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Under the second component of the plan, HHS seeks to tie 85% of Medicare FFS payments to quality by 2016, rising to 90% in 2018.

Yesterday the Secretary of the Department of Health and Human Services formally announced HHS’ intention to shift 90% of all traditional Medicare payments from fee-for-service to quality or value-based payments by 2018.

The U.S. House of Representatives narrowly passed H.R. 1628, the American Health Care Act (AHCA), by a vote of 217-213 on May 4, 2017, with all Democrats and 20 Republicans opposing the bill.

Republicans in the House are expected to vote this week on legislation that would permanently repeal the SGR Medicare physician payment formula.

The HRSA is seeking White House review of its proposed rule to implement new Affordable Care Act 340B drug discount program enforcement authorities and pricing policies.

President Obama signed the Protecting Access to Medicare Act of 2014 into law, delaying the CMS mandate to implement the ICD-10 coding system.

On December 29, 2014, Final Regulations providing guidance regarding the requirements for charitable hospital organizations were issued by the Internal Revenue Service.

Editor's Note: The article below is based on the new state assessment tool, supported by the State Health and Value Strategies (SHVS) program, a grantee of the Robert Wood Johnson Foundation.

As previously discussed here, the Centers for Medicare & Medicaid Services (CMS) has proposed a reimbursement pilot program for Part B drugs.

Readers may recall our alert from November 2017, "Patient Assistance Charity Loses Protection from Kickback Liability – Office of Inspector General Revokes Advisory Opinion" in which we relayed the story of Caring Voice Coalition (CVC), a patient assistance program formed to help patients afford expensive prescription drugs by funding health insurance copayments

Minnesota AG Keith Ellison has reached a settlement with BCBSM, Inc. d/b/a Blue Cross and Blue Shield of Minnesota, and HMO Minnesota d/b/a Blue Plus (collectively, "Blue Cross") to resolve allegations that the insurer...

Health plans and clearinghouses are already subject to the privacy and security requirements of HIPAA...

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."

On April 14, Florida became the latest state to protect consumers from "surprise" medical bills when Gov. Rick Scott signed into law HB 221, preventing balance billing by out-of-network healthcare providers...

Brian Daucher and Claudia Reingruber presented "Medicare Post Payment Audits" to the AHLA Annual Meeting for Long Term Care and the Law Conference.

Health Republic is one of many struggling or failed co-ops ("Consumer Operated and Oriented Plans") created under the ACA...

Kaiser Health News recently reported that four New York urgent care centers have agreed to improve their disclosure of insurance and pricing information...