| AAPPO President and CEO Appointed to Advisory Committee on Eligibility and Real Time Claim Adjudication |
07/14/2008 |
AAPPO President and CEO Karen Greenrose has been appointed to the Advisory Committee on Eligibility and Real Time Claim Adjudication. Created as part of Ohio H. B. 125, the task of the Advisory Committee is to recommend standards to the General Assembly that will allow providers and payers to exchange real time information on eligibility and claim adjudication.
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| HHS Secretary Invites Communities to Apply for EHR Demonstration Project |
02/25/2008 |
HHS Secretary Mike Levitt has called on community leaders across the country to apply for a new CMS demonstration project that provides Medicare incentive payments to physicians for the use of certified electronic health records (EHRs) to improve patient care. The five-year project is open to small- and medium-sized primary care physician practices and is expected to reduce medical errors and improve the quality of care for an estimated 3.6 million Americans. Read More
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| Secondary Market Update |
08/23/2007 |
Very little has changed since the last update as New York and Ohio are still in recess. Both are expected to come back in September. An updated document is attached. Read More
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| NCOIL Summer Meeting Summary |
07/24/2007 |
The Health, Long-Term Care & Health Retirement Issues Committee of the National Conference of Insurance Legislators (NCOIL) held its scheduled Summer Meeting Friday, July 20, 2007. Read More
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| Ohio H.B. Status Report |
06/22/2007 |
In this week’s interested party meeting, Representative Oelslager, the Chairman of the
House Civil and Commercial Law Committee in which H.B. 125 is being heard, indicated
that the bill will not be up for a vote before the summer recess at the end of the month.
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| NPI Compliance Deadline is Here |
05/24/2007 |
At this point, any covered entity that is noncompliant, and has not implemented a contingency plan, is at risk for enforcement action. Please review the April 2, 2007 CMS "Guidance on Compliance with the HIPAA National Provider Identifier (NPI) Rule." As this guidance pertains to claims transactions, it means that... Read More
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| New York AB 7591 |
04/30/2007 |
New York Assembly Bill 7591 and its companion bill SB 3804, which have bi-partisan support in the state legislature have been referred to their respective Insurance Committees, and contain a prohibition on the lease or conveyance of contract rights under a healthcare contract. Read More
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| AARP Says It Will Become Medicare Insurer While Remaining a Consumer Lobby |
04/18/2007 |
AARP, the lobby for older Americans, announced Monday that it would become a major participant in the nation's health insurance market, offering a health maintenance organization to Medicare recipients and several other products to people 50 to 64 years old. Read More
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| CMS Announces 2008 Medicare Advantage Payment Rates and Part D Payment Updates |
04/04/2007 |
The Centers for Medicare & Medicaid Services (CMS) has released the Announcement of Calendar Year 2008 Medicare Advantage Capitation Rates and Payment Policies and the Notification of Changes in Medicare Part D Payment for Calendar Year 2008.
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| Proposed State Legislation Addressing PPO Networks |
03/07/2007 |
Find an updated status document on all the bills addressing provider contracts. Read More
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| Texas PPO Bills on Agenda |
03/05/2007 |
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| Summary of NCOIL's Spring Meeting of the Health, Long-Term Care & Health Retirement Issues Committee |
03/05/2007 |
The Health, Long-Term Care & Health Retirement Issues Committee of the National Conference of Insurance Legislators (NCOIL) had its scheduled Spring Meeting Thursday, March 1, 2007. Read More
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| House and Senate at Odds Over Physician Payment Fix |
12/06/2006 |
Laboring under Wednesday deadlines set by leaders of their respective chambers, House and Senate Committee leaders struggled to reach agreement Tuesday both among and between themselves over the terms of a deal to prevent the scheduled 5 percent cut in Medicare payments to physicians.
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| Study: U.S. Workers Prefer PPOs, HMOs |
12/05/2006 |
People with employer-sponsored health coverage choose to enroll in traditional plans over consumer directed products, which have been touted as a way to lower health care costs, according to a survey released Friday.
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| HHS Asks Employers to Promote Transparency Agenda |
11/20/2006 |
HHS Secretary Mike Leavitt on Friday challenged the nation's largest employers to make a formal commitment to support President Bush's national initiative to increase transparency in health care. Read More
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| Election Analysis |
11/10/2006 |
Attached is an Election Analysis as of November 10. Read More
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| 2006 Election Coverage |
11/08/2006 |
Coverage of 2006 State Elections Read More
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| Potential 2007 Quality Measures for the Physician Voluntary Reporting Program (PVRP) |
10/17/2006 |
The Centers for Medicare & Medicaid Services (CMS) has been working with physician groups and other stakeholders toward the goal of having measures appropriate for the Medicare population for every physician specialty to report under the PVRP for 2007.
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| Governor Candidate Positions on Key Issues |
10/12/2006 |
A compilation of policy positions (or relevant past actions) from major party candidates in the 36 states holding gubernatorial elections in November.
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| Federal Court Rules - BCBS of Florida Plan Is 'Payroll Practice' - Exempt From ERISA |
10/11/2006 |
The U.S. District Court for the Middle District of Florida ruled Sept. 27 in an unpublished decision that a short-term disability benefit plan sponsored by Blue Cross and Blue Shield of Florida Inc. (BCBS-FL) is a "payroll practice" and not governed by the Employee Retirement Income Security Act. Read More
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