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.
President Joe Biden expressed major doubts that adding new benefits to Medicare will make it in a more than trillion-dollar infrastructure package being negotiated in Congress.
A year ago, Tara Jones, an Amazon warehouse worker in Oklahoma, cradled her newborn, glanced over her pay stub on her phone and noticed that she had been underpaid by a significant chunk: $90 out of $540.
Worried that President Joe Biden’s Covid vaccine mandate for private companies could cause a mass exodus of employees, business groups are pleading with the White House to delay the rule until after the holiday season.
Britta Foster and Minerva Tiznado are in different leagues as far as health care is concerned. Foster, who married into the family that owns the $2.5 billion Foster Farms chicken company, has Blue Shield coverage as well as a high-octane primary care plan that gives her 24/7 digital access to her doctor for a $5,900 annual fee ...
The Biden administration on Monday released updated guidelines for traveling into the United States, including stricter requirements on U.S. citizens who have not been vaccinated against Covid-19 as well as some exceptions for foreign travelers. Beginning Nov. 8, unvaccinated U.S. citizens and long-term residents will have to present a negative Covid test taken a day before re-entering the ...
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 ...
Democrats are haggling over whether to drop two of the most popular elements of their social spending bill as negotiations reach the zero hour, according to a half-dozen sources close to the discussions. While high-level talks on the $1 trillion-plus package are ongoing, lawmakers, staffers, advocates and lobbyists said that a plan to expand Medicare ...
At issue are parameters an arbiter should consider when determining payment a health plan and provider can’t determine on their own
Two new pharmacy benefit management startups are aiming to inject greater price transparency into the market. The Purchaser Business Group on Health has announced Emsana Health, with its first business arm launching as EmsanaRx, a PBM. As PBGH is a coalition of 40 large employers, the company says its PBM solution is “built by employers, ...
Congressional Democrats are watering down — and may entirely drop — a plan to have the government directly negotiate some Medicare drug prices in order to help clinch a deal on their sweeping social spending package. Top Democrats have acknowledged for weeks that they’ve had to significantly weaken the plan in order to win over holdout centrist lawmakers. ...