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.
The Supreme Court on Friday agreed to hear a broad challenge to the Affordable Care Act’s coverage of preventive services in its upcoming term, the latest in more than a decade of battles over the health reform law. A ruling for the conservative Texas employers who filed the case would erode the coverage of tens ...
One week before President-elect Donald Trump’s inauguration, the Biden administration is finalizing a rule that sets new standards for the individual market under the Affordable Care Act (ACA). First proposed in October, the rule protects consumers from having their coverage swapped unwittingly. Brokers and agents that violate this policy, and pose other “unacceptable” risks, can ...
The Department of Health and Human Services (HHS) proposed a rule days before the new year began that would hold healthcare organizations to a higher standard for protecting sensitive healthcare information from security threats like cyberattacks. The proposal would require that entities covered by the Health Information Portability and Accountability Act (HIPAA) achieve specific technical ...
Aetna is taking legal action against Pfizer, Novartis, Teva Pharmaceuticals and others, saying the list of drugmakers conspired to overcharge the insurer, consumers and the federal government for generic drugs. The complaint (PDF), filed Dec. 31, claims the drugmakers communicated secretly at trade conferences or through phone calls, beginning in 2012, to determine the market share, prices ...
The federal Consumer Financial Protection Bureau on Tuesday issued new regulations barring medical debts from American credit reports, enacting a major new consumer protection just days before President Joe Biden is set to leave office. The rules ban credit agencies from including medical debts on consumers’ credit reports and prohibit lenders from considering medical information ...
President Joe Biden has signed two bills that will ease some Affordable Care Act health coverage reporting requirements for employers. One is the Paperwork Burden Reduction Act, and the other is the Employer Reporting Improvement Act bill. The new laws affect the Form 1095-B and Form 1095-C notices that employers use to tell employees and the Internal Revenue Service about ...
Judges have been wrestling with state efforts to regulate PBMs, what health plans have to cover, and disputes over medical bills.
Stripped out of the final bill is a provision to prevent the 2.8% Medicare pay cut to physicians.
Members of the Senate voted unanimously Tuesday to approve two House bills that could make Affordable Care Act health coverage reporting requirements a little easier for employers to meet.
Earlier versions of the bill included provisions that would have limited an employer to including only $10,200 in spending on employee-only coverage and $27,500 in spending for family coverage coverage from taxable income.