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.
A $1.75 trillion social and climate spending framework Democrats unveiled Thursday would reform the health-care market in several ways, expanding access and reducing costs for millions of Americans.
There were days, nights and weekends in the early months of the pandemic when Denise Von Bargen was the only person running covid tests at the public health lab in Ventura County. She once had eight or nine employees to assist her, but, one by one, they had all retired or left for other jobs. ...
In June, Google announced a major update to its Google Ads platform, specifically for health insurance advertisers. Google will now restrict health insurance advertising on its Search, Display, and YouTube networks to only government exchanges, first-party providers, and licensed insurance producers.
The hottest trend in 2021 isn’t some fad on social media or a creative new baking recipe, it’s quitting your job, and it’s taken the U.S. workforce by storm. 20 million U.S. workers left their jobs between April and August this year, according to the latest federal BLS data. That’s 60% higher than resignations during the same ...
Companies with at least 100 workers will be required to give employees paid time off to get vaccinated against COVID-19 and paid sick leave if they have side effects from the shots.
UnitedHealthcare has filed suit against physician staffing firm TeamHealth, alleging the company upcoded for services to the tune of $100 million. The suit, filed Wednesday in Tennessee federal district court, claims the company purposefully upcoded for tens, if not hundreds, of thousands of medical claims. As one of the largest emergency department staffing companies in ...
A nonprofit coalition of nearly 40 private employers, including U.S. retailers Walmart and Costco, said on Monday it has launched a new company that would offer pharmacy benefit management (PBM) services for employers. With the Covid-19 pandemic weighing severely on people’s emotional and physical wellbeing, companies have been looking to broaden their offerings to support their employees. EmsanaRx, ...
The White House released an updated framework for its trillion-dollar infrastructure package that closes the Medicaid coverage gap and extends enhanced subsidies on the Affordable Care Act’s exchanges. But it drops expanding dental and vision benefits after centrists called for paring down the overall cost of the package, which originally was proposed for $3.5 trillion. ...
Cigna is expanding access to virtual care through its MDLive subsidiary, including the launch of a new virtual-first health plan pilot for select employers. The insurer said the new programs are an early result of its acquisition of the telehealth company, which closed in April. MDLive is a part of Cigna’s health services arm, Evernorth. Beginning ...
The federal government’s effort to penalize hospitals for excessive patient readmissions is ending its first decade with Medicare cutting payments to nearly half the nation’s hospitals.