Secretary of HHS was required to establish a federal exchange under section 1321 of the ACA. [read post]
23 Jul 2014, 6:44 am
Note that the Pharmaceutical Research and Manufacturers of America (PhRMA), which filed the original lawsuit on the 340B orphan drug regulation, has filed a motion asserting that “HHS’s actions are in direct circumvention” of the prior court ruling, and challenging HRSA’s authority to implement this policy through an interpretive rule. [read post]
22 Jul 2014, 11:54 pm
HHS has issued a proposed rule that would specify additional options for annual eligibility redeterminations and renewal and re-enrollment notice requirements for qualified health plans offered through the ACA insurance Exchange/Marketplace, beginning with annual redeterminations for coverage for plan year 2015. [read post]
22 Jul 2014, 9:01 pm
” The Court adds that “HHS [the U.S. [read post]