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Status Report on the Federal Health Insurance Rate Review Program
by Jesse M. Caplan and Serra J. Schlanger Since November 2011 the Center for Consumer Information & Insurance Oversight (“CCIIO”) in the Centers for Medicare & Medicaid Services has completed 22 reviews of health insurance premium rate increase filings in the individual and...
Poorly Crafted Wellness Programs Could Make Employers Sick
Kara Maciel, Member of the Epstein Becker Green Labor and Employment, Litigation, and Health Care and Life Sciences Practices, was recently interviewed by Employment Law360 concerning employer wellness programs. According to the article, businesses are turning to wellness programs to...
Federal Agencies Delay Automatic Enrollment for Group Health Plans
Recall that the Patient Protection and Affordable Care Act (“PPACA”) – the health care reform legislation passed in 2010 – originally required that group health plans implement automatic enrollment in 2014. The Internal Revenue Service, Department of Labor and...
CMS Releases Proposed Rule on 60 Day Medicare Repayment Provision
The Centers for Medicare and Medicaid Services (CMS) has released a draft of the Proposed Rule on reporting Medicare overpayments. The Proposed Rule is expected to be published in the Federal Register on February 16, 2012. The reporting provision, which was included as part of the 2010 Patient...
Emergency Regulation to Enforce Medical Loss Ratio in Patient Protection and Affordable Care Act of 2009 Made Permanent
By John M. LeBlanc and Jason C. Love On Thursday February 9, 2012, California Insurance Commissioner Dave Jones announced that he had obtained approval from the California Office of Administrative Law to make permanent the emergency regulation issued in 2011 allowing the Department of Insurance...
