Tag: ACA

Supreme Court to Review ACA’s Contraception Mandate

The U.S. Supreme Court (SCOTUS) agreed to review provisions within the Affordable Care Act (ACA) by granting petitions for writs of certiorari yesterday, November 26, 2013. Specifically, SCOTUS will review the provisions that require large employers to offer insurance coverage for birth control and other reproductive health services. 

President Announces Measure to Extend Existing Health Coverage under ACA

On November 14, 2013, President Obama announced a plan that would enable certain Americans with health coverage to keep their existing coverage for an additional year even if their existing coverage fails to meet the minimum standards established under the Affordable Care Act (“ACA”). 

Update on HHS “Qualified Health Plans” Determination: Grassley Weighs in…

As we reported earlier this week, the U.S. Department of Health & Human Services (“HHS”) recently issued a letter concluding that HHS “does not consider [Qualified Health Plans (QHPs)], other programs related to the Federally-facilitated Marketplace, and other programs under Title I of the Affordable Care Act to be federal […]

HHS: Qualified Health Plans are NOT “Federal Health Care Programs” – Implications for Anti-Kickback, CMP, and Exclusion Analyses

In an October 30, 2013, letter to Representative Jim McDermott (D-WA), U.S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius, stated that HHS “does not consider [Qualified Health Plans (QHPs)], other programs related to the Federally-facilitated Marketplace, and other programs under Title I of the Affordable Care Act to […]

New Sunshine Reporting FAQs Released by CMS

As announced last week, the Centers for Medicare & Medicaid Services (CMS) issued another round of FAQs related to the implementation of the Sunshine Act.  Below is a list of the 20 new CMS FAQs organized by category with a link to the answer from CMS for each.  Cooley’s CMS Sunshine FAQs trackers also have been […]

States Continue Medicaid Expansion Debate

As President Obama responds to healthcare.gov’s glitches, many states continue to debate whether to expand the Medicaid program in their respective states. The Supreme Court’s decision on the Affordable Care Act (“ACA”) allows states to opt out of the ACA’s Medicaid expansion provisions. Many states have stated their Medicaid expansion plans definitively; however, not all […]

Online Enrollment Delayed for ACA’s Small Business Marketplace

The Obama Administration announced yesterday, September 26, 2013, that it will be delaying the online enrollment for small business owners in the federally-facilitated health insurance marketplace (“Marketplace”), as provided for under the Affordable Care Act (“ACA”) until November 2013. 

The Countdown to October 1, 2013: HHS Builds Partnerships to Increase Enrollment in the Marketplace

The Secretary of the U.S. Department of Health and Human Services  (HHS), Kathleen Sebelius, recently announced partnerships with pharmacies to increase enrollment in the Health Insurance  Marketplace, which is scheduled to open for enrollment on October 1, 2013. According to the announcement, these pharmacies will “take an active role in outreach and education to […]

Innovator Spotlight: Sally Poblete, Founder & CEO, Wellthie, Inc. — http://wellthie.com

We will be posting feature articles from time to time in an effort to showcase various industry leaders and their exciting contributions to the health care and life sciences industries. When Sally Poblete decided to start Wellthie, Inc., she had one primary goal in mind: to make health care delivery […]

Final Rule Released on ACA’s Individual Shared Responsibility Payment

On August 27, 2013, the Internal Revenue Service (“IRS”) and the U.S. Department of Treasury (the “Treasury Department”) released a final rule, Shared Responsibility Payment for Not Maintaining Minimum Essential Coverage, (the “Final Rule”), which was published in the Federal Register today, to implement the individual shared responsibility provision provided for under […]