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Iowa Healthcare Law Blog News & Updates on Legal, Policy, & Business Issues Facing the Health Care Industry in Iowa

Category Archives: Affordable Care Act (ACA)

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President-Elect Trump Names Rep. Tom Price, MD (R-GA) as HHS Secretary, Seema Verma, Health Care Consultant, as CMS Administrator

Posted in Affordable Care Act (ACA), American Medical Association, Centers for Medicare and Medicaid Services-CMS, Health and Human Services (HHS), MACRA - Medicare Access and CHIP Reauthorization Act

Medicare/Medicaid Reform and ACA Repeal on the Horizon, MACRA Moves Forward for Now The new administration’s agenda for health care may have come into clearer focus with President-Elect Donald Trump’s nomination of House Representative Tom Price, MD, a Republican from Georgia, as Secretary of Health and Human Services (HHS) and Seema Verma, MPH, as CMS… Continue Reading

HHS’ FINAL NONDISCRIMINATION RULE IMPACTS MOST PHYSICIANS

Posted in Affordable Care Act (ACA), Health and Human Services (HHS)

Physicians subject to the Rule must meet notice and posting obligations by October 16, 2016. The federal Department of Health and Human Services (HHS), through its Office for Civil Rights (OCR), has published its final Rule implementing Section 1557 of the Affordable Care Act (ACA), 42 U.S.C. 18116, prohibiting discrimination in health care programs and… Continue Reading

US Supreme Court Upholds ACA Tax Credits for All Qualified Individuals

Posted in Affordable Care Act (ACA), Healthcare costs

US Supreme Court Upholds ACA Tax Credits for All Qualified Individuals Purchasing Health Insurance Through a Marketplace Exchanges In King v. Burwell, the Court’s 6-justice majority concludes that denying ACA tax credits to individuals on federally-facilitated State exchanges is contrary to what Congress intended. King v. Burwell, U.S. Supreme Court No. 14-114, decided June 25,… Continue Reading

Update on CoOportunity Health

Posted in Affordable Care Act (ACA), Centers for Medicare and Medicaid Services-CMS, CO-OP (Consumer Operated and Oriented Plan)

Update – Insurance Commissioner requests CoOportunity liquidation – district court to decide in late February Concluding that insufficient funds currently exist to meet its obligations to pay medical claims, Iowa Insurance Commissioner, Nick Gerhart, filed a petition in Polk County District Court on January 29, 2015, concluding that further efforts toward rehabilitation of CoOportunity would… Continue Reading

CoOportunity Health Now Under State Insurance Division Management

Posted in Affordable Care Act (ACA), Centers for Medicare and Medicaid Services-CMS, CO-OP (Consumer Operated and Oriented Plan)

CoOportunity Health In what came as a surprise to many, Iowa’s Insurance Commissioner, Nick Gerhart, filed a petition in Polk County District Court on December 23, seeking court authorization under state insurance laws to assume management authority over CoOportunity Health, Inc., toward the end of rehabilitating the company’s substantially declining financial stability. The district court… Continue Reading

CMS Establishes a new Office of Enterprise Data Analytics (OEDA)

Posted in Affordable Care Act (ACA), Centers for Medicare and Medicaid Services-CMS

CMS announced in November the formation of a new Office of Enterprise Data Analytics (OEDA) and named Niall Brennan as the OEDA’s chief data officer. The OEDA’s overarching goal is to harness CMS’ vast data resources for internal and external use as CMS continues to move away from volume-based to value-based care. Brennan, who has served in… Continue Reading

Afffordable Care Act (ACA) Presented at Annual Meeting of Iowa Bar

Posted in Affordable Care Act (ACA), Uncategorized

Brick Gentry’s Managing Partner, Paul Drey, presented the Hospitals’ and Physicians’ Perspective on the federal Affordable Care Act (ACA), as part of the Health Care Track of the Iowa State Bar Association‘s Annual  Meeting. The federal Affordable Care Act presents a number of challenges and opportunities for hospitals and physicians in the evolving healthcare industry…. Continue Reading