How to read the money
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: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
Affordable Private Health Care: Health Insurance Excise Tax; Realistic Essential Health Benefits; Effective Individual Mandate State-based regulation: State oversight of premium increases; selling health insurance across state lines. Medical Loss Ratios: MLR Broker Fee HR1206. Health care quality: Patient-centered primary care/medical home; wellness, chronic care management.
Access to Professional Health Insurance Advisors Act of 2011
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA via BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
2012 · first_quarter · 1T
Affordable Private Health Care: Health Insurance Excise Tax; Realistic Essential Health Benefits; Effective Individual Mandate State-based regulation: State oversight of premium increases; selling health insurance across state lines. Medical Loss Ratios: MLR Broker Fee HR1206. Health care quality: Patient-centered primary care/medical home; wellness, chronic care management.
MLR Borker Fees HR1206, "Access to Professional Health Insurance Act of 2011"; health insurer excise tax; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"; S1880 "Jobs and Premium Protection Act"
Source: Senate LDA
MLR Borker Fees HR1206, "Access to Professional Health Insurance Act of 2011"; health insurer excise tax; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"; S1880 "Jobs and Premium Protection Act"
To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
MLR Borker Fees HR1206, "Access to Professional Health Insurance Act of 2011"; health insurer excise tax; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"; S1880 "Jobs and Premium Protection Act"
Medicare Decisions Accountability Act of 2011
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
Medigap first-dollar Coverage; HR452 "Medicare Decisions Accountability Act of 2011."
Access to Professional Health Insurance Advisors Act of 2011
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLF 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: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 deductions; 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: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 deductions; 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: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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; MLR Broker Fees HR 1206 "Access to Professional Health Insurance Act of 2011"
Access to Professional Health Insurance Advisors Act of 2011
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Systems 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 reviews; Existing state regulatory functions; "Selling Health Insurance accross state lines: HR371 "Health Care Choice Act of 2011": HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchange"; HR5 "Health Act of 2011" Medical Loss Ratios: MLF Broke 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 share; 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 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: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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"; 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: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 HR 1206 "Access to Professional Health Insurance Act of 2011"; HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA."
To repeal mandatory funding provided to States in the Patient Protection and Affordable Care Act to establish American Health Benefit Exchanges.
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Systems 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 reviews; Existing state regulatory functions; "Selling Health Insurance accross state lines: HR371 "Health Care Choice Act of 2011": HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchange"; HR5 "Health Act of 2011" Medical Loss Ratios: MLF Broke 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 share; 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 BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High Quality, Affordable Care in America" OMB PBM Carveout
To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 HR 1206 "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: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 deductions; 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: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 deductions; 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"
State Flexibility Act
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
Medicare Advantage; Medicare Fraud; Medicaid; HR1683 and S868 "State Flexibility Act"
State Flexibility Act
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
Medicare Advantage; Medicare Fraud; HR1683 and S868 "State Flexibility Act"; Medigap First Dollar Coverage
State Flexibility Act
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
Medicare Advantage; Medicare Fraud; Medicaid; HR 1683 and S868 "State Flexibility Act"; Medigap First Dollar Coverage
Health Care Choice Act of 2011
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
HR371 "Health Care Choice Act of 2011"
Health Care Choice Act of 2011
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLF 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: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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"; 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: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Systems 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 reviews; Existing state regulatory functions; "Selling Health Insurance accross state lines: HR371 "Health Care Choice Act of 2011": HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchange"; HR5 "Health Act of 2011" Medical Loss Ratios: MLF Broke 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 share; 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 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: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
HR371 "Health Care Choice Act of 2011
Transparency in All Health Care Pricing Act of 2010
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Mandate; MEWAs
Health Insurance Rate Authority Act of 2010
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Mandate; MEWAs
Strengthening Medicare Anti-Fraud Measures Act of 2010
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
Medicare Advantage; HR 6130 "Strengthening Medicare Anti-Fraud Measures Act of 2010" Medicare Advantage Funding DME Competitive Bidding
Health Insurance Rate Authority Act of 2010
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Mandate; MEWAs
Health Insurance Industry Fair Competition Act
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Reconciliation Bill HR 4872 "The Health Care & Education Affordability Reconciliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for compliance 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 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; 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: HR4626 "Health Insurance Industry Fair Competition Act" Scope of FEHBP preemption
Health Insurance Industry Fair Competition Act
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Reconciliation Bill HR4872 "The Health Care & Education Affordability Reconciliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for compliance 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 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; 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: HR4626 "Health Insurance Industry Fair Competition Act" Scope of FEHBP preemption
Transparency in All Health Care Pricing Act of 2010
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Mandate; MEWAs OPM Legislative Proposal on FEHBP Subrogation and Reimbursement
Transparency in All Health Care Pricing Act of 2010
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Mandate; MEWAs
Health Insurance Rate Authority Act of 2010
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Mandate; MEWAs OPM Legislative Proposal on FEHBP Subrogation and Reimbursement
Health Insurance Rate Authority Act of 2010
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Mandate; MEWAs
Health Insurance Rate Authority Act of 2010
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Mandate; MEWAs
Health Insurance Rate Authority Act of 2010
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Mandate; MEWAs OPM Legislative Proposal on FEHBP Subrogation and Reimbursement
American Middle Class Tax (AMT) Relief Act of 2007
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Reconciliation Bill HR 4872 "The Health Care & Education Affordability Reconciliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for compliance 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 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; 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: HR4626 "Health Insurance Industry Fair Competition Act" Scope of FEHBP preemption
American Middle Class Tax (AMT) Relief Act of 2007
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Reconciliation Bill HR4872 "The Health Care & Education Affordability Reconciliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for compliance 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 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; 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: HR4626 "Health Insurance Industry Fair Competition Act" Scope of FEHBP preemption
Healthy Americans Act
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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) Health Information Technology Standards; Health Information Privacy; Electronic Health Records
Healthy Workforce Act of 2009
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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) Health Information Technology Standards; Health Information Privacy; Electronic Health Records
America's Affordable Health Choices Act of 2009
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Pathway to Covering America; Employer Based Heathcare System; Uninsured/Expanding Coverage; Heathcare 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; Heathcare 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: S1681 and HR3596 "Health Insurance Industry Antitrust Enforcement Act of 2009" Scope of FEHBP preemption
Health Insurance Industry Antitrust Enforcement Act of 2009
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Pathway to Covering America; Employer Based Heathcare System; Uninsured/Expanding Coverage; Heathcare 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; Heathcare 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: S1681 and HR3596 "Health Insurance Industry Antitrust Enforcement Act of 2009" Scope of FEHBP preemption
Health Insurance Industry Antitrust Enforcement Act of 2009
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Pathway to Covering America; Employer Based Heathcare System; Uninsured/Expanding Coverage; Heathcare 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; Heathcare 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: S1681 and HR3596 "Health Insurance Industry Antitrust Enforcement Act of 2009" Scope of FEHBP preemption
Healthy Americans Act
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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) Health Information Technology Standards; Health Information Privacy; Electronic Health Records
Healthy Workforce Act of 2009
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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) Health Information Technology Standards; Health Information Privacy; Electronic Health Records
American Middle Class Tax (AMT) Relief Act of 2007
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Pathway to Covering America; Employer Based Heathcare System; Uninsured/Expanding Coverage; Heathcare 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; Heathcare 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: S1681 and HR3596 "Health Insurance Industry Antitrust Enforcement Act of 2009" Scope of FEHBP preemption
Superfund Polluter Pays Act
Client: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA · Firm: BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Pathway to Covering America; Employer Based Heathcare System; Uninsured/Expanding Coverage; Heathcare 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; Heathcare 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: S1681 and HR3596 "Health Insurance Industry Antitrust Enforcement Act of 2009" Scope of FEHBP preemption
Medigap first-dollar Coverage; HR452 "Medicare Decisions Accountability Act of 2011."
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA via BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
2011 · fourth_quarter · Q4
Medicare Advantage funding; deficit; BCBSA's proposal "Buidling Tomorrow's Healthcare System: The Pathway to High Quality, Affordable Care in America"; Consolidated Appropriations Act of 2012
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 Systems 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 reviews; Existing state regulatory functions; "Selling Health Insurance accross state lines: HR371 "Health Care Choice Act of 2011": HR1213 "Repeal mandatory funding provided to States in the PPACA to Establish Benefit Exchange"; HR5 "Health Act of 2011" Medical Loss Ratios: MLF Broke 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 share; 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 BCBSA's proposal "Building Tomorrow's Healthcare System: The Pathway to High Quality, Affordable Care in America" OMB PBM Carveout
Medicare Advantage; Medicare Fraud; 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 deductions; 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"
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA via BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
2011 · third_quarter · Q3
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"; HR5 "HEALTH Act of 2011" Medical Loss Ratios: MLF 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
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 deductions; 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; Medicare Fraud; Medicaid; HR 1683 and S868 "State Flexibility Act"; Medigap First Dollar Coverage
HR371 "Health Care Choice Act of 2011"
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA via BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
2011 · second_quarter · Q2
Medicare Advantage; Medicare Fraud; Medicaid; HR1683 and S868 "State Flexibility Act"
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 HR 1206 "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"; 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
HR371 "Health Care Choice Act of 2011
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA via BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
2011 · first_quarter · Q1
Medicare Advantage; HR 6130 "Strengthening Medicare Anti-Fraud Measures Act of 2010" Medicare Advantage Funding DME Competitive Bidding
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; MLR Broker Fees HR 1206 "Access to Professional Health Insurance Act of 2011"
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 Mandate; MEWAs
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA via BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
2010 · fourth_quarter · Q4
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 Mandate; MEWAs
BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA via BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
2010 · third_quarter · Q3
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 Mandate; MEWAs OPM Legislative Proposal on FEHBP Subrogation and Reimbursement
BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA via BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
2010 · second_quarter · Q2
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 Reconciliation Bill HR4872 "The Health Care & Education Affordability Reconciliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for compliance 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 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; 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: HR4626 "Health Insurance Industry Fair Competition Act" Scope of FEHBP preemption
BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA via BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
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 Reconciliation Bill HR 4872 "The Health Care & Education Affordability Reconciliation Act of 2010" parts pertaining to health care reform; reasonable effective dates for compliance 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 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; 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: HR4626 "Health Insurance Industry Fair Competition Act" Scope of FEHBP preemption
BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA via BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
2009 · fourth_quarter · Q4
See attached addendum for General Lobbying Issue Area: HCR - Healthcare Health Care Reform; Pathway to Covering America; Employer Based Heathcare System; Uninsured/Expanding Coverage; Heathcare 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; Heathcare 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: S1681 and HR3596 "Health Insurance Industry Antitrust Enforcement Act of 2009" Scope of FEHBP preemption
BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA via BLUE CROSS & BLUE SHIELD OF SOUTH CAROLINA
2009 · third_quarter · Q3
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) Health Information Technology Standards; Health Information Privacy; Electronic Health Records
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE