Author: Scott Welch
The Consolidated Appropriations Act (CAA) of 2021 created a myriad of new compliance requirements for health plans and insurance issuers, aiming to increase “transparency” in health care. One key requirement is the Rx Data Collection (RxDC), which requires plans and issuers to report on prescription drug and health care spending for the 2023 calendar year by ...
The National Association of Benefits and Insurance Professionals (NABIP) proudly announces a series of groundbreaking initiatives under the leadership of CEO Jessica Brooks-Woods, the first Black female CEO in the association’s history. With a visionary approach, she is steering NABIP towards harnessing artificial intelligence (AI) to revolutionize health insurance selection and champion health equity, marking a ...
The number of balance billing disputes reaching arbitration is far higher than federal projections suggested, according to new data from the Biden administration. The Centers for Medicare & Medicaid Services (CMS) issued a report this week looking at the number of surprising billing negotiations that reached the independent dispute resolution (IDR) phase of the No ...
Doctors are already using unregulated artificial intelligence tools such as note-taking virtual assistants and predictive software that helps them diagnose and treat diseases. Government has slow-walked regulation of the fast-moving technology because the funding and staffing challenges facing agencies like the Food and Drug Administration in writing and enforcing rules are so vast. It’s unlikely ...
Is your annual physical a waste of time? A growing number of physicians say the value of a yearly physical depends in part on your age and health history, and that some young, healthy patients can afford to skip it. Some studies have suggested that the annual visits aren’t doing much to improve our long-term ...
Nevada State Sen. Robin Titus, R-Wellington, along with the National Taxpayers Union, filed a lawsuit over the constitutionality of legislation passed to bring a state-managed public health care insurance option to Nevada. The suit was filed in Nevada’s First Judicial District Court in January challenging Senate Bill 420, passed during the 2021 legislative session. “My ...
The Biden administration is taking a look at how group purchasing organizations (GPOs) and drug wholesalers are playing a role in generic drug shortages. In a Request for Information jointly issued Wednesday, the Federal Trade Commission (FTC) and the Department of Health and Human Services (HHS) said they want to learn more about the organizations’ ...
Californians have been absolutely hammered by insurers and providers over the past 20 years. As a result, many of the state’s residents either don’t use their health coverage even though they need it, or they go into debt trying to pay for the insurance and the medical costs their plans don’t cover.
On January 1, 2024, California took a significant step toward achieving universal health coverage for its residents. By expanding its Medi-Cal program, the state now ensures that every resident, regardless of immigration status, has the opportunity to receive comprehensive medical services and health care coverage.
Fewer than 20% of adults in the United States know the cost of their health care products or services before receiving them, and almost all of them believe health care organizations need to make costs more transparent. What’s more, only about 3 in 10 American adults feel those costs reflect the quality of the products and services they receive.