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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.

Scripps Health Says Malware Took Down Its Computer Networks As State Regulators Monitor The Situation

Scripps Health said the cyberattack last weekend that took down its IT systems stemmed from malware on its computer network. San Diego-based Scripps Health, which operates five hospitals in the region, is still offline following the cyberattack on Saturday, May 1 that has significantly disrupted care and forced medical personnel to use paper records. Local media station NBC 7 reported that the California ...

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Walmart To Acquire Telehealth Provider As Part Of Retail-Based Care Strategy

Walmart on Thursday announced it plans to acquire MeMD, a multispeciality telehealth provider, in a move that will allow the company to grow its virtual care delivery nationwide. MeMD has provided medical and mental health services to consumers online since 2010. The company will serve as a feature of Walmart Health centers nationwide, in addition ...

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House Republicans Push To Make Drug Price Legislation Bipartisan

House Republicans want their Democratic counterparts to endorse more bipartisan-friendly reforms to drug pricing as the chances of a bill to give Medicare negotiating power look dim. Republicans on the House Energy and Commerce Committee endorsed during a hearing on Tuesday legislation that includes a series of reforms including an out-of-pocket cost cap for seniors ...

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Pallone Commits To Using ‘Whatever Vehicle I Can’ To Pass Democrats’ Drug Pricing Bill

House Energy and Commerce Committee Chairman Frank Pallone Jr. (D-N.J.) on Tuesday said he would use “whatever vehicle I can” to pass the Democrats’ drug pricing bill, known as H.R. 3, that would allow the federal government to negotiate for decreased prices on behalf of Medicare. Pallone joined health advocates from Protect Our Care New ...

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Pfizer Coronavirus Vaccine Revenue Is Projected To Hit $26 Billion In 2021 With Production Surge

Pfizer on Tuesday said it expects global sales of its coronavirus vaccine to reach $26 billion in 2021, a milestone that would make it the biggest-selling pharmaceutical product in the world and helps illustrate why Pfizer is planning to expand use of mRNA technology for other vaccines and therapies. Sales of its mRNA vaccine are likely to eclipse Humira, ...

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Biden Says He Wants to Go Big On Health Care. But He Left Major Reforms Out of His Latest Plan

During President Joe Biden’s speech to Congress on Wednesday, he called for an ambitious health agenda that would allow the federal government to negotiate prescription drug prices, expand Medicare coverage, build on the Affordable Care Act and lower deductibles.

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Employers, Insurers Push To Make Virtual Visits Regular Care

Make telemedicine your first choice for most doctor visits. That’s the message some U.S. employers and insurers are sending with a new wave of care options.

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CMS Extends Special Enrollment Period Qualifications In Latest ACA Rule

The Biden administration finalized a rule that makes it easier for consumers to qualify for a special enrollment period for Affordable Care Act exchange coverage, in addition to several other major changes.

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Warren Buffett On Haven’s Dissolution: ‘The Tapeworm Won.’

It’s been just a few months since Haven, the much-hyped joint venture between Amazon, JP Morgan and Berkshire Hathaway, announced it was disbanding. During its short existence, Haven failed to deliver any significant progress on its goal of reforming employer-sponsored health insurance, but the experiment should not be considered a complete failure.

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A Guide To Applying For PPP Loan Forgiveness

As the second round of the Paycheck Protection Program (PPP) winds down on May 31, small business borrowers who have already secured their funding and spent their loan proceeds on covered expenses will soon be applying for loan forgiveness. After all, the beauty of the PPP is that it was designed to keep Americans working ...

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