United Health Care Final Rule

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Transparency in Coverage Rule UnitedHealthcare

(2 days ago) WEBIn 2020, the Federal Government finalized “Transparency in Coverage” Rule, which requires health insurers and group health plans, including self-funded clients, to provide cost-sharing data to consumers via: Machine-readable files: Machine-readable files …

https://www.uhc.com/united-for-reform/health-reform-provisions/transparency-in-coverage-rule

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Fact Sheet: Biden-Harris Administration Expands Health Coverage …

(4 days ago) WEBThanks to the Biden-Harris Administration’s actions, today’s final rule will remove the prohibition on DACA recipients’ eligibility for Affordable Care Act coverage …

https://www.whitehouse.gov/briefing-room/statements-releases/2024/05/03/fact-sheet-biden-harris-administration-expands-health-coverage-to-daca-recipients/

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HHS Issues Final Rule to Prevent Discrimination in Health and …

(3 days ago) WEBThe Health and Human Services Grants Regulation (HHS Grants Rule) Final Rule protects LGBTQI+ people by clarifying and reaffirming the prohibition on …

https://www.hhs.gov/about/news/2024/04/30/hhs-issues-final-rule-prevent-discrimination-health-and-human-services-grant.html

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2024 Final Rule: CMS Announces More Changes to

(7 days ago) WEBOn April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 …

https://www.healthcarelawbrief.com/2023/04/2024-final-rule-cms-announces-more-changes-to-medicare-advantage-but-declines-to-reform-the-60-day-rule/

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Transparency in Coverage - UnitedHealthcare

(4 days ago) WEBUpdate 9/1/22. The Transparency in Coverage Rule applies to health insurers in the individual and group markets and to group health plans. Exchange plans, …

https://www.uhc.com/united-for-reform/health-reform-provisions/consumer-price-transparency-faq

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Transparency in Coverage - UnitedHealthcare

(Just Now) WEBUpdate 9/1/22. The Transparency in Coverage Rule applies to health insurers in the individual and group markets and to group health plans. Exchange plans, …

https://www.uhc.com/content/dam/uhcdotcom/en/HealthReform/PDF/Provisions/reform-external-transparancy-FAQs.pdf

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HHS issues final rule on ACA nondiscrimination protections

(Just Now) WEBThe Department of Health and Human Services April 26 released a final rule reinstating certain regulatory protections against discrimination in health care …

https://www.aha.org/news/headline/2024-04-29-hhs-issues-final-rule-aca-nondiscrimination-protections

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New Section 1557 anti-discrimination final rule addresses …

(8 days ago) WEBThe US Department of Health and Human Services (HHS) Office for Civil Rights (OCR) and the Centers for Medicare and Medicaid Services (CMS) have jointly …

https://cdnscprodisr.dlapiper.com/en/insights/publications/2024/05/new-section-1557-anti-discrimination-final-rule-addresses-telehealth-requirements

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UnitedHealthcare clarifies new hospital services review process for

(3 days ago) WEBUnitedHealthcare has released a FAQ to clarify its hospital services review process for Medicare Advantage products effective Jan. 1, 2024 under the calendar year …

https://www.aha.org/news/headline/2024-01-05-unitedhealthcare-clarifies-new-hospital-services-review-process-medicare-advantage-plans

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HHS Issues New Rule to Strengthen Nondiscrimination - HHS.gov

(Just Now) WEBThe rule will restore protections gutted by the prior administration and help increase meaningful access to health care for communities across the country. The …

https://www.hhs.gov/about/news/2024/04/26/hhs-issues-new-rule-strengthen-nondiscrimination-protections-advance-civil-rights-health-care.html

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Statement from President Joe Biden on Final Rule to Expand …

(7 days ago) WEBToday, my Administration is expanding affordable, quality health care coverage to Deferred Action for Childhood Arrivals (DACA) recipients. Dreamers are our …

https://www.whitehouse.gov/briefing-room/statements-releases/2024/05/03/statement-from-president-joe-biden-on-final-rule-to-expand-health-coverage-for-daca-recipients/

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Biden-Harris Administration Finalizes Rule Expanding Access to …

(6 days ago) WEBFinal Rule Promotes Healthy Competition, Increases Access to Care, and Protects Enrollees from Harmful Marketing and Prior Authorization. Today, the U.S. …

https://www.hhs.gov/about/news/2024/04/04/biden-harris-administration-finalizes-rule-expanding-access-care-increasing-protections-people-medicare-advantage-medicare-part-d.html

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Clarifying the Eligibility of Deferred Action for Childhood Arrivals

(Just Now) WEBStart Preamble Start Printed Page 39392 AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS). ACTION: …

https://www.federalregister.gov/documents/2024/05/08/2024-09661/clarifying-the-eligibility-of-deferred-action-for-childhood-arrivals-daca-recipients-and-certain

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United States: Medicare Advantage: 2023 Final Rule Focuses On …

(3 days ago) WEBContinuity of Care. 17 The Final Rule includes new continuity of care requirements to be added to Section 422.122(b)(8), applicable to basic benefits only (not …

https://www.mondaq.com/unitedstates/healthcare/1316220/medicare-advantage-2023-final-rule-focuses-on-social-determinants-of-health-and-utilization-review

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FTC Finalizes Changes to the Health Breach Notification Rule

(3 days ago) WEBThe Federal Trade Commission today announced it has finalized changes to the Health Breach Notification Rule (HBNR) that will strengthen and modernize the rule …

https://www.ftc.gov/news-events/news/press-releases/2024/04/ftc-finalizes-changes-health-breach-notification-rule

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Biden administration issues new rule to protect privacy of those

(1 days ago) WEBA final rule issued by the Biden administration prevents medical records from being used against people for providing or receiving certain types of reproductive …

https://www.cnn.com/2024/04/22/health/biden-administration-new-rule-reproductive-health-care-privacy/index.html

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Medicaid Managed Care Final Rule: Long-awaited pronouncement …

(3 days ago) WEBOn April 22, 2024, the Centers for Medicare and Medicaid Services (CMS) issued its long-awaited Medicaid Managed Care Final Rule governing Medicaid and …

https://www.nortonrosefulbright.com/en-us/knowledge/publications/5f044d11/medicaid-managed-care-final-rule-long-awaited-pronouncement

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Medicaid Program; Streamlining the Medicaid, Children's Health

(8 days ago) WEBAs discussed in the background section of this final rule, Medicaid and CHIP play a key role in the United States health care system. While Medicaid and CHIP …

https://www.federalregister.gov/documents/2024/04/02/2024-06566/medicaid-program-streamlining-the-medicaid-childrens-health-insurance-program-and-basic-health

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Medicare and Medicaid Programs: Minimum Staffing Standards …

(9 days ago) WEBThis final rule was informed by the feedback CMS received from over 46,000 public comments submitted in response to the proposed rule. Central to this …

https://www.cms.gov/newsroom/fact-sheets/medicare-and-medicaid-programs-minimum-staffing-standards-long-term-care-facilities-and-medicaid-0

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Consolidated Appropriations Act Frequently Asked Questions

(Just Now) WEBcombines $900 billion in stimulus relief for the COVID-19 pandemic in the United States with a $1.4 trillion omnibus spending bill for the 2021 federal fiscal year. An Interim Final …

https://www.uhc.com/content/dam/uhcdotcom/en/HealthReform/PDF/Provisions/reform-CAA-external-faq.pdf

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United States: Unpacking CMS's 2025 DSNP Changes - Mondaq

(9 days ago) WEBAs part of its 2025 Medicare Advantage and Part D Final Rule (the Final Rule), the Centers for Medicare & Medicaid Services (CMS) made a number of enrollment …

https://www.mondaq.com/unitedstates/healthcare/1461196/unpacking-cmss-2025-dsnp-changes-considerations-for-medicare-advantage-organizations

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FTC Announces Rule Banning Noncompetes - Federal Trade …

(8 days ago) WEBToday, the Federal Trade Commission issued a final rule to promote competition by banning noncompetes nationwide, protecting the fundamental freedom of …

https://www.ftc.gov/news-events/news/press-releases/2024/04/ftc-announces-rule-banning-noncompetes

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2024 Final Rule: CMS Announces More Changes to Medicare …

(Just Now) WEBOn April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule …

https://www.natlawreview.com/article/2024-final-rule-cms-announces-more-changes-to-medicare-advantage-declines-to-reform

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CMS Finalizes Rule to Expand Access to Health Information and …

(8 days ago) WEBFinal rule modernizes the health care system and reduces patient and provider burden by streamlining the prior authorization process. As part of the Biden …

https://www.hhs.gov/about/news/2024/01/17/cms-finalizes-rule-to-expand-access-to-health-information-and-improve-the-prior-authorization-process.html

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Medicaid and Children’s Health Insurance Program Managed Care …

(9 days ago) WEBManaged care is the predominant delivery system in Medicaid and the Children’s Health Insurance Program (CHIP), with over 70% of Medicaid and CHIP …

https://www.cms.gov/newsroom/fact-sheets/medicaid-and-childrens-health-insurance-program-managed-care-access-finance-and-quality-final-rule

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CMS Finalizes Rule to Expand Access to Health Information and …

(5 days ago) WEBFinal rule modernizes the health care system and reduces patient and provider burden by streamlining the prior authorization process . As part of the Biden …

https://www.cms.gov/newsroom/press-releases/cms-finalizes-rule-expand-access-health-information-and-improve-prior-authorization-process

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Florida sues Biden administration over new transgender healthcare …

(5 days ago) WEBThe rule is based on an anti-discrimination provision within the Affordable Care Act, the national health insurance law better known as Obamacare, which forbids sex …

https://www.reuters.com/world/us/florida-sues-biden-administration-over-new-transgender-healthcare-rule-2024-05-07/

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Changes to HIPAA Notice of Privacy Practices - Mondaq

(4 days ago) WEBThe Final Rule revises the requirements for notices of privacy practices ("NPP"). It adds new requirements to address certain substance use and disorder …

https://www.mondaq.com/unitedstates/healthcare/1460740/new-hipaa-rules-limit-the-use-and-disclosure-of-phi-related-to-reproductive-health-care-and-revise-notice-of-privacy-practices-requirements

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Final Medicaid Managed Care Rule Explained

(1 days ago) WEBThe rule requires that each managed care plan submit a “payment analysis” to the state Medicaid agency that compares the total amount paid by the plan for primary …

https://ccf.georgetown.edu/2024/05/03/final-medicaid-managed-care-rule-explained/

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CAA and Transparency Rule - UnitedHealthcare

(9 days ago) WEBOn September 10, 2021, a proposed rule outlined reporting requirements for health plans for air ambulance claims. Reporting will be required by March 31, 2023 (for 2022) and …

https://www.uhc.com/content/dam/uhcdotcom/en/HealthReform/PDF/Provisions/reform-external-CAA-NSA-TIC-provision-pricing-highlights-guide.pdf

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CMS Issues Final Medicaid Managed Care Rule - American Bar …

(4 days ago) WEBOn April 22, 2024, CMS issued its much-anticipated Final Rule regarding several aspects of Medicaid Managed Care. The Final Rule includes significant …

https://www.americanbar.org/groups/health_law/section-news/2024/april/cms-issues-final-medicaid-managed-care-rule/

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HHS Finalizes Rule to Advance Health IT Interoperability and …

(Just Now) WEB“Through the HTI-1 final rule, our upcoming HTI-2 proposed rule, and our broader efforts, ONC continues its important work to build health care’s digital …

https://www.hhs.gov/about/news/2023/12/13/hhs-finalizes-rule-to-advance-health-it-interoperability-and-algorithm-transparency.html

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NJ FamilyCare Dental Update

(9 days ago) WEBSource: NJ Shared Data Warehouse, accessed 3/31/17 Notes: Amounts shown are dollars paid for dental services through one of the following service delivery methods: 1) direct …

https://www.nj.gov/humanservices/dmahs/boards/maac/MAAC_Meeting_Presentations_4_13_17.pdf

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Injunction Practice in New Jersey State and Federal Courts

(5 days ago) WEBThe Rule 65(c) security requirement is strict and the exceptions are narrow.18 So narrow, in fact, that courts have com - mented, “on its face, [Rule 65(c)] admits no exceptions” 19 …

https://www.gibbonslaw.com/Files/Publication/cfd9de17-f512-4b6f-b0ac-9af6af14b79c/Presentation/PublicationAttachment/29e6d10d-ce5c-47fb-8fff-233d15f701f5/Alworth.pdf

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United States: Final Changes To Health Breach Notification Rule

(3 days ago) WEBThe Federal Trade Commission ("FTC") has announced finalized changes to the Health Breach Notification Rule ("HBNR"). The changes to the rule attempt to …

https://www.mondaq.com/unitedstates/healthcare/1461152/final-changes-to-health-breach-notification-rule

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AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION …

(5 days ago) WEBIf. I experience discrimination because of the release or disclosure of HIV-related information, I may contact the New York State Division of Human Rights at (212) 480 …

https://nycourts.gov/forms/hipaa_fillable.pdf

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Final Rule to Establish First-Ever Regulations for Adult Protective

(6 days ago) WEBRule will improve quality and consistency of APS services across states. Today, the U.S. Department of Health and Human Services (HHS), through the Administration …

https://www.hhs.gov/about/news/2024/05/07/final-rule-establish-first-ever-regulations-adult-protective-services.html

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