Tag: Affordable Care Act

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 […]

Launch of Cooley’s CMS Sunshine FAQ Tracking Chart

The Centers for Medicare and Medicaid Services (CMS) has issued several rounds of frequently asked questions (FAQs) related to Open Payments regarding the tracking and reporting of payments and other items of value provided by applicable manufacturers and group purchasing organizations (GPOs) to physicians and teaching hospitals.  In an effort to make the FAQs more accessible, we created […]

Sunshine Act Brochures Provide Highlights for Patients and Physicians

The National Physician Payment Transparency Program, also known as Open Payments, affects many health care industry participants.  Accordingly, even though applicable manufacturers and applicable group purchasing organizations (GPOs) are the only entities required to report data under the program, the Centers for Medicare & Medicaid Services (CMS) is not overlooking patients […]

Do Exchanges Protect Data Privacy? State Officials Worry

During the last several weeks, officials in multiple states including Alabama, Florida, Georgia, Kansas, Louisiana, Michigan, Montana, Nebraska, North Dakota, Oklahoma, South Carolina, Texas, and West Virginia have expressed concerns regarding data privacy risks presented by programs that assist consumers with enrollment in health insurance via the Health Insurance Exchanges […]

HHS Awards $67 Million in Navigator Grants under ACA

The United States Department of Health and Human Services (“HHS”) announced today that it awarded $67 million in grants to 105 navigator grant applicants. The navigator program was created under the Affordable Care Act (“ACA”) in an effort to provide unbiased information about health insurance options. Specifically, navigators will serve as an in-person resource for […]

Round 2: CMS Teleconference with Manufacturers Regarding Reporting Research Payments

Following yesterday’s teleconference with physicians and teaching hospitals, the Centers for Medicare & Medicaid Services (CMS) held a webinar today regarding the National Physician Payment Transparency Program, also known as Open Payments.  The CMS Open Payments system implements the requirements of the Physician Payments Sunshine Act, section 6002 of the Affordable Care Act.  The objective of the webinar […]

CMS Sunshine Act Teleconference Held for Physicians and Teaching Hospitals

A teleconference was held today by the Centers for Medicare & Medicaid Services (CMS) regarding the National Physician Payment Transparency Program, also known as Open Payments.  The CMS Open Payments system implements the requirements of the Physician Payments Sunshine Act, section 6002 of the Affordable Care Act.  The objective of the […]