First of Two HHS Secretary Confirmation Hearings Set

The Senate Health, Education, Labor and Pensions Committee will kick off the vetting of HHS Secretary-designee Sylvia Matthews Burwell with a confirmation hearing on May 8th. Burwell, currently the head of the Office of Management and Budget (OMB), will also have to go before the Senate Finance Committee in the …

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AHA SUES HHS OVER TWO-MIDNIGHT RULE

Somebody had to do it—sue HHS to overturn the much-maligned two-midnight rule.  So, yesterday the American Hospital Association, joined by several other high-profile hospital organizations, filed a lawsuit against HHS Secretary Katherine Sebelius (no wonder she’s resigning) to prevent enforcement of the …

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A Brief Overview of the Federal Health Policy Landscape

With Congress heading out of town for a two weeks spring break – or, as they prefer to call it, a district work period – and HHS Secretary Sebelius riding off into the sunset, now is a good time to take stock of the health policy landscape and what lies ahead. Congress’s kicking the can once again on the …

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More Details Emerge on Transitional Reinsurance Fee

The latest final regulations on the transitional reinsurance fee provide some clarity for plan sponsors.  As a reminder, the transitional reinsurance program requires self-insured group health plans and health insurance issuers to pay per-enrollee fees each year beginning in 2014. 2014 Fee Amount: As we …

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CMS and OIG Announce Plan To Exclude “Recalcitrant Providers”

In a move that made little immediate splash, but has since received considerable media attention, including a recent article in the New York Times, the Department of Health & Human Services announced that it will take additional steps against “recalcitrant providers,” including exclusion from participation …

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New Guidance on PPACA’s Out-of-Pocket Maximum

This post will provide an overview of the new guidance on PPACA’s out-of-pocket maximum issued jointly by the HHS, the DOL, and IRS. This guidance is particularly important for plan sponsors who provide essential health benefits (EHBs) through multiple vendors. While previous guidance provided transitional …

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