PPMC Email Alerts 

Fourth Circuit to Define Scope of Action Under Medicaid Managed Care Rules Email Alert - May 10, 2012 Texas Court Allows Majority of Claims in $12 Million Payment Dispute to Proceed Against Blue Cross Blue Shield of Texas Email Alert - April 24, 2012 Audits Show Managed Care Contractors Under New York State Health Insurance Program Overpaid for Medical Services Email Alert - April 23, 2012 CMS Releases Final Rule Approving Changes for MA and Part D Programs for CY 2013 Email Alert - April 6, 2012 CMS Releases the 2013 Medicare Advantage and Part D Payment Policies and Final Call Letter Email Alert - April 5, 2012 Medicare, Medicaid, and Medicare Advantage Are In Top Five Programs Responsible for Improper Payments: Government Encourages Preventative Payor Controls Email Alert - April 2, 2012 Pharmaceutical Companies Sued Over Brand-Name Prescription Drug Coupons Email Alert - March 13, 2012 CMS Issues Audit Findings and Best Practices in Preparation for CY 2012 Medicare Advantage and Part D Audit Season Email Alert - February 6, 2012 Major Health Insurance Companies Settle Erroneous Provider Directory Suit Email Alert - January 25, 2012 MedPac Presentation: Medicare Advantage Status Report Email Alert - January 24, 2012 Congressional Budget Office Issues Report on Medicare Part D Beneficiary Spending Patterns Email Alert - January 10, 2012 U.S. v. Chavez: Turning Up the Heat on Private Health Insurance Fraud Email Alert-December 21, 2011 HHS Issues Final Rules on the Medical Loss Ratio Email Alert - December 12, 2011 NV Supreme Court Rules State Standards Regulating MA Plans Preempted by Title XVIII of Social Security Act Email Alert - November 15, 2011 DOJ and State of Montana Propose Consent Decree With Blue Cross Blue Shield of Montana Email Alert- November 11, 2011 State Premium Rate Review Transparency Triggers Conflict in Some States Email Alert - October 25, 2011 CMS Issues Proposed Rule for Medicare Advantage Issues Email Alert - October 6, 2011 Cigna Wins Legal Victories in Suit Alleging Price-Fixing Email Alert - October 5, 2011 HHS Outlines Federal-State Partnership Models for Health Insurance Exchanges Email Alert - September 26, 2011 Challenges to Federal Healthcare Reform: Where They Stand Now Email Alert - September 12, 2011 CMS Issues MA Part D Rule Finalizing MIPPA Related Regulations With Minor Clarifications Email Alert - August 29, 2011 California Court Permits ERISA Out-of-Network Provider Claims Against Insurer to Proceed Email Alert - August 24, 2011 States Submit Medicaid Waiver Requests Email Alert - August 16, 2011 CY 2012 Medicare Advantage and Part D Bid Information and Updated CMS Guidance on LIS Policies Email Alert - August 9, 2011 Maine Legislature Authorizes Use of Captive Insurance Companies for Health Insurance Coverage Email Alert - July 20, 2011 Third Circuit Adopts Theory of Implied False Certification Liability in Qui Tam Action Against Medicare Advantage Plan Sponsor - July 14, 2011 Email Alert - July 14, 2011 Third Circuit Adopts Theory of Implied False Certification Liability in Qui Tam Action Against Medicare Advantage Plan Sponsor Email Alert - July 13, 2011 Ninth Circuit En Banc Opinion Overturns Precedent, Holds That Insurers Can Be Held Liable Under ERISA Email Alert - June 30, 2011 Predictive Modeling Technology from HHS Could Enhance Payor Compliance Programs Email Alert - June 27, 2011 NAIC Working Group Approves Report on Medical Loss Ratios and Broker Commissions Email Alert - June 10, 2011 CMS Issues Final CY 2012 Medicare Marketing Guidelines Email Alert - May 31, 2011 Potential Regulation of Proposed Premium Rate Increases for Association Plans? Email Alert - May 25, 2011 Lawsuits Over Out-of-Network Charges in New Jersey Email Alert - April 7, 2011 BlueCross and BlueShield of Illinois Pays $25 Million to Settle False Claims Act Allegations Email Alert - March 2, 2011 CareCore Enters Into Assurance of Discontinuance With the New York Attorney General's Office Email Alert - February 10, 2011 Federal District Court in Florida Declares Individual Mandate Under the PPACA Unconstitutional Email Alert - February 1, 2011