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.
This year, the Illinois legislature was considering measures to expand oral health treatment in a state where millions of people live in dental care deserts. But when the Illinois State Dental Society met with key lawmakers virtually for its annual lobbying day in the spring, the proposals to allow dental hygienists to clean the teeth of ...
There are many theories about what is (and what is not) a good indicator of a stock’s future growth (or decline). However, it is important to note that investment articles – for good reason – usually include an advisory about past performance not being a recommendation or guarantee of any future outcome or profit. Investing is a ...
Telehealth legislation is ramping up on the congressional floor, and Amazon is spending big on its telehealth investments and lobbying. Telehealth became a necessity in the early days of the COVID-19 pandemic and spending on health services surged. Due to the historic amount of congressional legislation focused on health care services because of the pandemic, ...
Following up on their big-ticket strategic investment into at-home acute care company Medically Home, Mayo Clinic and Kaiser Permanente are headlining a new advocacy movement backed by nearly a dozen other health systems from across the country. Called the Advanced Care at Home Coalition, the partners are joining their voices to convince Capitol Hill to extend ...
At the height of the covid-19 pandemic, people often relied on telemedicine for doctor visits. Now, insurers are betting that some patients liked it enough to embrace new types of health coverage that encourages video visits — or outright insists on them. Priority Health in Michigan, for example, offers coverage requiring online visits first for ...
Medicare open enrollment kicked off Friday with more Medicare Advantage plans to choose from but with renewed criticism that insurers are gaming risk adjustment practices to inflate profits. While more and more insurers are expanding their presence in the MA marketplace, private Medicare plans are facing heightened scrutiny over risk adjustment and comprehensive diagnostic coding. ...
Nearly 1 million uninsured children and parents could get insurance coverage if temporary, enhanced income-based subsidies on the Affordable Care Act’s exchanges would be made permanent, new data show.
Large majorities of American voters across all political stripes favor letting Medicare negotiate drug prices, and most don't buy into the argument that high drug prices are needed for drug companies to invest in new research, according to a new poll from the Kaiser Family Foundation.
New data show that 7 in 10 Medicare beneficiaries didn’t compare plans during the 2018 open enrollment period, even though plans can change in their benefits and costs.
Patients are months away from not having to worry about most surprise medical bills — those extra costs that can amount to hundreds or thousands of dollars when people are unknowingly treated by an out-of-network doctor or hospital.