This final rule establishes requirements for under the Public Health Service (PHS) Act and the Patient Protection and Affordable Care Act (Affordable Care Act). The final rule defines ``'' as a type of individual health insurance coverage, and specifies that certain PHS Act requirements are inapplicable to this type of individual health insurance coverage. This final rule also amends the medical loss ratio and annual limits requirements for under the PHS Act.
Last month, the Centers for Medicaid and Medicare Services at the U.S. Department of Health and Human Services arbitrarily set limitations on state expansion of child health programs for children in families above 260 percent of the federal poverty level. The programs in question, the State Children's Health Insurance Program (SCHIP), offers private health insurance, at a subsidized rate, to children in families with incomes above Medicaid's strict limits. Because states use their significant purchasing power to bring down costs, SCHIP allows moderate- and low-income families to afford high quality insurance for their children on a sliding income scale. Second, the new rules contradict the SCHIP law by nullifying state flexibility. When SCHIP was created, Congress included provision for...
This proposed rule would require applicable manufacturers of drugs, devices, biologicals, or medical supplies covered by Medicare, Medicaid or the Children's Health Insurance Program (CHIP) to report annually to the Secretary certain payments or transfers of value provided to physicians or teaching hospitals (``covered recipients''). In addition, applicable manufacturers and applicable group purchasing organizations (GPOs) are required to report annually certain physician ownership or investment interests. The Secretary is required to publish applicable manufacturers' and applicable GPOs' submitted payment and ownership information on a public Web site.
Introduction. II. Without Access To Health Care: The American Case. A. An Overview of the American Health Care "System": The History of Efforts to Create More Universal Health Care Coverage. B. Disparities in Health and in Health Care. III. A Case Study: The State Children's Health Insurance Program (SCHIP). A. The Scope of the SCHIP Program. 1. How SCHIP Works. 2. States' SCHIP Programs. B. Efforts to Reauthorize SCHIP in 2007 and 2008. 1. Expanding SCHIP. 2. CMS Policy: The August 2007 Directive. IV. Access To Health Care And Class: What The Debate About Expanding Schip Reveals. A. The Opacity of Class in America and Health Disparities. 1. Class Opacity and Poverty. 2. Illness and Health as Markers of Class. B. Comparing Groups of Children. 1. Comparing Medicaid-Eligible and SCHIP-...
This document contains proposed regulations that implement and provide guidance on the fees imposed by the Patient Protection and Affordable Care Act on issuers of certain health insurance policies and plan sponsors of certain self-insured health plans to fund the Patient- Centered Outcomes Research Trust Fund. These proposed regulations affect the issuers and plan sponsors that are directed to pay those fees. This document also contains a request for comments and provides notice of public hearing on these proposed regulations.
The Patient Protection and Affordable Care Act (PPACA), better known as federal health care reform, contains a myriad of new programs and rules that affect employers, employees, health insurance plans and health care providers. This is the third column highlighting some of PPACA's new programs and rules. The primary focus of PPACA is not health care reform, but health insurance reform. PPACA brings about changes to the benefits that must be covered, as well as who is eligible for coverage. These changes are phased in through 2014.
AUGUSTA -- Sweeping changes to the state's health insurance laws were notable for their partisan rancor. But both parties were silent when it came to the law's little- known provision that sets the stage for Maine to become the first state in the nation to change how employers can provide health insurance coverage.
WASHINGTON, Nov. 14, 2011 /PRNewswire-USNewswire/ -- Consumer Watchdog joined national consumer groups to mobilize members today and demand that state insurance commissioners reject a proposal to increase health insurance industry sales commissions and profits at the expense of individuals struggling to pay for insurance. Consumer Watchdog called on state insurance regulators to allow the public to participate in a closed conference call scheduled for Tuesday to consider the insurance industry-sponsored resolution. The resolution would remove broker pay from the medical loss ratio rule of the federal health reform law and cost consumers nationwide an estimated $1.1 billion in premium rebates. It would render meaningless the requirement that companies spend 80% to 85% of health premiums ...
ver las páginas en versión mobile | web
ver las páginas en versión mobile | web
© Copyright 2012, vLex. All Rights Reserved.
Contents in vLex United States
Explore vLex
For Professionals
For Partners
Company
Other interesting searches:
Kimco Realty Corporation | John Herrmann | opciones de carpeta | Tec Engineering Corporation | North American Tungsten Corporation Ltd. | demanda incidental | declaraciones derechos y garantias | Houppeville | testamento venezolano | cuentas de resultados y cuentas de orden presupuestal
