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Biden Administration Finalizes Lower Out-of-pocket Costs For Exchange Plans, Targets Health Equity And Access - Food, Drugs, Healthcare, Life Sciences


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The Biden Administration used the annual rulemaking that governs
health plans sold on the Affordable Care Act s exchanges to
lower health care costs for consumers and improve access to health
care. Part 2 of the Notice of Benefit and Payment
Parameters for 2022 Final Rule (the Payment Notice), issued
April 30, 2021, is the second in a series of rulemakings addressing
exchange plans.
1 The Department of Health and Human
Services (HHS) anticipates additional rulemakings on the 2022
Payment Notice later this year.
2The rulemaking announced changes to
out-of-pocket costs, special enrollment periods, risk adjustment, ....

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Court Finds HHS Had No Lawful Basis Under HIPAA for a $4.3 Million Civil Money Penalty: What Does This Mean for Future HHS Enforcement Actions? | BakerHostetler


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The United States Court of Appeals for the Fifth Circuit recently found that the United States Department of Health and Human Services (HHS) lacked a lawful basis for a $4.3 million civil money penalty order that it issued to a healthcare provider for alleged violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Covered entities and business associates should take note of the court’s decision to provide guidance on their HIPAA compliance efforts and response to enforcement actions taken by HHS. This decision could significantly impact future HHS enforcement actions. ....

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