http://faegrebdc.com/state-government-relations-hls en-us Copyright 2000-16 FaegreBD Consulting. All Rights Reserved. http://blogs.law.harvard.edu/tech/rss 11/28/2016 2:01:12 AM In an article for STAT News, FaegreBD Consulting chair Dave Zook discussed possible steps that the Trump administration could take in order to enact meaningful change amidst the growing drug addiction concerns. http://faegrebdc.com/dave-zook-discusses-plans-to-fix-drug-addiction-in-america 16 Nov 2016 00:00:00:000 The election of Republican Donald Trump as President and a Republican-controlled House and Senate means that repeal of the Affordable Care Act (ACA) — long a top but unattainable Republican priority — is now a looming reality. It goes without saying... http://faegrebdc.com/obamacare-after-obama-a-nascent-trump-administration-considers-options 10 Nov 2016 00:00:00:000 At the Women in Government Relations Event, FaegreBD Consulting Principal and former Congresswoman Mary Bono will be speaking as a part of a panel about "Women in our Field: Does the Glass Ceiling Still Exist"? http://faegrebdc.com/women-in-our-field-does-the-glass-ceiling-still-exist 03 Nov 2016 00:00:00:000 On October 31, 2016, the Centers for Medicare and Medicaid (CMS) awarded $25.5 million to 22 states to enhance their enforcement and oversight of health insurers with select Affordable Care Act (ACA) regulations and reforms. These awards speak to... http://faegrebdc.com/trick-or-treat-new-grants-position-states-to-be-more 02 Nov 2016 00:00:00:000 Formal complaints were recently filed with the U.S. Department of Health and Human Services’ Office for Civil Rights (OCR) regarding alleged discrimination against HIV patients in individual market health plans. Filed by the Center for Health Law... http://faegrebdc.com/when-is-an-insurance-benefit-discriminatory-landmark-complaint-seeks-to 20 Oct 2016 00:00:00:000 On August 9, Minnesota held its 2016 primary elections, and November 8 is 2016 general election day. In addition to the presidential race, all eight of Minnesota’s congressional districts and all 201 seats in the Minnesota Senate and House of... http://faegrebdc.com/2016-primary-election-recap-and-general-election-preview 17 Oct 2016 00:00:00:000 At the National Association of Drug Diversion Investigators 27th Annual Conference, FaegreBD Consulting principal and former U.S. Congresswoman Mary Bono will hot a 360 Strategy program on Tuesday, October 11. This will include speakers from the... http://faegrebdc.com/naddi-27th-annual-conference 11 Oct 2016 00:00:00:000 In an article for Medicare Advantage News, FaegreBD Consulting Senior Director Mike Adelberg explained how the Centers for Medicare and Medicaid Services (CMS) seem to be making two points with stricter regulations for both Medicare Advantage and... http://faegrebdc.com/mike-adelberg-discusses-cms-fines-with-medicare-advantage-news 04 Oct 2016 00:00:00:000 In an article for Inside CMS, FaegreBD Consulting Senior Director Mike Adelberg commented on the news that health care insurers will not receive any money under the risk corridor program for 2015 because the collected money is going towards benefit... http://faegrebdc.com/mike-adelberg-discusses-2015-risk-corridor-funding-with-inside-cms 22 Sep 2016 00:00:00:000 In an article for Medicare Advantage News, FaegreBD Consulting Senior Director Mike Adelberg shared his thoughts on a recent decision by CMS (Centers for Medicare and Medicaid Services) to lower its highest star rating to 2.5 stars for contracts... http://faegrebdc.com/mike-adelberg-discusses-cms-star-ratings-with-medicare-advantage-news 19 Sep 2016 00:00:00:000 David Brooks, an op-ed columnist for the The New York Times, used a quote from FaegreBD Consulting Senior Director Mike Adelberg from a Vox article where he discussed the shrinking Affordable Care Act (ACA) marketplace and its resemblance to similar... http://faegrebdc.com/the-new-york-times-picks-up-quotes-from-mike-adelberg 07 Sep 2016 00:00:00:000 In an article for Inside CMS, FaegreBD Consulting Senior Director Mike Adelberg shared his thoughts on why the Centers for Medicare and Medicaid Services (CMS) decided to reduce its new provider network rating initiative for the federally-run... http://faegrebdc.com/mike-adelberg-quoted-in-inside-cms-about-new-network-rating 01 Sep 2016 00:00:00:000 With multiple large insurers leaving the Affordable Care Act (ACA) marketplace, some are questioning the possibility of a market failure. In many places in 2017, the ACA marketplace will offer fewer consumers extensive options or rich benefits. In... http://faegrebdc.com/mike-adelberg-quoted-in-vox-on-affordable-care-act-successes 29 Aug 2016 00:00:00:000 The federal government recently blocked insurance giant, Aetna, from acquiring Humana which may have contributed to Aetna's decision to drop 70 percent of its health plans in the Affordable Care Act (ACA) markets. Amid continued losses, Aetna and... http://faegrebdc.com/mike-adelberg-quoted-in-modern-healthcare-about-aca-risk-adjustment 23 Aug 2016 00:00:00:000 FaegreBD Consulting Senior Director Mike Adelberg contributed several quotes to a recent edition of Medicare Advantage News where he discussed two different topics surrounding changes in the Medicare marketplace. In one article, Adelberg shared... http://faegrebdc.com/mike-adelberg-quoted-in-medicare-advantage-news-about-cms-secret 22 Aug 2016 00:00:00:000 With major health insurers such as Aetna and UnitedHealthcare scaling back participation in the Affordable Care Act (ACA) health insurance exchanges, the future of these marketplaces has been called into question. In an article for The Hill... http://faegrebdc.com/mike-adelberg-quoted-in-the-hill-about-insurers-exiting-aca 17 Aug 2016 00:00:00:000 (This was updated on August 15, 2016, with new developments) In a proposed regulation published in July 2016, the Centers for Medicare and Medicaid Services (CMS) proposed to shorten the maximum length of short-term health insurance policies from 12... http://faegrebdc.com/ripple-in-aca-risk-pool-could-beach-short-term-health 12 Aug 2016 00:00:00:000 In a recent Health Affairs Blog essay with professor Nicholas Bagley of the University of Michigan law school, FaegreBD Consulting Senior Director Mike Adelberg broke down the premium stabilization programs of the Affordable Care Act (ACA) that... http://faegrebdc.com/la-times-and-politico-pick-up-mike-adelbergs-affordable-care 10 Aug 2016 00:00:00:000 CMS has implemented a new policy where Medicare Advantage plans’ entire provider networks undergo review when requesting service area expansions. As Mike Adelberg, senior director for FaegreBD Consulting, explained in Medicare Advantage News, this... http://faegrebdc.com/mike-adelberg-discusses-cmss-new-network-review-policy-in-medicare 09 Aug 2016 00:00:00:000 Experts are predicting a drop in health insurer participation in Affordable Care Act (ACA) markets in the coming year, according to an article in Vox.com. Mike Adelberg, senior director for FaegreBD Consulting, told Vox that insurer participation... http://faegrebdc.com/long-term-prospects-promising-for-aca-exchanges-despite-competition-dip 04 Aug 2016 00:00:00:000 Based on QHP Certification instructions issued on July 22, 2016, the Centers for Medicare and Medicaid Services (CMS) will collect administrative and performance data from health insurers that participate in the federally-run health insurance... http://faegrebdc.com/transparencys-opaque-beginning-cms-starts-implementing-aca-transparency-requirements 27 Jul 2016 00:00:00:000 ​Medicare Advantage (MA) organizations may want to plan for a future in which they are required by the Centers for Medicare and Medicaid Services’ to hire independent auditors to confirm that they have remediated agency concerns. As Mike Adelberg... http://faegrebdc.com/mike-adelberg-discusses-medicare-advantage-audits-network-adequacy-in-medicare 15 Jul 2016 00:00:00:000 Less than a third of health plan members in California are able to schedule an appointment with their preferred physician, according to a study published in Health Affairs on July 6, 2016. The study, completed by researchers at University of... http://faegrebdc.com/when-a-good-doc-is-hard-to-find-study-suggests 08 Jul 2016 00:00:00:000 New marketing guidance released by the Centers for Medicare and Medicaid Services (CMS) doesn’t contain any “game changers,” but health plans should take note of new requirements regarding agent-broker compensation and provider endorsements, Mike... http://faegrebdc.com/cms-tackles-endorsements-agent-broker-compensation-in-new-marketing-guidance 27 Jun 2016 00:00:00:000 On June 20, 2016, The Kaiser Family Foundation issued the first ever broad-based study of Medicare Advantage hospital networks. The study — "Medicare Advantage Hospital Networks: How Much Do They Vary?"— analyzed 409 plans in 20 counties across the... http://faegrebdc.com/broad-examination-of-narrow-networks-first-of-its-kind-study 22 Jun 2016 00:00:00:000 On June 10, 2016, the Centers for Medicare and Medicaid Services (CMS) released updated Marketing Guidelines that dictate how Medicare Advantage and Part D products can be described and sold. While most of the 100+ pages of guidance remain the same... http://faegrebdc.com/no-game-changers-but-many-game-tweakers-the-new-medicare 15 Jun 2016 00:00:00:000 ​The Centers for Medicare and Medicaid Services (CMS) is not slowing its efforts to capture data on provider network adequacy. The agency recently unveiled a policy that will require Medicare Advantage (MA) plans to report on mid-year provider... http://faegrebdc.com/cms-continues-data-driven-approach-to-optimizing-network-oversight 08 Jun 2016 00:00:00:000 On June 3, 2016, Vermont Gov. Peter Shumlin (D) signed a bill into law that aims to increase the transparency and rationale for prescription drug prices. The law gives a new state board responsibility to identify up to 15 prescription drugs on which... http://faegrebdc.com/vermonts-verity-first-in-nation-drug-price-transparency-law 07 Jun 2016 00:00:00:000 Governor Mark Dayton has signed the Supplemental Appropriations Bill but has yet to decide whether to sign or veto the Omnibus Tax bill. This action means that only one of the four Minnesota legislative priorities from the 2016 session has become... http://faegrebdc.com/special-minnesota-session-update-06-01-2016 01 Jun 2016 00:00:00:000 Samantha N. Strong has joined FaegreBD Consulting as an advisor with the health and biosciences team in Washington, D.C. Strong brings a strong focus on government advocacy. Grounded in pragmatic choices and political implications, she combines... http://faegrebdc.com/samantha-strong-brings-bioethics-background-to-faegrebd-consulting 31 May 2016 00:00:00:000