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Health Reform IMPACT
Upon signing into law the Patient Protection and Affordable Care Act on March 23, 2010, President Barack Obama passed unprecedented healthcare reform legislation that will fundamentally transform the healthcare industry. Millions of Americans will soon receive public health insurance as the industry overhaul becomes reality in the coming months. Hospitals and other healthcare providers nationwide must prepare to navigate a dramatically changing healthcare landscape.
Health Reform IMPACT is a comprehensive, one-stop resource that provides the latest news coverage and updates on the reform, as well as insight on how the law continues to impact the healthcare industry. It offers analysis of the law, practical insight on new challenges, standards, and best practices to emerge from the reform, and critical information necessary for healthcare providers to successfully transition under the new law.
Alerts
Report Cards Posted Soon? CMS Finalizes Rule on Availability of Medicare Data for Public Provider Performance Reports (January 30, 2012)
Here Comes the Sun: CMS Issues Proposed Physician "Sunshine" Reporting Rule (January 18, 2012)
You Can’t Always Get What You Want … Final Rules Provide Medical Loss Ratio Definitions and Process (December 28, 2011)
The Mythical Creature Takes Shape: CMS Issues Final Accountable Care Organization Rule (November 30, 2011)
Incoming! Medicaid RACs Enter the Claims Auditing Arena (October 24, 2011)
Another Player in the Care Coordination Field: CMS Launches the Comprehensive Primary Care Initiative (October 12, 2011)
New October 14 Deadline for Medicare Part D Notices Is Fast Approaching (October 5, 2011)
Go Ahead And Make An Offer: CMS Solicits Bundled Payment Proposals (September 23, 2011)
340B Doesn't Get An "A" (August 30, 2011)
More Efforts To Stop "Pay and Chase:" CMS Launches Predictive Modeling Technology (August 22, 2011)
HACs Are Here to Stay: CMS Finalizes Medicaid Payment Adjustments For Healthcare Acquired Conditions (August 11, 2011)
Under The Magnifying Glass (Again): CMS Proposes New Access to Medicare Data for Public Provider Performance Reports (July 6, 2011)
No Surprises Here: HHS Issues Final Rule Establishing Review of Health Insurance Rate Increases (June 27, 2011)
ACOs Part VI: A Needed Jump-Start? Three New Initiatives Promote ACO Development (June 10, 2011)
Dual Goals For Dual Eligibles: Improved Care and Lower Costs (May 25, 2011)
Quality Marches On: The Final Hospital Value-Based Purchasing Rule And The New Partnership For Patients Program (May 20, 2011)
ACOs Part V: "Unplugged" Versions Unwelcome (May 13, 2011)
ACOs Part IV: Avoiding the Big "Gotcha" (May 11, 2011)
ACOs Part III: Three Key Ingredients for Your ACO - Quality, Quality and Quality (May 4, 2011)
ACOs Part II: Oasis or Mirage? The FTC and DOJ Proposed Statement on ACOs (April 29, 2011)
ACOs Part I: Assembly Instructions (April 15, 2011)
Opt-Out Opportunities for States: Available Waivers of Health Reform's Insurance Coverage Provisions (April 14, 2011)
HACs Come To Medicaid: Another Quality Payment Adjustment (March 24, 2011)
More Bang For The Medicare Buck? CMS Proposes Value-Based Purchasing Program For Hospital Inpatient Services (February 17, 2011)
HHS Proposes Review of Health Insurance Rate Increases (February 16, 2011)
The Devil is in the Details: Interim Final Rules Provide Medical Loss Ratio Definitions and Process (January 7, 2011)
GME/IME: Woe Is Me? (December 28, 2010)
“Auld Lang Syne” for Physician Ownership of Hospitals (December 17, 2010)
The Primacy Of Primary And Preventive Care (And Other Health Reform-Related Highlights of the 2011 Medicare Physician Fee Schedule) (November 22, 2010)
Part III of Putting the Squeeze on Ancillaries: CMS Issues Final Payment and Physician Disclosure Rules for Advanced Imaging (November 19, 2010)
"Pay and Chase" No More: CMS Begins Implementing Health Reform's Provider Enrollment Provisions (November 12, 2010)
Departments Issue Additional Guidance Under Healthcare Reform (November 3, 2010)
Risky Business? The Stark Voluntary Self-Referral Disclosure Protocol (October 20, 2010)
Report from the Accountable Care Organization Workshop (October 15, 2010)
New Rules Flesh Out External Appeals Process, Required Notices for Internal Claims (September 2, 2010)
New Preventive Care Rules for Group Health Plans (August 9, 2010)
Health Reform's New Claims Appeals Rules (August 4, 2010)
Are We Clear Now? CMS Issues Proposed Rule Implementing Health Reform's "Whole Hospital" Restrictions (August 3, 2010)
Part II of Putting the Squeeze on Ancillaries: Proposed CMS Rule Specifies Disclosure Requirements for Physicians Providing Advanced Imaging (July 19, 2010)
Less Flashy But Equally Newsworthy: Financial and Administrative Changes For Private Insurers (July 14, 2010)
Healthcare Reform Expands Nondiscrimination Rules To Fully-Insured Health Plans (July 12, 2010)
The Forecast For Healthcare Jobs: A Bright Spot Gets Brighter With Funding For Expansion Of Primary Care Workforce (July 8, 2010)
Application Process Opens for Early Retirement Reinsurance Program (ERRP) (June 29, 2010)
Another 11th Hour Save for Doc Pay: But Will It Stick? (June 25, 2010)
Demonstration Projects: Super-Sized Menu of Opportunities (June 22, 2010)
Protecting Your Plan's Grandfathered Status Under Health Reform (June 17, 2010)
Coverage Provision Changes: Private Insurers Should Start Planning Now (June 10, 2010)
CLASS Act: Public Long-Term Care Insurance is Coming (Eventually) (June 7, 2010)
Early Retiree Reinsurance Program: Time to Get in Line (May 28, 2010)
Another Serving of Alphabet Soup: Newly Created Entities Could Play Major Role in Shaping Healthcare Delivery and Payment (May 27, 2010)
Carrying a Big Stick: Reductions in Reimbursement for Hospital-Acquired Conditions and Excessive Readmissions (May 24, 2010)
A Continuing Trend: Home Health Reimbursement Cuts (May 18, 2010)
New Regulations Expand Dependent Coverage to Children Under Age 26 (May 17, 2010)
The Dish on DSH: Reductions to Medicare and Medicaid Disproportionate Share ("DSH") Payments (May 10, 2010)
Health Reform's New Bundles of Joy: Value-Based Purchasing and Payment Bundling Initiatives (May 6, 2010)
IRS Issues Guidence Permitting Group Health Plans to Eliminate Potential Coverage Gap for Adult Children (May 5, 2010)
The ABCs of ACOs (April 29, 2010)
Self-Disclosure Revival (April 26, 2010)
New Notice Requirements for Health Plans (April 23, 2010)
Big-Ticket Item: Medicaid Coverage Expansion (April 22, 2010)
A New Wave of Whistleblowers? (April 21, 2010)
Health Reform Legislation Unexpectedly Limits Health Flexible Spending Arrangements (April 16, 2010)
Treatment of Part-Time Employees Under Health Reform (April 15, 2010)
Focus on Nonprofit Hospitals (April 14, 2010)
Revenue Raisers (April 13, 2010)
All U.S. Hospitals Must Publicize "Standard Charges" (April 12, 2010)
Existing Health Plans - Changes Requiring Attention This Year (April 8, 2010)
Grandfathered Health Plans – Significant Exemptions From Health Reform Legislation (April 7, 2010)
Putting the Squeeze on Ancillaries: New Disclosure Requirements For Physicians Providing Advanced Imaging (April 6, 2010)
Closing the Whole Hospital Window: Impact on Hospitals and Physicians (April 6, 2010)
PPACA Amends FLSA to Require Employers to Provide Breaks for Expressing Breast Milk (April 2, 2010)
BBS Quoted in the News
Reform Could Spur Consolidation in Health Sector ( Leigh Walton and Chris Chi in The National Law Journal, July 26, 2010)
Managed Medicaid set to gain new enrollees and drug rebates ( Dick Lodge in Managed Healthcare Executives, May 2010)
Get Your Compliance Program in Shape to Avoid, Defend Against Auditors ( Anna Grizzle in HealthLeaders Media, April 14, 2010)
Miffed MDs ( Leigh Walton in NashvillePost.com, April 5, 2010)
Legislative Resources
Pub. L. 111-148 - Patient Protection and Affordable Care Act
Pub. L. 111-152 - Health Care and Education Reconciliation Act of 2010
Congressional Budget Office Letter to Senator Harry Reid regarding Cost Estimates of HR 3590 (March 11, 2010)
Congressional Budget Office Letter to Speaker Nancy Pelosi regarding Cost Estimates of HR 3590 and HR 4872 (March 20, 2010)
Executive Order 13535 - Ensuring Enforcement and Implementation of Abortion Restrictions in the Patient Protection and Affordable Care Act (March 24, 2010)
Patient Protection and Affordability Care Act United State: Helpful Links from the Department of Labor (March 2010)
Patient Protection and Affordability Care Act Tax Credit Helps Small Employers Provide Health Insurance Coverage (April 1, 2010)
Regulations Pursuant to the Patient Protection and Affordable Care Act (April 13, 2010)
Helpful Links
Blogs
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