Compliance
This section focuses on health care compliance and regulations – both national and state – including the ACA. It includes changes in health care law, regulation, and court decisions and their impact on health insurance professionals, employers, and individuals.
Major changes could be in store for the more than 24 million people with health coverage under the Affordable Care Act, including how and when they can enroll, the paperwork required, and, crucially, the premiums they pay.
In healthcare, Medicaid would be subject to the lion’s share of the cuts and see its federal budget diminish by $864 billion. The work requirement provisions alone would reduce spending by $344 billion.
The California Chamber of Commerce says weakening pharmacy networks will drive up employers' drug benefits costs.
If the money lapses this year, 5 million are expected to lose coverage and others would face premium hikes in 2026. A new coalition is pushing reluctant GOP lawmakers to extend it.
Congressional Republicans are pursuing changes to the Affordable Care Act that would mean 10.7 million fewer Americans using its insurance marketplaces and Medicaid, a huge reduction that some view as a way to accomplish part of the health-care coverage cancellation that failed in 2017. They’re not branding it a repeal of President Barack Obama’s signature ...
The House early Thursday narrowly passed the One Big Beautiful Bill Act, a budget bill that includes several healthcare provisions that could significantly impact Medicaid, Medicare, and the Affordable Care Act (ACA).
CMS updated its hospital price transparency guidance May 22, requiring hospitals to post the actual prices of items and services, not estimates. The update comes after President Donald Trump issued an executive order Feb. 25 aimed at boosting healthcare price transparency. In the updated guidance, CMS said hospitals must display payer-specific standard charges as dollar amounts in their machine-readable ...
President Donald Trump on Monday signed a sweeping executive order setting a 30-day deadline for drugmakers to electively lower the cost of prescription drugs in the U.S. or face new limits down the road over what the government will pay.
“We oppose taxing health benefits,” said Neil Trautwein, P4ESC’s Executive Director. “Policymakers will find how widely unpopular the idea will be with Americans with this type of coverage if they take this unwise step,” added Trautwein.
The National Community Pharmacists Association wants Elon Musk’s Department of Government Efficiency to help it fight the pharmacy benefit managers. The pharmacist group announced Friday that it had sent a letter encouraging DOGE to search for waste, fraud and abuse at PBMs. The PBMs contend that they fight to hold down prescription drug costs for employer health plan ...