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27 Jun 2013, 7:35 am by Debra A. McCurdy
On June 26, 2013, the Department of Health and Human Services (HHS) put on display a final rule that implements provisions of the Affordable Care Act (ACA) related to “shared responsibility” payments. [read post]
27 Jun 2013, 7:20 am by Debra A. McCurdy
On June 20, 2013, HHS announced that health insurance consumers will save a total of $3.9 billion under the ACA’s Medical Loss Ratio (MLR) rule in 2012, including $3.4 billion in the form of reduced premiums and $504 million in rebates rules. [read post]
27 Jun 2013, 7:13 am by Debra A. McCurdy
The HHS Office of Inspector General (OIG) has issued two recent reports focusing on inappropriate prescribers practices involving drugs paid under the Medicare Part D program. [read post]
26 Jun 2013, 12:37 pm by Randy Barnett
HHS, “[o]ne virtue of federalism is that it permits this diversity of governance based on local choice…  Congress’ denial of federal benefits to same-sex couples lawfully married in Massachusetts has not been adequately supported by any permissible federal interest. [read post]
26 Jun 2013, 6:21 am by Cynthia Marcotte Stamer
As part of these preparations, HHS kicked off an aggressive Health Insurance Marketplace education effort by announcing the deploying of with newly designed “consumer-focused” HealthCare.gov website and the 24-hours-a-day consumer call center that HHS claims provide all the necessary tools to prepare Americans for open enrollment and ultimately sign up for private health insurance. [read post]
26 Jun 2013, 6:01 am by Debra A. McCurdy
In a June 26, 2013 notice, HHS states that it “has become aware of differing perspectives in the scientific, research, and ethics communities about these issues and how the relevant requirements of the HHS protection of human subjects regulations should apply to research studying standard of care interventions. [read post]
26 Jun 2013, 5:33 am by Jerri Lynn Ward, J.D.
” – HHS –  “Texas Governor Rick Perry signed a series of bills into law last week modifying some of the state’s Medicaid statutes and programs. [read post]
26 Jun 2013, 5:00 am
If so, what can the NBA fine HHS and President Obama for their efforts? [read post]
25 Jun 2013, 11:15 am
Max Baucus ... asked HHS to provide "a complete list of agencies that will interact with the Federal Data Services Hub." [read post]
24 Jun 2013, 5:53 pm
HHS Secretary Kathleen Sebelius said Monday the NFL has been “very actively and enthusiastically engaged” in the discussions, according to The Hill. [read post]
24 Jun 2013, 5:49 am
Department of Health and Human Services (HHS) published a proposed rule that sets forth several new polices related to implementation of the Affordable Care Act’s (ACA) health insurance exchanges (Exchanges) (also known as Health Insurance Marketplaces).The proposed rule focuses in large part on program integrity with respect to qualified health plans (QHPs) offered through state-run Exchanges and federally-facilitated Exchanges (FFE). [read post]
24 Jun 2013, 5:49 am
Department of Health and Human Services (HHS) published a proposed rule that sets forth several new polices related to implementation of the Affordable Care Act’s (ACA) health insurance exchanges (Exchanges) (also known as Health Insurance Marketplaces).The proposed rule focuses in large part on program integrity with respect to qualified health plans (QHPs) offered through state-run Exchanges and federally-facilitated Exchanges (FFE). [read post]
23 Jun 2013, 10:13 am
An HHS spokeswoman said that customer service representatives will answer questions by reading from HHS-approved scripts and provide state-specific information. [read post]
23 Jun 2013, 4:28 am by Ben Vernia
On June 20, the Office of Inspector General of the Department of Health and Human Services released a report concluding that 700 prescribers of drugs reimbursed by Medicare’s Part D program exhibited “questionable” prescribing patterns, including ordering extremely high numbers of prescriptions per beneficiary, having a very large number of pharmacies filling prescriptions, ordering large numbers of Schedules II and III drugs (which are prone to addiction and abuse), prescribing… [read post]
20 Jun 2013, 11:00 pm by Christina Reichert
Department of Health and Human Services (HHS) proposed a rule under the Affordable Care Act (ACA) to create financial integrity and oversight standards for certain health insurance programs.The Administrative Conference of the United States (ACUS) adopted recommendations on the Social Security Administration’s (SSA) adjudication consistency, independent agencies’ use of cost-benefit analysis, the informal rulemaking record, and agencies’ use of science.The Monitor of the… [read post]
20 Jun 2013, 2:23 pm
On June 13, 2013, the Department of Health and Human Services ("HHS") Office of Inspector General ("OIG") released Advisory opinion 13-03 regarding a proposed arrangement for clinical laboratory services. [read post]