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.
Drug rebates for insurers often are associated with increases in out-of-pocket costs for patients, according to a new University of Washington study that examined cost and price data on more than 400 branded drugs. “We know that list prices have been increasing quite dramatically as have rebates, but no one has looked into the association between rebates ...
It took several weeks for Scripps Health to get its computer network and medical records system back online after it was hit with a ransomware attack May 1. Now, the five-hospital health system is facing several class-action lawsuits from patients who charge that system leaders failed to keep their medical data safe from hackers. San ...
Employers are urging Congress to take action on drug prices following the FDA’s recent approval of controversial Alzheimer’s disease drug Aduhelm. Aduhelm, or aducanumab, was developed by Biogen and Eisai and was approved by the Food and Drug Administration earlier this month despite pushback from the scientific community about the drug’s efficacy. Following its approval, Biogen said ...
Senate Majority Leader Charles Schumer (D-N.Y.) on Sunday threw his support behind a push, led by Sen. Bernie Sanders (I-Vt.), to add dental, vision and hearing coverage to Medicare. “There is a gaping hole in Medicare that leaves out dental, vision, and hearing coverage. This is a serious problem,” Schumer wrote on Twitter.
In any other year, an employee would likely automatically renew benefits during their open enrollment period without a second thought. But the pandemic exposed flaws in open enrollment platforms and procedures throughout the country, and experts say long term changes are in the works for 2021 and beyond.
A new initiative aiming to create cheaper generic drugs for retail pharmacies signed on Anthem Blue Cross Blue Shield — one the largest insurers in the U.S. — as well as drug manufacturer Catalent as partners, officials announced this morning.
U.S. prescription drug spending will jump at least 8% by the mid-2020s as a controversial new Alzheimer’s disease drug hits the market, a new analysis finds.
A health care lawyer says the new U.S. Supreme Court ruling on the constitutionality of the Affordable Care Act is about more than procedural rules. Stephen Lucke, a partner at law firm of Dorsey & Whitney and the co-chair of the firm’s health litigation group, contends in a commentary on the ruling that the court majority clearly ...
The pandemic-caused recession and a federal requirement that states keep Medicaid beneficiaries enrolled until the national emergency ends swelled the pool of people in the program by more than 9 million over the past year, according to a report released Thursday. The latest figures show Medicaid enrollment grew from 71.3 million in February 2020, when ...
Research from Scotland released this week showed the variant made hospitalization more than twice as likely than for patients with the Alpha variant.