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953 published works
Environmental Law Prof Blog
Spending Power Bargaining After Obamacare
In the wake of the Supreme Court’s Affordable Care Act (ACA) decision, it’s easy to get lost in debate over the Chief Justice’s stated theory of the commerce power, or…
Health Industry Washington Watch
CMS Proposes Face-to-Face Encounter Requirement for Medicare DME Orders
As part of CMS’s proposed Medicare physician fee schedule rule, CMS is proposing to implement an ACA provision requiring a face-to-face encounter as a condition of Medicare payment for certain…
Health Industry Washington Watch
HHS Final Rule on Accreditation Entities, Data Collection Requirements for ACA Qualified Health Plans
On June 20, 2012, HHS is publishing a final rule to implement the first phase of a process to recognize accrediting entities that will certify qualified health plans for participation…
Health Industry Washington Watch
CMS Proposes ESRD PPS Update, Bad Debt Reimbursement Changes
On July 11, 2012, CMS published a proposed rule to update the Medicare end-stage renal disease (ESRD) PPS for CY 2013. CMS projects a 2.5% increase in the ESRD PPS…
Health Law Prof Blog
On Political Opposition to the ACA
Here’s a really brief summary, excerpted from Jonathan Bernstein:1. Opposing the ACA Medicare cuts was what Republicans ran on in 2010, and are running on today.2. Republicans support the cuts that…
Health Care Reform Dashboard
Coming Soon: MLR Rebate Checks for Insured Group Health Plans
By Brian M. Pinheiro, Edward I. Leeds
In the next few weeks, employers with insured group health plans, or insured options (such as an insured HMO) in an otherwise self-funded plan, may receive rebate checks from their…
Health Law Prof Blog
The Federal Subsidy for Federal Exchanges Kerfuffle
The Section 1401 drafting error first raised by Adler and Cannon, here, gets the WonkBlog treatment, here, including comments from the academy. The definitive post at the moment is, not surprisingly,…
The Faculty Lounge
A Twitter PSA
Twitter is intuitive in most ways, and many of its social norms are not all that different from other forms of social media (for example, don’t be this guy). But…
Health Law Prof Blog
Worth Reading This Week
Mark Smith, The Supreme Court’s Medicaid Surprise, JAMA ForumJoel Ario & Lawrence Jacobs, In The Wake Of The Supreme Court Decision, Many Stakeholders Still Support The Affordable Care Act, Health…
Health Law Prof Blog
Some Old-Fashioned Letter Writing on a New Morass
The Court's fractured decision on Medicaid continues to generate confusion and discussion. And why wouldn't it? To recap, a total of seven justices voted that the Medicaid expansion was unconstitutionally coercive…