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BenefitsLink Health & Welfare Plans Newsletter
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[Guidance Overview]
HHS to Begin HIPAA Privacy and Security Audits in November 2011
"The description of the pilot program emphasizes the benefits that may come from an increased understanding of why breaches occur and a sharing of best practices. But these audits can still lead to compliance reviews, resulting in monetary settlements or the imposition of civil money penalties."
(Thomson Reuters/EBIA)
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Comprehensive Supreme Court Hearing on PPACA Slated for March 2012
"As summarized by this excellent post on SCOTUSBlog, the Court has allocated 5 1/2 hours of argument to the PPACA challenge, 2 hours of which will focus on the constitutionality of the individual insurance mandate, with another hour allocated to the constitutionality of PPACA's expansion of Medicaid coverage."
(E is for ERISA)
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Pharmacists Form Coalition To Make Drug Prices More Transparent
"A national coalition of pharmacists and pharmacy owners announced last week a public information campaign to expose the unjustifiably high prices of prescription drugs set by pharmacy benefit managers, the unregulated, multibillion dollar industry that controls prescription health plans for more than 200 mil.lion Americans."
(Employee Benefit News)
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Supreme Court to Hear Case on Health Care Reform
"On November 14, 2011, the US Supreme Court agreed to hear arguments on several aspects of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (HCERA) (collectively referred to as 'health care reform'), including the constitutionality of the law's individual mandate provision."
(Practical Law Company)
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Restructuring Medicare's Benefit Design: Implications for Beneficiaries and Spending
"Several deficit-reduction plans have proposed combining Medicare's separate deductibles for hospital and physician services, standardizing cost sharing across types of benefits, and establishing a new limit on annual out-of-pocket costs for beneficiaries. A new Kaiser Family Foundation study examines the potential implications of proposals to revamp Medicare's cost-sharing requirements as a way of reducing federal spending."
(The Henry J. Kaiser Family Foundation)
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Medicare Savings by Raising Eligibility Age Could Be a Mirage
"In addition, health care reform — assuming that it is not repealed and is implemented smoothly in 2014 — adds a new element to the argument about eligibility age. Without reform, many people ages 65 to 67 would have trouble finding affordable insurance — or any insurance at all."
(POLITICO LLC)
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Analysis of the Supreme Court's Health Law Review
"As background, the two Supreme Court decisions since 1937 that have struck down acts of Congress as exceeding the commerce power, one in 1995 and one in 2000, stressed that Congress' commerce power must be restrained by some principle that could be enforced by the judicial branch of government."
(The Henry J. Kaiser Family Foundation)
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[Opinion]
Health Reform and the Supreme Court
"If the court follows its own precedents, as it should, this case should not be a close call: The reform law and a provision requiring most people to obtain health insurance or pay a penalty are clearly constitutional."
(The New York Times; free registration required)
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[Opinion]
Whatever Court Rules, Major Changes in Health Care Likely to Last
"No matter what the Supreme Court decides about the constitutionality of the federal law adopted last year, health care in America has changed in ways that will not be easily undone. Provisions already put in place, like tougher oversight of health insurers, the expansion of coverage to one mil.lion young adults and more protections for workers with pre-existing conditions are already well cemented and popular."
(The New York Times; free registration required)
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Benefits in General; Executive Compensation
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Press Releases
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