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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.

Nationwide Out-Of-Pocket Spending Jumped 10% In 2021. Expect That Growth To Continue Through 2026

Consumer out-of-pocket spending on healthcare is set to hit an estimated $491.6 billion, or about $1,650 per person, in the U.S., according to a recent report. The number is a roughly 10% increase over last year’s total and is expected to maintain a continual annual growth rate of 9.9% for the next five years, according ...

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One Final COBRA Subsidy Notice Due Beginning Mid-August

September 30, 2021, marks the conclusion of the COBRA Subsidy Period, which was introduced by the American Rescue Plan (ARP) Act in March 2021. As we approach the looming expiration date, employers (or health insurance carriers, if the employer is subject to Cal-COBRA) must send one final notice to Assistance Eligible Individuals (AEIs) announcing the ...

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2+2=? Senate Uses Murky Math as It Shelves Drug Pricing Rule to Fund Infrastructure

The Senate’s release of its bipartisan infrastructure plan signals that lawmakers are poised to throw former President Donald Trump’s belated bid to lower Medicare drug prices under the bus — not to mention trains, bridges, tunnels and broadband connections. That’s because the massive spending bill is the first of two likely to at least delay ...

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3 Key Health Policies In The Senate’s $1T Infrastructure Package

The Senate is poised to pass a roughly $1 trillion bipartisan infrastructure package that will delay until 2026 a controversial Part D rebate rule. While most of the new funding in the package, the text for which was released Sunday, goes toward infrastructure projects such as new roads or information technology, there are several healthcare-related provisions that could impact the industry.

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Insurers Push Back On CMS’ Proposals To Extend ACA Open Enrollment, Bring Back Standardized Plans

Insurers pushed back at the Biden administration’s efforts to extend the Affordable Care Act’s open enrollment period by another month and require them to post standardized plan options.

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Virus Surge Upends Plans For Getting Workers Back To Offices

The resurgent coronavirus and return of mask recommendations are hampering corporate America’s plans to get back to normalcy.

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More Businesses Mandating Vaccines, But Are Employees On Board?

Despite Equal Employment Opportunity Commission guidance allowing employers to require vaccination for their workers and big moves from some trendsetting corporate leaders, legal and compliance executives generally remain uncertain when it comes to vaccine mandates. A new survey by Gartner Inc. suggests a reason. The survey found that while litigation risk was the top concern ...

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Paycheck Protection Program News: New Portal Will Allow Small Businesses To Apply Directly For PPP Loan Forgiveness

Millions of small businesses could soon see a simplified loan forgiveness application process after receiving funds to keep paying workers and stay afloat amid the COVID pandemic. The Small Business Administration announced Wednesday that it’s launching a new portal for small businesses to apply directly for Paycheck Protection Program loan forgiveness through the agency. This comes as only ...

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Legislation To Control Drug Prices Advances From Committee To Full Senate

The U.S. Senate Judiciary Committee in late July voted unanimously to advance four pieces of legislation aimed at reining in prescription drug prices. The legislation, which would enhance the Federal Trade Commission’s ability to initiate enforcement actions against drug companies, now moves to the Senate floor for a vote. * The Stop STALLING Act would give the ...

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Kaiser Orders All Employees To Get COVID Vaccine As Delta Variant Spreads In California

Kaiser Permanente ordered its employees to get the COVID-19 vaccine Monday in one of the most dramatic moves yet by a healthcare organization to fight the recent surge in coronavirus infections. The Oakland-based healthcare giant said nearly a quarter of its 240,000 employees remain unvaccinated, including 5% of its doctors. Last week Gov. Gavin Newsom ordered ...

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