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.
Key components of the Biden administration’s COVID-19 vaccine or test mandate for more than 80 million workers went into effect Monday amid an ongoing Supreme Court battle that could ultimately doom the rule. The months-long legal battle over the requirement, which was previously blocked by a federal court before being reinstated, has created confusion among ...
The Supreme Court’s conservative supermajority on Friday seemed ready to block some or all of the Biden administration’s regulations aimed at increasing vaccinations nationwide. At issue in the nearly four-hour argument were two regulations: 1. One imposes a vaccine mandate for almost all workers at hospitals, nursing homes and other medical providers receiving federal Medicare ...
Pfizer will have a COVID-19 vaccine that specifically targets the Omicron variant ready by March, the pharmaceutical company’s chief executive said Monday. Pfizer CEO Albert Bourla said the company has already begun manufacturing a new version of its COVID-19 vaccine that aims to protect recipients against Omicron. “This vaccine will be ready in March,” he told CNBC’s “Squawk Box” ...
The Consolidated Appropriations Act (CAA) of 2020, the biggest piece of legislation enacted in American history, created an array of complex new laws for many sectors; one of those sectors is health insurance. The CAA brings significant changes to insurance agents and their clients, directly impacting brokers’ sales practices and employers’ legal responsibilities in 2022.
The Biden administration has officially pulled a controversial model that would have tied prices for drugs reimbursed under Part B to prices paid by countries overseas.
Nevada’s 2021 Legislature passed Assembly Bill 250, which allows Nevada resident Medicare Supplement policyholders to annually shop and switch to another Medicare Supplement policy sold in this state. The new law goes into effect on January 1, 2022, and any replacement policy is guaranteed to be issued at standard rates, regardless of the applicant’s health ...
Drug companies raised the prices on hundreds of medications on Jan. 1, with most prices up 5% to 6% on average. Why it matters: The start of the new year is the most popular time for drug companies to hike prices, and even though high drug prices remain one of the biggest political health care issues, ...
The Biden administration is aiming to require insurers to offer standardized plan designs on the Affordable Care Act’s (ACA’s) exchanges. As part of the Centers for Medicare & Medicaid Services’ (CMS’) 2022 Notice of Benefit and Payment Parameters rule, which was released late Tuesday, payers would have to offer standardized plan options for every product network type, ...
The Food and Drug Administration on Monday extended the emergency use authorization for the Pfizer and BioNTech Covid-19 booster shot to include teens aged 12 to 15, paving the way for them to be eligible for the jabs later this week. It is the first booster shot to be authorized for this age group. A ...
Former Vice President Mike Pence on Monday announced his advocacy group has filed an amicus brief urging the Supreme Court to reject the Biden administration’s attempt to require large businesses to mandate the COVID-19 vaccine for its workers or require frequent testing. Pence filed the brief, which was shared with The Hill, through his political advocacy group Advancing American Freedom. In ...