Government News of the Week
Medicare Compliance, HIPAA, Medicare Advantage and Part D,
Health Care Reform, and Other Federal and State Government Developments
Government News of the Week is a weekly email newsletter with timely news stories from Washington, D.C., and the 50 state capitals. Articles are selected for their impact on hospitals, health plans, medical group practices, physicians and other health care providers. Subscribe now to get an issue delivered to your inbox every Monday!

May 30, 2016

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(1) A proposal unveiled on May 23 by two Republican lawmakers does not attempt to repeal the Affordable Care Act (ACA), but instead takes a more surgical approach to amending the law, like by eliminating the individual and employer mandates .... (more)

(2) CMS and its Medicare administrative contractors (MACs) are not doing as good a job as they should at keeping bad apples out of Medicare .... (more)

  From the AIS Blogs
  CMS has said it will post the final CY 2015 DIR reporting requirements by June 1. How could greater detail in DIR reporting impact Part D plan bids, the next of which are due to CMS by June 6? Join the conversation at the AIS Blogs.

(3) On May 26, Ohio became the latest state to close its Consumer Operated and Oriented Plan (CO-OP) formed under the Affordable Care Act (ACA) when Lt. Gov. Mary Taylor (R) was appointed receiver for Coordinated Health Mutual, Inc. .... (more)

(4) The HHS Office for Civil Rights on May 24 clarified how much people may be charged for copies of their protected health information .... (more)

  From Congress and the Federal Agencies

(5) The percentage of uninsured Americans dropped to 9.1% in 2015, continuing a steady decline marked in recent years since the start of ACA public exchanges in 2014 .... (more)

(6) Triple-S Management Corp. is attempting to withdraw from the U.S. Virgin Islands but might be obligated to stay, at least temporarily .... (more)

(7) In an exclusion agreement with the HHS Office of Inspector General (OIG), Florida podiatrist Eugene A. Fox will be kicked out of Medicare and other federal health care programs for 30 years .... (more)

(8) On May 17, Pennsylvania-based Highmark, Inc. became the first Blues plan operator to sue the federal government over money owed through the risk-corridors provision of the Affordable Care Act .... (more)

(9) The Pennsylvania Dept. of Human Services (DHS) chose eight managed care plans to serve the state’s newly revamped managed Medicaid program, which among other changes now requires plans to boost usage of value-based care .... (more)

(10) Wesley Medical Center, a 760-bed acute care hospital in Wichita, Kan., was overpaid $182,000, according to a Medicare compliance review .... (more)

(11) An investigation into customer complaints by the North Carolina Dept. of Insurance (DOI) could result in substantial fines for Blue Cross Blue Shield of North Carolina .... (more)


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