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Reported covered position: N/A
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Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
No topic inference: each bill number appears in source LDA issue text assigned to this lobbyist.
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - HR 5, "HEALTH Act of 2011", regarding all provisions. - HR1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges", regarding all provisions. - Issues related to the authority of OPM to contract with additional types of FEHBP carriers and a third option for FEP.
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2011 · fourth_quarter · 4A
- Issues related to Medicare Advantage funding; - Issues related to Blue Cross Blue Shield Association's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America"; - Issues related to the Consolidated Appropriations Act of 2012
- Issues pertaining to IRC Section 833(b) tax provisions; - Issues regarding proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to the definition of Medical Loss Ratio to qualify for 833(b) tax deduction. - Issues related to Medical Loss Ratio Broker Fees - HR 1206, "Access to Professional Health Insurance Act of 2011", regarding all provisons. - HR 1370, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA", regarding all provisions.
Source: Senate LDA
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs Authority of OPM to contract with additional types of FEHBP carriers and a third option for FEP
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR1206 "Access to Professional Health Insurance Act of 2011"
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation; Centralized All-Payer Database Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America" OMB PBM Carveout
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- Issues pertaining to IRC Section 833(b) tax provisions; - Issues regarding proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to the definition of Medical Loss Ratio to qualify for 833(b) tax deduction. - Issues related to Medical Loss Ratio Broker Fees - HR 1206, "Access to Professional Health Insurance Act of 2011", regarding all provisons. - HR 1370, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA", regarding all provisions.
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- Issues pertaining to IRC Section 833(b) tax provisions; - Issues regarding proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to the definition of Medical Loss Ratio to qualify for 833(b) tax deduction. - Issues related to Medical Loss Ratio Broker Fees - HR 1206, "Access to Professional Health Insurance Act of 2011", regarding all provisons. - HR 1370, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA", regarding all provisions.
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR1206 "Access to Professional Health Insurance Act of 2011"; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- Issues pertaining to IRC Section 833(b) tax provisions; - Issues regarding proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to the definition of Medical Loss Ratio to qualify for 833(b) tax deduction. - Issues related to Medical Loss Ratio Broker Fees - HR1206, "Access to Professional Health Insurance Act of 2011", regarding all provisons.
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - HR 5, "HEALTH Act of 2011", regarding all provisions.
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - HR 5, "HEALTH Act of 2011", regarding all provisions. - HR1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges", regarding all provisions. - Issues related to the authority of OPM to contract with additional types of FEHBP carriers and a third option for FEP, specifically Pharmacy Benefit Managers. - Issues related to Blue Cross Blue Shield Association's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America".
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR1206 "Access to Professional Health Insurance Act of 2011"; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR1206 "Access to Professional Health Insurance Act of 2011"; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobby Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011 Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
Access to Professional Health Insurance Advisors Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- Issues pertaining to IRC Section 833(b) tax provisions; - Issues regarding proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to the definition of Medical Loss Ratio to qualify for 833(b) tax deduction. - Issues related to Medical Loss Ratio Broker Fees - HR 1206, "Access to Professional Health Insurance Act of 2011", regarding all provisons. - HR 1370, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA", regarding all provisions.
To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation; Centralized All-Payer Database Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America" OMB PBM Carveout
To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- HR 371, "Health Care Choice Act of 2011", regarding all provisions - HR 1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; regarding all provisions - Issues related to Debt Ceiling; - HR 1 "Full-Year Continuing Appropriations Act, 2011" regarding Title V and Title VIII - Issues related to Medicare Advantage Funding.
To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs Authority of OPM to contract with additional types of FEHBP carriers and a third option for FEP
To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - HR 5, "HEALTH Act of 2011", regarding all provisions. - HR1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges", regarding all provisions. - Issues related to the authority of OPM to contract with additional types of FEHBP carriers and a third option for FEP.
To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - HR 5, "HEALTH Act of 2011", regarding all provisions. - HR1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges", regarding all provisions. - Issues related to the authority of OPM to contract with additional types of FEHBP carriers and a third option for FEP, specifically Pharmacy Benefit Managers. - Issues related to Blue Cross Blue Shield Association's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America".
To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; Debt Ceiling; HR1 "Full-Year Continuing Appropriations Act, 2011" Title V and Title VIII
To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- HR 371, "Health Care Choice Act of 2011", regarding all provisions - HR 1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; regarding all provisions - Issues related to Debt Ceiling; - HR 1 "Full-Year Continuing Appropriations Act, 2011" regarding Title V and Title VIII
To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; Debt Ceiling; HR1 "Full-Year Continuing Appropriations Act, 2011" Title V and Title VIII; Medicare Advantage funding
To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- Issues pertaining to IRC Section 833(b) tax provisions; - Issues regarding proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to the definition of Medical Loss Ratio to qualify for 833(b) tax deduction. - Issues related to Medical Loss Ratio Broker Fees - HR 1206, "Access to Professional Health Insurance Act of 2011", regarding all provisons. - HR 1370, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA", regarding all provisions.
To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- Issues pertaining to IRC Section 833(b) tax provisions; - Issues regarding proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to the definition of Medical Loss Ratio to qualify for 833(b) tax deduction. - Issues related to Medical Loss Ratio Broker Fees - HR 1206, "Access to Professional Health Insurance Act of 2011", regarding all provisons. - HR 1370, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA", regarding all provisions.
To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR1206 "Access to Professional Health Insurance Act of 2011"; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- Issues pertaining to IRC Section 833(b) tax provisions; - Issues regarding proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to the definition of Medical Loss Ratio to qualify for 833(b) tax deduction. - Issues related to Medical Loss Ratio Broker Fees - HR 1206, "Access to Professional Health Insurance Act of 2011", regarding all provisons. - HR 1370, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA", regarding all provisions.
To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR1206 "Access to Professional Health Insurance Act of 2011"; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR1206 "Access to Professional Health Insurance Act of 2011"; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
Medicare Advantage; HR1683 and S868 "State Flexibility Act"; Medigap first-dollar coverage
-Issues pertaining to Medicare Advantage - HR 1683/ S 868, "State Flexibility Act", regarding all provisions. - Issues related to Medigap first-dollar coverage.
Medicare Advantage; Medicare Fraud; Medicaid; HR1683 and S868 "State Flexibility Act"
Medicare Advantage; Medicare Fraud; Medicaid; HR1683 and S868 "State Flexibility Act"; Medigap first-dollar coverage
-Issues pertaining to Medicare Advantage -Issues pertaining to Medicare Fraud. -Issues pertaining to Medicaid - HR 1683/ S 868, "State Flexibility Act", regarding all provisions. - Issues related to Medigap first-dollar coverage.
-Issues pertaining to Medicare Advantage -Issues pertaining to Medicare Fraud. -Issues pertaining to Medicaid - HR 1683/ S 868, "State Flexibility Act", regarding all provisions.
Health Care Choice Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - HR 5, "HEALTH Act of 2011", regarding all provisions. - HR1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges", regarding all provisions. - Issues related to the authority of OPM to contract with additional types of FEHBP carriers and a third option for FEP, specifically Pharmacy Benefit Managers. - Issues related to Blue Cross Blue Shield Association's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America".
Health Care Choice Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobby Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011 Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
Health Care Choice Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- HR 371, "Health Care Choice Act of 2011", regarding all provisions - HR 1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; regarding all provisions - Issues related to Debt Ceiling; - HR 1 "Full-Year Continuing Appropriations Act, 2011" regarding Title V and Title VIII - Issues related to Medicare Advantage Funding.
Health Care Choice Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; Debt Ceiling; HR1 "Full-Year Continuing Appropriations Act, 2011" Title V and Title VIII
Health Care Choice Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- HR 371, "Health Care Choice Act of 2011", regarding all provisions - HR 1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; regarding all provisions - Issues related to Debt Ceiling; - HR 1 "Full-Year Continuing Appropriations Act, 2011" regarding Title V and Title VIII
Health Care Choice Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - HR 5, "HEALTH Act of 2011", regarding all provisions. - HR1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges", regarding all provisions. - Issues related to the authority of OPM to contract with additional types of FEHBP carriers and a third option for FEP.
Health Care Choice Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
Health Care Choice Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation; Centralized All-Payer Database Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America" OMB PBM Carveout
Health Care Choice Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs Authority of OPM to contract with additional types of FEHBP carriers and a third option for FEP
Health Care Choice Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - HR 5, "HEALTH Act of 2011", regarding all provisions.
Health Care Choice Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; Debt Ceiling; HR1 "Full-Year Continuing Appropriations Act, 2011" Title V and Title VIII; Medicare Advantage funding
Health Care Choice Act of 2011
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
Domestic Partnership Benefits and Obligations Act of 2009
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcard Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Recissions and Patient Protections: Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs HR 2517 "Domestic Partnership Benefits and Obligations Act of 2009"
Domestic Partnership Benefits and Obligations Act of 2009
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs -HR 2517, "Domestic Partnership Benefits and Obligations Act of 2009", regarding all provisions.
FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
HR 4489, "To amend Chapter 89 of Title 5, United States Code, to ensure program integirty, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefit Program", regarding provisions related to pharmacy antitrust issues.
FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
HR 4489 "To amend Chapter 89 of Title 5, United States Code, to ensure program integrity, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefit Program"
FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
HR 4489, "To amend Chapter 89 of Title 5, United States Code, to ensure program integirty, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefit Program", regarding all provisions.
FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
HR 4489 "To amend Chapter 89 of Title 5, United States Code, to ensure program integrity, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefit Program"
FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
HR 4489 "FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act"; Pharmacy Antitrust pharmacy antitrust issues
FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
HR 4489, "To amend Chapter 89 of Title 5, United States Code, to ensure program integrity, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefit Program", regarding provisions related to pharmacy antitrust issues. - Issues related to comparative effectiveness and medication safety.
FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
HR 4489, "To amend Chapter 89 of Title 5, United States Code, to ensure program integirty, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefit Program", regarding all provisions.
Health Insurance Industry Fair Competition Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- HR 3590, "Patient Protection and Affordable Care Act", provisions regarding health care reform. - HR 4872, "The Health Care and Education Affordability Reconciliation Act of 2010", regarding health care reform; reasonable effective dates for compliance with insurance reforms; affordable premiums; federal health insurance rate authority; national insurance exchange; grandfathering. Health Care Reform; Pathway to Covering America; Employer Based Health Care System; Uninsured/Expanding Coverage; Health Care Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field; Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Health Care Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis; New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling; Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Health Care Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626, "Health Insurance Industry Fair Competition Act"; Scope of FEHBP preemption.
Health Insurance Industry Fair Competition Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- HR 3590, "Patient Protection and Affordable Care Act", provisions regarding health care reform. - HR 4872, "The Health Care and Education Affordability Reconciliation Act of 2010", regarding health care reform; reasonable effective dates for compliance with insurance reforms; affordable premiums; federal health insurance rate authority; national insurance exchange; grandfathering. Health Care Reform; Pathway to Covering America; Employer Based Health Care System; Uninsured/Expanding Coverage; Health Care Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field; Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Health Care Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis; New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling; Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Health Care Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626, "Health Insurance Industry Fair Competition Act"; Scope of FEHBP preemption.
Health Insurance Industry Fair Competition Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform Bill HR3590 "Patient Protection and Affordable Care Act" parts pertaining to health care reform; Health Care Reconcilliation Bill HR 4872 "The Health Care & Education Affordability Reconcilliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for comliance with insurance reforms; affordable premiums (insurer tax, insufficient cost containment, weak mandate, restricted age discounts, insurer fees); federal health insurance rate authority; national insurance exchange; grandfathering Health Care Reform; Pathway to Covering America; Employer Based Healthcare System; Uninsured/Expanding Coverage; Healthcare Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Healthcare Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Healthcare Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626 "Health Insurance Industry Fair Competition Act" Scope of FEHBP preemption
Health Insurance Industry Fair Competition Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform Bill HR3590 "Patient Protection and Affordable Care Act" parts pertaining to health care reform; Health Care Reconcilliation Bill HR 4872 "The Health Care & Education Affordability Reconcilliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for comliance with insurance reforms; affordable premiums (insurer tax, insufficient cost containment, weak mandate, restricted age discounts, insurer fees); federal health insurance rate authority; national insurance exchange; grandfathering Health Care Reform; Pathway to Covering America; Employer Based Healthcare System; Uninsured/Expanding Coverage; Healthcare Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Healthcare Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Healthcare Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626 "Health Insurance Industry Fair Competition Act" Scope of FEHBP preemption
Transparency in All Health Care Pricing Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; Pre-existing condition for children; guaranteed issue for children under the age of 19; Child Only Insurance Policies Recissions and Routine Administrative Functions; Internal Claims and Appeals/External Review; Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs OPM Legislative Proposal on FEHBP Subrogation and Reimbursement
Transparency in All Health Care Pricing Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited -Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - OPM Legislative proposal on FEHBP Subrogation and Reimbursement.
Transparency in All Health Care Pricing Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcard Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Recissions and Patient Protections: Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs HR 2517 "Domestic Partnership Benefits and Obligations Act of 2009"
Transparency in All Health Care Pricing Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs -HR 2517, "Domestic Partnership Benefits and Obligations Act of 2009", regarding all provisions.
Transparency in All Health Care Pricing Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; Pre-existing condition for children; guaranteed issue for children under the age of 19; Child Only Insurance Policies Recissions and Routine Administrative Functions; Internal Claims and Appeals/External Review; Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs
Transparency in All Health Care Pricing Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited -Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act"; Child only insurance policies. -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms; Childhood Obesity. -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
Health Insurance Rate Authority Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; Pre-existing condition for children; guaranteed issue for children under the age of 19; Child Only Insurance Policies Recissions and Routine Administrative Functions; Internal Claims and Appeals/External Review; Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs OPM Legislative Proposal on FEHBP Subrogation and Reimbursement
Health Insurance Rate Authority Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcard Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Recissions and Patient Protections: Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs HR 2517 "Domestic Partnership Benefits and Obligations Act of 2009"
Health Insurance Rate Authority Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs -HR 2517, "Domestic Partnership Benefits and Obligations Act of 2009", regarding all provisions.
Health Insurance Rate Authority Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; Pre-existing condition for children; guaranteed issue for children under the age of 19; Child Only Insurance Policies Recissions and Routine Administrative Functions; Internal Claims and Appeals/External Review; Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs
Health Insurance Rate Authority Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited -Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act"; Child only insurance policies. -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms; Childhood Obesity. -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
Health Insurance Rate Authority Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited -Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - OPM Legislative proposal on FEHBP Subrogation and Reimbursement.
FEHBP Dependent Coverage Extension Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited -Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - OPM Legislative proposal on FEHBP Subrogation and Reimbursement.
FEHBP Dependent Coverage Extension Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcard Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Recissions and Patient Protections: Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs HR 2517 "Domestic Partnership Benefits and Obligations Act of 2009"
FEHBP Dependent Coverage Extension Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs -HR 2517, "Domestic Partnership Benefits and Obligations Act of 2009", regarding all provisions.
FEHBP Dependent Coverage Extension Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited -Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act"; Child only insurance policies. -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms; Childhood Obesity. -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
Strengthening Medicare Anti-Fraud Measures Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
Medicare Advantage; HR 6130 "Strengthening Medicare Anti-Fraud Measures Act of 2010"
Strengthening Medicare Anti-Fraud Measures Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
-Issues pertaining to Medicare Advantage funding. -HR 6130, "Strengthening Medicare Anti-Fraud Measures Act of 2010", regarding all provisions.
Strengthening Medicare Anti-Fraud Measures Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
Medicare Advantage; HR 6130 "Strengthening Medicare Anti-Fraud Measures Act of 2010" Medicare Advantage Funding??
Strengthening Medicare Anti-Fraud Measures Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
-Issues pertaining to Medicare Advantage -HR 6130, "Strengthening Medicare Anti-Fraud Measures Act of 2010", regarding all provisions.
Health Insurance Rate Authority Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited -Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act"; Child only insurance policies. -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms; Childhood Obesity. -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
Health Insurance Rate Authority Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; Pre-existing condition for children; guaranteed issue for children under the age of 19; Child Only Insurance Policies Recissions and Routine Administrative Functions; Internal Claims and Appeals/External Review; Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs
Health Insurance Rate Authority Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited -Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - OPM Legislative proposal on FEHBP Subrogation and Reimbursement.
Health Insurance Rate Authority Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs -HR 2517, "Domestic Partnership Benefits and Obligations Act of 2009", regarding all provisions.
Health Insurance Rate Authority Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcard Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Recissions and Patient Protections: Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs HR 2517 "Domestic Partnership Benefits and Obligations Act of 2009"
Health Insurance Rate Authority Act of 2010
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; Pre-existing condition for children; guaranteed issue for children under the age of 19; Child Only Insurance Policies Recissions and Routine Administrative Functions; Internal Claims and Appeals/External Review; Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs OPM Legislative Proposal on FEHBP Subrogation and Reimbursement
American Middle Class Tax (AMT) Relief Act of 2007
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- HR 3590, "Patient Protection and Affordable Care Act", provisions regarding health care reform. - HR 4872, "The Health Care and Education Affordability Reconciliation Act of 2010", regarding health care reform; reasonable effective dates for compliance with insurance reforms; affordable premiums; federal health insurance rate authority; national insurance exchange; grandfathering. Health Care Reform; Pathway to Covering America; Employer Based Health Care System; Uninsured/Expanding Coverage; Health Care Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field; Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Health Care Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis; New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling; Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Health Care Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626, "Health Insurance Industry Fair Competition Act"; Scope of FEHBP preemption.
American Middle Class Tax (AMT) Relief Act of 2007
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform Bill HR3590 "Patient Protection and Affordable Care Act" parts pertaining to health care reform; Health Care Reconcilliation Bill HR 4872 "The Health Care & Education Affordability Reconcilliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for comliance with insurance reforms; affordable premiums (insurer tax, insufficient cost containment, weak mandate, restricted age discounts, insurer fees); federal health insurance rate authority; national insurance exchange; grandfathering Health Care Reform; Pathway to Covering America; Employer Based Healthcare System; Uninsured/Expanding Coverage; Healthcare Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Healthcare Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Healthcare Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626 "Health Insurance Industry Fair Competition Act" Scope of FEHBP preemption
American Middle Class Tax (AMT) Relief Act of 2007
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform Bill HR3590 "Patient Protection and Affordable Care Act" parts pertaining to health care reform; Health Care Reconcilliation Bill HR 4872 "The Health Care & Education Affordability Reconcilliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for comliance with insurance reforms; affordable premiums (insurer tax, insufficient cost containment, weak mandate, restricted age discounts, insurer fees); federal health insurance rate authority; national insurance exchange; grandfathering Health Care Reform; Pathway to Covering America; Employer Based Healthcare System; Uninsured/Expanding Coverage; Healthcare Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Healthcare Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Healthcare Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626 "Health Insurance Industry Fair Competition Act" Scope of FEHBP preemption
American Middle Class Tax (AMT) Relief Act of 2007
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
- HR 3590, "Patient Protection and Affordable Care Act", provisions regarding health care reform. - HR 4872, "The Health Care and Education Affordability Reconciliation Act of 2010", regarding health care reform; reasonable effective dates for compliance with insurance reforms; affordable premiums; federal health insurance rate authority; national insurance exchange; grandfathering. Health Care Reform; Pathway to Covering America; Employer Based Health Care System; Uninsured/Expanding Coverage; Health Care Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field; Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Health Care Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis; New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling; Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Health Care Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626, "Health Insurance Industry Fair Competition Act"; Scope of FEHBP preemption.
Setting forth the congressional budget for the United States Government for fiscal year 2010 and including the appropriate budgetary levels for fiscal years 2009 and 2011 through 2014.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: BUD - Budget/Appropriations Medicare Advantage Funding; 2010 Medicare Advantage Rates HR1 "American Recovery and Reinvestment Act of 2009" Section 3001 on COBRA Subsidiaries; Section 5001 on Medicaid funding; Sections 4101 and 4102 on Electronic Health Records; Sections on Health Information Privacy; Section 804 on Comparative Effectiveness Research; sections 1801 and 1889L on the Trade Adjustment Act CHIP/SCHIP: HR2 and S275 "Children's Health Insurance Program Reauthorization Act of 2009" Reconciliation Instructions in HConRes85 Section 201 Health Care Reserve Funds in HConRes85 Section 301 and SConRes13 Section 201
Setting forth the congressional budget for the United States Government for fiscal year 2010 and including the appropriate budgetary levels for fiscal years 2009 and 2011 through 2014.
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
Medicare Advantage Funding; 2010 Medicare Advantage Rates Reconciliation Instructions in HConRes85 Section 201 Health Care Reserve Funds in HConRes85 Section 301 and SConRes13 Section 201
Health Insurance Restrictions and Limitations Clarification Act of 2009
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Employer Based Healthcare System; Uninsured/Expanding Coverage; Individual Mandate; Affordable Health Care; Government Plan Option Insurance Market Reform; Snmal Group Market Reform; Small Business Healthcare Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs) Health Care Quality; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research Health Information Technology Standards; Health Information Privacy; Electronic Health Records HIPAA Privacy: HR1 "American Recovery and Reinvestment Act of 2009" Sections pertaining to HIPAA Privacy in the HITECH Act Health Savings Accounts/Medical Savings Accounts (Tax) HR1253 "Health Insurance Restrictions and Limitations Clarification Act of 2009" Antitrust and Health Insurance Reform Mental Health Parity TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" CHIP/SCHIP: HR2 and S275 "Children's Health Insurance Program Reauthorization Act of 2009" Amendment to HR1256 to raise the maximum age of dependent children under FEHBP
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Pathway to Covering America; Employer Based Healthcare System; Uninsured/Expanding Coverage; Effective Individual Mandate; Health Coverage Responsibility; Affordable Private Health Care; Government Plan Option; FEHBP; Healthcare Reform Model; HR1321 and S391 "Healthy Americans Act"; HR1897 and S803 "Healthy Workforce Act of 2009"; American Health Choices Act Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts Patient-centered Primary Care/Medical Home; Health Care Quality; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Healthcare Delivery System Reforms Antitrust and Health Insurance Reform Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs) S.Res.156 "A resolution expressing the sense of the Senate that reform of our Nation's health care system should include the establishment of a federally-backed insurance pool" Health Information Technology Standards; Health Information Privacy; Electronic Health Records S386 "Fraud Enforcement and Recovery Act of 2009" sections pertaining to the False Claims Act
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Pathway to Covering America; Employer Based Healthcare System; Uninsured/Expanding Coverage; Healthcare Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; HR 3200 "America's Affordable Health Choices Act of 2009"; S1679 "Affordable Health Choices Act"; Senate Finance Committee Chairman's Mark - no bill number "America's Healthy Future Act"; HR1321 and S391 "Healthy Americans Act" Government-run health insurance Plan; Government Plan Trigger; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Healthcare Delivery System Reforms; Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Healthcare Delivery System Reforms; Pooling, Exchanges, Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification Antitrust and Health Insurance Reform; HR3596 "Health Insurance Industry Antitrust Enforcement Act of 2009" DELETING THE FOLLOWING HR1321 and S391 "Healthy Americans Act"; HR1897 and S803 "Healthy Workforce Act of 2009"; S.Res.156 "A resolution expressing the sense of the Senate that reform of our Nation's health care system should include the establishment of a federally-backed insurance pool"; Blue Health Intelligence; and Share Decision Making.
Promoting Innovation and Access to Life-Saving Medicine Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
Biogenerics/Generic Biologies: HR1427 "Promoting Innovation and Access to Life-Saving Medicine Act" Carve out of FEBHBP Rx benefits
Promoting Innovation and Access to Life-Saving Medicine Act
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
Biogenerics/Generic Biologics: HR1427 "Promoting Innovation and Access to Life-Saving Medicine Act"
Healthy Workforce Act of 2009
Client: INDEPENDENCE BLUE CROSS · Firm: INDEPENDENCE BLUE CROSS
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Pathway to Covering America; Employer Based Healthcare System; Uninsured/Expanding Coverage; Effective Individual Mandate; Health Coverage Responsibility; Affordable Private Health Care; Government Plan Option; FEHBP; Healthcare Reform Model; HR1321 and S391 "Healthy Americans Act"; HR1897 and S803 "Healthy Workforce Act of 2009"; American Health Choices Act Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts Patient-centered Primary Care/Medical Home; Health Care Quality; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Healthcare Delivery System Reforms Antitrust and Health Insurance Reform Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs) S.Res.156 "A resolution expressing the sense of the Senate that reform of our Nation's health care system should include the establishment of a federally-backed insurance pool" Health Information Technology Standards; Health Information Privacy; Electronic Health Records S386 "Fraud Enforcement and Recovery Act of 2009" sections pertaining to the False Claims Act
-Issues pertaining to Medicare Advantage - HR 1683/ S 868, "State Flexibility Act", regarding all provisions. - Issues related to Medigap first-dollar coverage.
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - HR 5, "HEALTH Act of 2011", regarding all provisions. - HR1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges", regarding all provisions. - Issues related to the authority of OPM to contract with additional types of FEHBP carriers and a third option for FEP, specifically Pharmacy Benefit Managers. - Issues related to Blue Cross Blue Shield Association's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America".
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2011 · third_quarter · 3A
-Issues pertaining to Medicare Advantage -Issues pertaining to Medicare Fraud. -Issues pertaining to Medicaid - HR 1683/ S 868, "State Flexibility Act", regarding all provisions. - Issues related to Medigap first-dollar coverage.
- Issues pertaining to IRC Section 833(b) tax provisions; - Issues regarding proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to the definition of Medical Loss Ratio to qualify for 833(b) tax deduction. - Issues related to Medical Loss Ratio Broker Fees - HR 1206, "Access to Professional Health Insurance Act of 2011", regarding all provisons. - HR 1370, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA", regarding all provisions.
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - HR 5, "HEALTH Act of 2011", regarding all provisions. - HR1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges", regarding all provisions. - Issues related to the authority of OPM to contract with additional types of FEHBP carriers and a third option for FEP.
- HR 371, "Health Care Choice Act of 2011", regarding all provisions - HR 1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; regarding all provisions - Issues related to Debt Ceiling; - HR 1 "Full-Year Continuing Appropriations Act, 2011" regarding Title V and Title VIII - Issues related to Medicare Advantage Funding.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2011 · second_quarter · 2A
- Issues pertaining to IRC Section 833(b) tax provisions; - Issues regarding proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to the definition of Medical Loss Ratio to qualify for 833(b) tax deduction. - Issues related to Medical Loss Ratio Broker Fees - HR 1206, "Access to Professional Health Insurance Act of 2011", regarding all provisons. - HR 1370, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA", regarding all provisions.
- HR 371, "Health Care Choice Act of 2011", regarding all provisions - HR 1213, "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; regarding all provisions - Issues related to Debt Ceiling; - HR 1 "Full-Year Continuing Appropriations Act, 2011" regarding Title V and Title VIII
-Issues pertaining to Medicare Advantage -Issues pertaining to Medicare Fraud. -Issues pertaining to Medicaid - HR 1683/ S 868, "State Flexibility Act", regarding all provisions.
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - HR 5, "HEALTH Act of 2011", regarding all provisions.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2011 · first_quarter · 1A
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax. -State based regulation: State Oversight of Premium Increases: Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011. -Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patientcentered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
- Issues pertaining to IRC Section 833(b) tax provisions; - Issues regarding proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to the definition of Medical Loss Ratio to qualify for 833(b) tax deduction. - Issues related to Medical Loss Ratio Broker Fees - HR1206, "Access to Professional Health Insurance Act of 2011", regarding all provisons.
- Federal Employee Health Benefit Program ("FEHBP") Pharmacy Benefits contracting.
-Issues pertaining to Medicare Advantage -Issues pertaining to Medicare Fraud
Filing targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2011 · fourth_quarter · Q4
Medicare Advantage; HR1683 and S868 "State Flexibility Act"; Medigap first-dollar coverage
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR1206 "Access to Professional Health Insurance Act of 2011"; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation; Centralized All-Payer Database Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America" OMB PBM Carveout
Medicare Advantage funding; deficit; BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High-Quality, Affordable Care in America"; Consolidated Appropriations Act of 2012
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2011 · third_quarter · Q3
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR1206 "Access to Professional Health Insurance Act of 2011"; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; Debt Ceiling; HR1 "Full-Year Continuing Appropriations Act, 2011" Title V and Title VIII; Medicare Advantage funding
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2011 · second_quarter · Q2
Medicare Advantage; Medicare Fraud; Medicaid; HR1683 and S868 "State Flexibility Act"
HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; Debt Ceiling; HR1 "Full-Year Continuing Appropriations Act, 2011" Title V and Title VIII
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Health Savings Accounts; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR1206 "Access to Professional Health Insurance Act of 2011"; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2011 · first_quarter · Q1
FEHBP Pharmacy Benefits Contracting
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; Medical Loss Ratio definition to qualify for 833(b) tax deduction; MLR Broker Fees HR1206 "Access to Professional Health Insurance Act of 2011"
See attached addendum for General Lobby Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011 Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2010 · fourth_quarter · 4A
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited -Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act"; Child only insurance policies. -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms; Childhood Obesity. -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2010 · third_quarter · 3A
HR 4489, "To amend Chapter 89 of Title 5, United States Code, to ensure program integrity, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefit Program", regarding provisions related to pharmacy antitrust issues. - Issues related to comparative effectiveness and medication safety.
-Issues pertaining to Medicare Advantage funding. -HR 6130, "Strengthening Medicare Anti-Fraud Measures Act of 2010", regarding all provisions.
- Issues pertaining to IRC Section 833(b) tax provisions; - Sections of Health Care Reform legislation pertaining to proposed annual insurer assessments, proposed excise tax on high-value health insurane plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to IRS guidelines on dependent coverage. - Issues related to the definition of Medical Loss Ratio to qualify for 833(b) tax deduction.
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2010 · second_quarter · 2A
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs -HR 2517, "Domestic Partnership Benefits and Obligations Act of 2009", regarding all provisions.
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2010 · first_quarter · 1A
Medicare Advantage Funding and Comparative Effectiveness Funding in Health Care Reform Legislation.
- Issues pertaining to IRC Section 833(b) tax provisions; - Sections of Health Care Reform legislation pertaining to proposed annual insurer assessments, proposed excise tax on high-value health insurane plans, and proposed limitation of tax deduction for health insurer's executive compensation.
Issues pertaining to Medicare Advantage.
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2010 · first_quarter · 1A
HR 4489, "To amend Chapter 89 of Title 5, United States Code, to ensure program integirty, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefit Program", regarding all provisions.
Issues pertaining to Medicare Advantage.
Medicare Advantage Funding and Comparative Effectiveness Funding in Health Care Reform Legislation.
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2010 · fourth_quarter · Q4
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; IRS Guidelines on dependent coverage; Medical Loss Ratio definition to qualify for 833(b) tax deduction
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; Pre-existing condition for children; guaranteed issue for children under the age of 19; Child Only Insurance Policies Recissions and Routine Administrative Functions; Internal Claims and Appeals/External Review; Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2010 · third_quarter · Q3
comparative effectiveness, medication safety pharmacy antitrust issues??
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; IRS Guidelines on dependent coverage; Medical Loss Ratio definition to qualify for 833(b) tax deduction
Medicare Advantage; HR 6130 "Strengthening Medicare Anti-Fraud Measures Act of 2010" Medicare Advantage Funding??
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2010 · second_quarter · Q2
IRC section 833(b) tax provisions; annual insurer assessments, proposed excise tax on high-value health insurance plans, limitation of tax deduction for health insurer's executive compensation; Small Employer Tax Credits; IRS Guidelines on dependent coverage
HR 4489 "FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act"; Pharmacy Antitrust pharmacy antitrust issues
Medicare Advantage
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2010 · first_quarter · 1A
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform Bill HR3590 "Patient Protection and Affordable Care Act" parts pertaining to health care reform; Health Care Reconcilliation Bill HR 4872 "The Health Care & Education Affordability Reconcilliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for comliance with insurance reforms; affordable premiums (insurer tax, insufficient cost containment, weak mandate, restricted age discounts, insurer fees); federal health insurance rate authority; national insurance exchange; grandfathering Health Care Reform; Pathway to Covering America; Employer Based Healthcare System; Uninsured/Expanding Coverage; Healthcare Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Healthcare Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Healthcare Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626 "Health Insurance Industry Fair Competition Act" Scope of FEHBP preemption
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2010 · first_quarter · Q1
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform Bill HR3590 "Patient Protection and Affordable Care Act" parts pertaining to health care reform; Health Care Reconcilliation Bill HR 4872 "The Health Care & Education Affordability Reconcilliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for comliance with insurance reforms; affordable premiums (insurer tax, insufficient cost containment, weak mandate, restricted age discounts, insurer fees); federal health insurance rate authority; national insurance exchange; grandfathering Health Care Reform; Pathway to Covering America; Employer Based Healthcare System; Uninsured/Expanding Coverage; Healthcare Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Healthcare Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Healthcare Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626 "Health Insurance Industry Fair Competition Act" Scope of FEHBP preemption
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2009 · fourth_quarter · Q4
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform: Pathway to Covering America; Employer Based Healthcare System: Uninsured/Expanding Coverage: Healthcare Reform Modeling Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating: Health Savings Accounts/Medical Savings Accounts; Individual Mandate; Medical Loss Ratios HR 3200 "America's Affordable Health Choices Act of 2009"; Senate Finance Committee Chairman's Mark - no bill number "America's Healthy Future Act"; HR 3962 "Affordable Health Care for America Act"; HR 3962 Manager's Amendment; HR 3590 "Patient Protection and Affordable Care Act"; HR 3590 Manager's Amendment Government-run health insurance Plan: Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Healthcare Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and affordable Care on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis New federal regulatory function; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors: State Insurance Marts (SIMs); Pooling Health Acre Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Healthcare Delivery System Reforms Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation:S1681 and HR3.596 "Health Insurance Industry Antitrust Enforcement Act of 2009" Scope of FEHBP preemption
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2009 · third_quarter · Q3
Restructuring FEHBP Rx benefits
Medicare Advantage Medicaid Medigap Guaranteed Issue to Medicare Disabled/ESRD
Medicare Advantage Funding and 2010 Medicare Advantage Rates; Comparative Effectiveness Funding; HR3293 "Department of HHS Appropriations Act" pertaining to Medicare Advantage Funding
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2009 · second_quarter · Q2
IRC section 833(b) tax provisions
Medicare Advantage Funding; 2010 Medicare Advantage Rates Reconciliation Instructions in HConRes85 Section 201 Health Care Reserve Funds in HConRes85 Section 301 and SConRes13 Section 201
Biogenerics/Generic Biologies: HR1427 "Promoting Innovation and Access to Life-Saving Medicine Act" Carve out of FEBHBP Rx benefits
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2009 · first_quarter · Q1
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Employer Based Healthcare System; Uninsured/Expanding Coverage; Individual Mandate; Affordable Health Care; Government Plan Option Insurance Market Reform; Snmal Group Market Reform; Small Business Healthcare Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs) Health Care Quality; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research Health Information Technology Standards; Health Information Privacy; Electronic Health Records HIPAA Privacy: HR1 "American Recovery and Reinvestment Act of 2009" Sections pertaining to HIPAA Privacy in the HITECH Act Health Savings Accounts/Medical Savings Accounts (Tax) HR1253 "Health Insurance Restrictions and Limitations Clarification Act of 2009" Antitrust and Health Insurance Reform Mental Health Parity TAA; HR3801 and S1848 "TAA Health Coverage Improvement Act of 2007" CHIP/SCHIP: HR2 and S275 "Children's Health Insurance Program Reauthorization Act of 2009" Amendment to HR1256 to raise the maximum age of dependent children under FEHBP
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2008 · fourth_quarter · Q4
Medicare; Medicare Part D; Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act"; Medicare Electronic Health Records; Pay for Performance; Medicare Avantage: HR6331 "Medicare Improvements for Patients and Providers Act of 2008", S3101 "Medicare Improvements for Patients and Providers Act of 2008"; and S3118 "Preserving Access to Medicare Act of 2008"
E-prescribing; Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act"
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2008 · second_quarter · Q2
HR3920 "Trade and Globalization Act of 2007" and S1848 "TAA Health Coverage Improvement Act of 2007" - parts pertaining to the Health Coverage Tax Credit.
E-prescribing: Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; "Enhanced Health Care Value for All Act"
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards: HIT Privacy; Electionic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007", S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007"; HR1424 as passed: secions pertaining to the "Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Account/Medical Savings Accounts HR2851 and S400 "Michelle's Law" HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP" S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR758 "Breast Cancer Patient Protection Act of 2007"
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2008 · first_quarter · Q1
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards: HIT Privacy; Electionic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007", S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Enterprise Integration Act" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act" Genetic Non-discrimination: S358 "Genetic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007"; HR1424 as passed: sections pertaining to the "Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Account/Medical Savings Accounts HR2851 and S400 "Michelle's Law" HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP" S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR758 "Breast Cancer Patient Protection Act of 2007"
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2008 · third_quarter · Q3
Medicare Advantage Funding: HR6331 "Medicare Improvements for Patients and Providers Act of 2008"; S3101 "Medicare Improvements for Patients and Providers Act of 2008", and S3118 "Preserving Access to Medicare Act of 2008"; Comparative Effectiveness Funding: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only, HR2184 "Enhanced Health Care Value for All Act"
HR3920 "Trade and Globalization Act of 2007" and S1848 "TAA Health Coverage Improvement Act of 2007" - parts pertaining to the Health Coverage Tax Credit
E-prescribing: Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; "Enhanced Health Care Value of All Act"
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2007 · year_end · YY
Managed Care, Anti-Trust Medicare Associated Health Plans Medical Malpractice, and Health Savings Accounts
Filing targets: HOUSE OF REPRESENTATIVES, SENATE, UNDETERMINED
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2007 · mid_year · MM
Managed Care, Anti Trust Medicare Associated Health Plans Medical Malpractice, and Health Savings Account
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2006 · year_end · YY
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2006 · mid_year · MM
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2005 · mid_year · MM
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2004 · year_end · YY
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2004 · mid_year · MM
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2003 · year_end · YY
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2002 · year_end · YY
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2002 · mid_year · MM
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2001 · mid_year · MMY
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2001 · year_end · YYY
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2000 · mid_year · MMY
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
2000 · year_end · YYY
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
INDEPENDENCE BLUE CROSS via INDEPENDENCE BLUE CROSS
1999 · year_end · YYY
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage; Medicare Fraud; Medicaid; HR1683 and S868 "State Flexibility Act"; Medigap first-dollar coverage
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs Authority of OPM to contract with additional types of FEHBP carriers and a third option for FEP
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 Affordable Private Health Care: Insurer Fees; Realistic Essential Health Benefits; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels; Most Favored Nation clauses in provider health contracts; Individual responsibility to obtain and maintain insurance coverage; Health Insurance Excise Tax State-based regulation: State Oversight of Premium Increases; Creation of State-based Exchanges; Value of properly designed state health insurance exchanges to improve competition and maximize choice; federal exchanges; federal rate review; existing state regulatory functions; Selling Health Insurance across state lines: HR371 Health Care Choice Act of 2011; HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchanges"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLR Broker Fee HR1206 Access to Professional Health Insurance Advisors Act of 2011; State Innovation Waivers; Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Comparative Effectiveness Research; Evidence Based Care; Health Disparities; Wellness; Chronic Care Management; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
Medicare Advantage; Medicare Fraud
Filing targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
- Issues related to comparative effectiveness.
-Issues pertaining to Medicare Advantage -HR 6130, "Strengthening Medicare Anti-Fraud Measures Act of 2010", regarding all provisions.
- Issues pertaining to IRC Section 833(b) tax provisions; - Sections of Health Care Reform legislation pertaining to proposed annual insurer assessments, proposed excise tax on high-value health insurane plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to IRS guidelines on dependent coverage. - Issues related to the definition of Medical Loss Ratio to qualify for 833(b) tax deduction.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
See HCR addendum page. -Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 -State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges; -Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited -Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations -Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" -Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 -Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" -Rescissions and Patient Protections: Open enrollment period; adverse selection implications -Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Health Care Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels -Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Health Care Delivery System Reforms -Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation -Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; MEWAs - OPM Legislative proposal on FEHBP Subrogation and Reimbursement.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
- Issues pertaining to IRC Section 833(b) tax provisions; - Sections of Health Care Reform legislation pertaining to proposed annual insurer assessments, proposed excise tax on high-value health insurane plans, and proposed limitation of tax deduction for health insurer's executive compensation. - Issues related to Small Employer Tax Credits - Issues related to IRS guidelines on dependent coverage.
Issues pertaining to Medicare Advantage.
HR 4489, "To amend Chapter 89 of Title 5, United States Code, to ensure program integirty, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefit Program", regarding provisions related to pharmacy antitrust issues.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
HR 4489, "To amend Chapter 89 of Title 5, United States Code, to ensure program integirty, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefit Program", regarding all provisions.
- HR 3590, "Patient Protection and Affordable Care Act", provisions regarding health care reform. - HR 4872, "The Health Care and Education Affordability Reconciliation Act of 2010", regarding health care reform; reasonable effective dates for compliance with insurance reforms; affordable premiums; federal health insurance rate authority; national insurance exchange; grandfathering. Health Care Reform; Pathway to Covering America; Employer Based Health Care System; Uninsured/Expanding Coverage; Health Care Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field; Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Health Care Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis; New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling; Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Health Care Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626, "Health Insurance Industry Fair Competition Act"; Scope of FEHBP preemption.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
- Issues pertaining to IRC Section 833(b) tax provisions; - Sections of Health Care Reform legislation pertaining to proposed annual insurer assessments, proposed excise tax on high-value health insurane plans, and proposed limitation of tax deduction for health insurer's executive compensation.
- HR 3590, "Patient Protection and Affordable Care Act", provisions regarding health care reform. - HR 4872, "The Health Care and Education Affordability Reconciliation Act of 2010", regarding health care reform; reasonable effective dates for compliance with insurance reforms; affordable premiums; federal health insurance rate authority; national insurance exchange; grandfathering. Health Care Reform; Pathway to Covering America; Employer Based Health Care System; Uninsured/Expanding Coverage; Health Care Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Health Care; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Mandate; Medical Loss Ratios; MEWAs; Government-run health insurance Plan; Government Plan Trigger; negotiated rates; state opt-out; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field; Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; premium caps; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Health Care Delivery System Reforms; malpractice reform; Oliver Wyman actuarial analysis "Impact of the Patient Protection and Affordable Care Act on the Costs in the Individual and Small-Employer Health Insurance Markets"; CBO premium impact analysis; New federal regulatory functions; existing state regulatory functions; Federal Exchanges; Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Pooling; Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Health Care Delivery System Reforms; Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; Antitrust and Health Insurance Reform; McCarran-Ferguson antitrust exemption repeal legislation: HR 4626, "Health Insurance Industry Fair Competition Act"; Scope of FEHBP preemption.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage; HR 6130 "Strengthening Medicare Anti-Fraud Measures Act of 2010"
comparative effectiveness
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; Pre-existing condition for children; guaranteed issue for children under the age of 19; Child Only Insurance Policies Recissions and Routine Administrative Functions; Internal Claims and Appeals/External Review; Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits; Adequate Insurer Reserve Levels Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms; Childhood Obesity Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication; Data Sharing; Data Aggregation Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs OPM Legislative Proposal on FEHBP Subrogation and Reimbursement
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
See attached addendum for General Lobbying Issue Area: HCR - Healthcard Successful Insurance Industry Implementation of Health Reforms: good faith compliance standard, reasonable effective dates for compliance with PL 111-148 State Oversight of Premium Increases: S 3078 and HR4757 Health Insurance Rate Authority Act of 2010; federal rate review; HR 4700 Transparency in All Health Care Pricing Act of 2010; existing state regulatory functions; federal exchanges; state exchanges Grandfathering Rules: Interim final rule of June 14th; Flexibility to modify items that are not specifically prohibited Medical Loss Ratios: Quality improvement definition; Consistent reporting requirements for all insurers; Transition for smaller states and Plans; include benefits for individuals as well as populations Dependent Health Insurance Coverage: IRS Guidelines on dependent coverage; BCBS commitment to cover individuals up to age 26 on their parents health insurance; HR5200 "FEHBP Dependent Coverage Extension Act" Pre-Existing Condition Exclusions: Pre-existing condition for children; guaranteed issue for children under the age of 19 Lifetime and Annual Limits: lifetime and annual dollar limits on "essential health benefits" Recissions and Patient Protections: Open enrollment period; adverse selection implications Affordable Private Health Care: Insurer Fees; Realistic Minimum Benefit Values; Effective Individual Mandate; Healthcare Delivery System Reforms; Small Employer Tax Credits Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Evidence Based Care; Healthcare Delivery System Reforms Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification; ICD10 Real time claims adjudication Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; MEWAs HR 2517 "Domestic Partnership Benefits and Obligations Act of 2009"
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
IRC section 833(b) tax provisions Sections of Health Care Reform legislation pertaining to proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation
HR 4489 "To amend Chapter 89 of Title 5, United States Code, to ensure program integrity, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefit Program"
Medicare Advantage Funding and Comparative Effectiveness Funding in Health Care Reform legislation
Medicare Advantage
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage Funding and Comparative Effectiveness Funding in Health Care Reform legislation
Medicare Advantage
HR 4489 "To amend Chapter 89 of Title 5, United States Code, to ensure program integrity, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefit Program"
IRC section 833(b) tax provisions Sections of Health Care Reform legislation pertaining to proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage Medicaid Medigap Guaranteed Issue to Medicare Disabled/ESRD Medicare buy-in for those aged 55-64 years of age
IRC Section 833(b) tax provisions proposed annual insurer assessments, proposed excise tax on high-value health insurance plans, and proposed limitation of tax deduction for health insurer's executive compensation as provided for in healthcare reform proposals
Medicare Advantage Funding and Medicare Advantage Rates; Comparative Effectiveness Funding
Comparative Effectiveness Research
Filing targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Pathway to Covering America; Employer Based Healthcare System; Uninsured/Expanding Coverage; Healthcare Reform Modeling; Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts; Individual Manadate; HR 3200 "America's Affordable Health Choices Act of 2009"; S1679 "Affordable Health Choices Act"; Senate Finance Committee Chairman's Mark - no bill number "America's Healthy Future Act"; HR1321 and S391 "Healthy Americans Act" Government-run health insurance Plan; Government Plan Trigger; Co-Ops; Medicare Payment Rates; Provider Underpayments; Level Playing Field Affordable Private Health Care; proposed insurer fees; excise taxes on high value Plans; 5 to 1 Age Rating Bands; Realistic Minimum Benefit Values; Effective Individual Mandate; Sherlock Report; Healthcare Delivery System Reforms; Health Care Quality; Patient-centered Primary Care/Medical Home; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; evidence based care; Healthcare Delivery System Reforms; Pooling, Exchanges, Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs); Health Information Technology Standards; Health Information Privacy; Electronic Health Records; Administrative Simplification Antitrust and Health Insurance Reform; HR3596 "Health Insurance Industry Antitrust Enforcement Act of 2009" DELETING THE FOLLOWING HR1321 and S391 "Healthy Americans Act"; HR1897 and S803 "Healthy Workforce Act of 2009"; S.Res.156 "A resolution expressing the sense of the Senate that reform of our Nation's health care system should include the establishment of a federally-backed insurance pool"; Blue Health Intelligence; and Share Decision Making.
IRC section 833(b) tax provisions proposed annual insurer assessments proposed excise tax on high-value health insurance plans proposed limitation of tax deduction for health insurer's executive compensation
Filing targets: Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, White House Office
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Pathway to Covering America; Employer Based Healthcare System; Uninsured/Expanding Coverage; Effective Individual Mandate; Health Coverage Responsibility; Affordable Private Health Care; Government Plan Option; FEHBP; Healthcare Reform Model; HR1321 and S391 "Healthy Americans Act"; HR1897 and S803 "Healthy Workforce Act of 2009"; American Health Choices Act Insurance Market Reform; Individual Market Reform; Small Group Market Reform; Small Business Healthcare; Guaranteed Issue; Community Rating; Health Status Rating; Health Savings Accounts/Medical Savings Accounts Patient-centered Primary Care/Medical Home; Health Care Quality; Health Disparities; Wellness; Chronic Care Management; Comparative Effectiveness Research; Improved Delivery of Health Care; Healthcare Delivery System Reforms Antitrust and Health Insurance Reform Federal Connectors; Virtual Connectors; State Insurance Marts (SIMs) S.Res.156 "A resolution expressing the sense of the Senate that reform of our Nation's health care system should include the establishment of a federally-backed insurance pool" Health Information Technology Standards; Health Information Privacy; Electronic Health Records S386 "Fraud Enforcement and Recovery Act of 2009" sections pertaining to the False Claims Act
Medicare Advantage Medicaid
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
See attached addendum for General Lobbying Issue Area: BUD - Budget/Appropriations Medicare Advantage Funding; 2010 Medicare Advantage Rates HR1 "American Recovery and Reinvestment Act of 2009" Section 3001 on COBRA Subsidiaries; Section 5001 on Medicaid funding; Sections 4101 and 4102 on Electronic Health Records; Sections on Health Information Privacy; Section 804 on Comparative Effectiveness Research; sections 1801 and 1889L on the Trade Adjustment Act CHIP/SCHIP: HR2 and S275 "Children's Health Insurance Program Reauthorization Act of 2009" Reconciliation Instructions in HConRes85 Section 201 Health Care Reserve Funds in HConRes85 Section 301 and SConRes13 Section 201
Biogenerics/Generic Biologics: HR1427 "Promoting Innovation and Access to Life-Saving Medicine Act"
HR1 "American Recovery and Reinvestment Act of 2009" - parts pertaining to the Trade Adjustment Act Health Care Tax Credit Section 1899A; Small Business Coverage Tax Credits
Medicare Advantage Medicaid
Filing targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
Medicare Advantage Funding: HR 6331 "Medicare Improvements for Patients and Providers Act of 2008", S3101 "Medicare Improvements for Patients and Providers Act of 2008", and S3118 "Preserving Access to Medicare Act of 2008"; Comparative Effectiveness Funding: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only, HR2184 "Enhanced Health Care Value for All Act"
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards; HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Genetic Non-discrimination: HR493 and S358 "Genetic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007"; HR1424 as passed: sections pertaining to the "Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008" Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Account/Medical Savings Accounts HR2851 and S400 "Michelle's Law" HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP" S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR758 "Breast Cancer Patient Protection Act of 2007"
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Medicare Advantage Funding: HR6331 "Medicare Improvements for Patients and Providers Act of 2008", S3101 "Medicare Improvements for Patients and Providers Act of 2008", and S3118 "Preserving Access to Medicare Act of 2008"; Comparative Effiectiveness Funding: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only, HR2184 "Enhanced Health Care Value for All Act"
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
HR3920 "Trade and Globalization Act of 2007" and S1848 "TAA Health Coverage Improvement Act of 2007" - parts pertaining to the Health Coverage Tax Credit.
HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only, HR2184 "Enhanced Health Care Value for All Act"
E-prescribing: Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; "Enhanced Health Care Value for All Act"
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Antitrust and Health Insurance Reform: HR971 and S2161 "Community Pharmacy Fairness Act of 2007", S618 "Insurance Industry Competition Act of 2007" Health Information Technology Standards: HIT Privacy; Electronic Health Records; ICD10 Implementation: HR1368 "Personalized Health Information Act of 2007"; S1783 and S1693 "Wired for Health Care Quality Act"; HR3800 "Promoting Health Information Technology Act"; HR2406 "Healthcare Information Technology Enterprise Integration Act"; HR6357 "Pro(Tech)t Act of 2008" Healthcare Reform; Insurance Market Reform; Employer Based Healthcare System; Small Group Market/Small Business Healthcare; Uninsured: S1019 "Health Care Choice Act of 2007"; S334 and HR3163 "Healthy Americans Act"; S2795 "Small Business Health Options Program Act of 2008" Genetic Non-discrimination: HR493 and S358 "Generic Information Nondiscrimination Act of 2007" Mental Health Parity: HR1424 "Paul Wellstone Mental Health and Addiction Equity Act of 2007" and S558 "Mental Health Parity Act of 2007"; HR1424 as passed: sections pertaining to the "Paul Wellstone and Pete Domenici Mental Health Parity and Addition Equity Act of 2008" Comparative Effectiveness Research: HR3162 "Children's Health and Medicare Protection Act of 2007" Section 904 only; HR2184 "Enhanced Health Care Value for All Act" Health Savings Account/Medical Savings Accounts HR2851 and S400 "Michelle's Law" HR5550 "To amend title 5 USC to increase the maximum age to qualify for coverage as a 'child' under FEHBP" S2041 "False Claim Act Correction of 2007" as it pertains to the payment of healthcare claims HR758 "Breast Cancer Patient Protection Act of 2007"
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE