Searching Content indexed under Insurance Laws and Products by Susan Huntington ordered by Published Date Descending.
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CMS Expands Value-Based Insurance Program
On January 18, the Centers for Medicare & Medicaid Services (CMS) published a fact sheet announcing a broad array of Medicare Advantage (MA) health plan innovations that will be tested
United States
29 Jan 2019
Ban On Mandatory Arbitration In Nursing Home Contracts May Finally Be Dead
On June 8, the Centers for Medicare & Medicaid Services published a proposed rule which, among other things, rescinds a provision in a final rule enacted in November 2015 that prohibits nursing homes ...
United States
26 Jun 2017
CT CO-OP Placed Under Administrative Supervision
HealthyCT, Inc. has joined the burgeoning ranks of struggling Consumer Operated and Oriented Plans, as the Connecticut Department of Insurance ordered it placed under administrative supervision due to its financial status.
United States
6 Jul 2016
New CT Law Affects Provider Participation Agreements and Requires Adequate Network
Connecticut Governor Dannel Malloy recently signed into law Public Act No. 16-205, "An Act Concerning Standards and Requirements for Health Carriers' Provider Networks and Contracts Between Health Carriers and Participating Providers."
United States
24 May 2016
New Rule Adjusts Special Enrollment Periods And Some CO-OP Provisions
On May 6, the Centers for Medicare & Medicaid Services (CMS) released an interim final rule, to be officially published on May 11, that revises the rules on two aspects of the Affordable Care Act: special enrollment periods (SEPs) and Consumer Operated and Oriented Plans (CO-OPs).
United States
16 May 2016
Legislators Ask CMS To Reconsider Controversial Part B Drug Payment Pilot
As previously discussed here, the Centers for Medicare & Medicaid Services (CMS) has proposed a reimbursement pilot program for Part B drugs.
United States
10 May 2016
Maine Co-Op's Announcement Casts Increased Doubt On Future Of Others
Prior to the Maine announcement, 12 of the 23 state co-ops established under the ACA's CO-OP Program had ceased writing insurance and/or entered insolvency proceedings
United States
17 Dec 2015
CMS Proposed Rule Addresses Narrow Network And "Surprise Bill" Issues
Currently, the ACA requires that all medical policies available on the exchanges have enough in-network hospitals and doctors for members so that all services will be accessible without unreasonable delay.
United States
7 Dec 2015
NAIC Moves Toward National Cybersecurity Rights Standard Applicable To All Insurers
Health plans and clearinghouses are already subject to the privacy and security requirements of HIPAA...
United States
2 Nov 2015
Two Weeks Until ICD-10 Deadline; Physicians Have Some Relief
Beginning October 1, the Centers for Medicare & Medicaid Services (CMS) will not accept ICD-9 diagnosis codes for dates of service after September 30, and it will not send rejection notices.
United States
23 Sep 2015
CMS Bundled Payments Initiative: Will The Risk Pay Off?
The BPCI, introduced in the Affordable Care Act, is designed to test whether bundled payments can reduce Medicare's costs while maintaining or improving the quality of care.
United States
21 Aug 2015
Connecticut Omnibus Healthcare Bill Includes "Surprise Bill" Protection
Effective July 1, 2016, a "surprise bill" from an out-of-network healthcare provider may be considered an unfair trade practice in Connecticut.
United States
16 Jun 2015
Connecticut Development: New Data Encryption Legislation Introduced
On February 26, Bill No. 1024, titled "An Act Concerning the Security of Consumer Data," was introduced in the Insurance Committee of the Connecticut General Assembly.
United States
2 Mar 2015
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