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CMS Confirms Mandatory Medicare Bundled-Pay For Joint Replacement Surgery
CMS finalized the proposed bundle payment system for its hip and knee replacement surgery known as the CCJR model on...
Administration Looks At Some Major ACA Concerns
CMS recently posted on their blog that they intend to stop some of the special enrollment periods for the Federal...
OIG Seeks Suggestions On Safe Harbor Provisions And Special Fraud Alerts
The Office of the Inspector General (OIG) and Department of Health and Human Services (HHS) invited recommendations and proposals from...
UnitedHealth Facing Financial Issues In ACA Healthcare
UnitedHealth’s earnings report reveals it has been losing significant money on the HIEs established under the Affordable Care Act. Consequently,...
District Court Of Appeals Judges In Favor Of Healthcare Provider
December 2015 saw the judgment on a crucial case in the healthcare industry. The case was between a prominent insurance...
Risk Corridor May Be A Problem For Both Insurers And HHS
The ACA is has a requirement for insurance companies and Co-Ops to take part in HIEs, as a way to...
CMS Proposes Criteria For 2017 Exchange Plan
The Centers for Medicare and Medicaid Services issued its annual proposed rule on 20 November 2015. Therein, the agency summarizes...
ACA Open Enrollment Proceeding Full Ahead
The ACA open enrollment is proceeding. Health insurance claimants for plans sold on the federal and state HIEs are enrolling...