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.
Senators working to keep the bipartisan infrastructure deal alive are zeroing in on Medicare prescription drug rebate formulas to offset up to $60 billion of the $1.2 trillion package, people familiar with the matter tell Axios.
A new analysis found only 5.6% of hospitals were fully compliant with a major price transparency rule, with most failures centered on not posting payer-negotiated prices. The analysis released Friday by the group PatientRightsAdvocate.org is the latest evidence of widespread noncompliance with the rule, which went into effect back in January. “These findings align with previous research indicating ...
The Biden administration wants to include a per-bed monetary penalty for larger hospitals that do not comply with a price transparency rule after several analyses have shown widespread noncompliance among facilities. The administration included the provision in the proposed 2022 Outpatient Prospective Payment System (OPPS) proposed rule released Monday by the Centers for Medicare & ...
The United States could see a wave of Covid-19 vaccine mandates as soon as the Food and Drug Administration grants full approval to one or more of the shots, public health experts predicted. The three vaccines authorized by the FDA for emergency use against the coronavirus have proven safe and effective under that expedited review process and in the ...
President Joe Biden’s latest executive order promoting competition in the U.S. economy could be a boon to private equity and disrupt the medical profession’s long-standing guilds, depending on how far federal officials want to take matters. The order empowers federal agencies to use existing federal law to lower healthcare costs, particularly prescription drugs. While few ...
President Biden is calling on federal health officials to intensify efforts to drive down prescription drug prices as part of an executive order he signed Friday to spur federal agencies to promote economic competition.
Democratic lawmakers are grappling with how to extend health insurance to millions of poor Americans in states that have refused Obamacare’s Medicaid expansion, believing their upcoming party-line “human infrastructure” package represents the best chance to plug the health law’s biggest gap.
The hospital lobby pushed back against the president’s executive order. The American Hospital Association said hospital mergers already are subject to an “enormous amount of rigorous scrutiny” from federal and state regulators. The lobby pointed the finger at the insurance industry, and urged the administration to focus its efforts there instead. The Federation of American ...
Dive Brief: * Telehealth claim lines as a percentage of all medical claims dropped 13% in April, marking the third straight month of declines, according to new data from nonprofit Fair Health. * The dip was greater than the drop of 5.1% in March, but not as large as the decrease of almost 16% in February. However, overall ...
If you don’t spend your days on TikTok or Reddit, you may be blissfully unaware of a growing movement urging people to quit their jobs en masse this fall. It’s called “The Great Resignation of 2021,” and for businesses already struggling to attract workers back to the office it could spell very bad news. The social media ...