Cross Post: Consumers, Doctors and Legislators: Let the Sunshine In

This entry was originally posted on Community Catalyst's PostScript blog.  Consumer advocates, doctors, employers and leaders in Congress alike have all written letters this month urging the Centers for Medicare & Medicaid Services (CMS) to implement

Consumers, Doctors and Legislators: Let the Sunshine In

Consumer advocates, doctors, employers and leaders in Congress alike have all written letters this month urging the Centers for Medicare & Medicaid Services (CMS) to implement the Physician Payment Sunshine Act (PPSA), making drug industry payments to

Big Advances Coming for Behavioral Health

Long-needed federal action to improve treatment for mental illness and substance use disorders is on its way, as part of President Obama’s four point plan to protect children and reduce gun violence. The biggest step forward will be finalizing federal rul

Partnership Exchanges – Coming into Focus

With a year to go before Exchanges open for business, the pace of new guidance continues to pick up. Just this past week, HHS released guidance on State Partnership Exchanges. The Partnership Exchange is not an option presented in the Affordable Care Act

The ACA Does That Too?! Moving to Curb LGBTQ discrimination in Health Care

A woman in New Jersey was denied insurance coverage for an annual mammogram despite her plan’s typical coverage for such services. The reason: she’s transgender and her plan denies any coverage related to sex reassignment. She filed a lawsuit and eventual

Next Up on the Duals Demos: Ohio

On December 12, Ohio became the third state to move forward with a demonstration project aimed at integrating care for people eligible for both Medicare and Medicaid (“dual eligibles”). Under the Memorandum of Understanding signed with the Centers for Med

Say Anything: Does 2nd Circuit Ruling in Caronia Protect All Off-Label Marketing?

Earlier this month, the 2nd Circuit Federal Court of Appeals refused to prosecute pharmaceutical sales representative Alfred Caronia for conspiring to sell a drug “off-label” (without FDA approval for that indication). While Caronia was caught in the act,

The Insider: Health care and the fiscal debate: Where are we now and where are we going?

As the final days of 2012 slip away, little time remains for Congress and the President to strike a deal on tax rates and spending levels. If there is no deal, a host of tax cuts enacted under both Presidents Bush and Obama will expire (along with a numbe

Cross Post: Pass the Stuffing: There’s a lot going on in the new essential health benefit rules

This blog entry was originally posted on CHIRblog, a blog from the Center for Health Insurance Reforms, Georgetown University Health Policy Institute. Last week, right before the Thanksgiving holiday, the Obama Administration released its proposed rule es