ACA Category Banner

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.

Biden Administration Advances Emergency COVID Workplace Safety Rules After Weeks Of Delay

The Biden administration is advancing emergency workplace safety rules to prevent the spread of the coronavirus after weeks of delay and growing pressure from Democrats and safety advocates. The Labor Department sent the safety standards to the Office of Management and Budget for review Monday night, according to a DOL spokesperson, the first step before ...

Read More

Work In Progress: Price Transparency Efforts Need To Go Further

Efforts to increase health care price transparency are moving forward, but problems remain with the current reforms, raising questions on whether additional steps are needed, a new Rand Corporation study has found. The report, “Barriers to Price and Quality Transparency in Health Care Markets,” noted that recent legislative and regulatory efforts to increase transparency are being implemented: ...

Read More

Employer Group To Congress: Ease HSA Users’ Access To Mental Health Care

Large employers are asking Congress to make it easier for health savings account (HSA) holders to get some mental health care for no or low cost, before they meet their deductibles. During a live-streamed House Education and Labor health subcommittee hearing on behavioral and mental health care access, James Gelfand, a senior vice president for health ...

Read More

Employers, Payers Seek Transparent Pharmacy Benefit Models

More employers and healthcare payers are carving out their pharmacy benefit management as they seek more transparency, business groups said. Health plans typically administer pharmacy benefit services internally or contract pharmacy benefit managers, which negotiate rebates and discounts with drug manufacturers and pocket an undisclosed share. More employers and payers are contracting directly with PBMs, ...

Read More

U.S. Readies Small-Business Grants as PPP Nears End

The federal government is preparing to open two new industry-specific small-business relief programs, one of them months in the works, as its signature pandemic aid effort, the Paycheck Protection Program, nears its end.

Read More

Lyft Pass For Healthcare Lets Patients Book Their Own Rides To The Doctor

Ride-sharing company Lyft is letting patients schedule nonemergency medical transport (NEMT) on health organization's dime with the launch of Lyft Pass for Healthcare.

Read More

Payers, Providers Clash Over Telehealth Reimbursement As Congress Mulls Changes

As members of Congress decide how to expand access to telehealth after the pandemic, one of the biggest questions has centered around how much Medicare providers should be paid for virtual care.

Read More

Over-The-Counter COVID-19 Rapid Tests To Be Sent To Major Pharmacies This Week

Store shelves at pharmacies across the county will soon be filled with affordable, quick, at-home coronavirus test kits. BinaxNOW, a rapid COVID test made by Abbott Laboratories, was shipped Monday to major pharmaceutical chains, including Walgreens, CVS and Walmart, to be sold over the counter.

Read More

Small Number Of Medicare Part D, Part B Drugs Make Up Most Spending

A relatively small share of drugs made up the majority of Medicare drug spending, according to a new analysis that gives an idea of how drug price negotiations could impact overall spending. The analysis, released Monday from the Kaiser Family Foundation, examined the top drugs for both Medicare Part D and Part B. The costliest drugs ...

Read More

Healthcare Loses 44,000 Jobs During Q1 2021, While Spending, Prices Continue To Grow

Employment in the U.S. healthcare industry has dropped by 44,000 jobs over the course of the first quarter of 2021, according to reports from nonprofit healthcare research and consulting group Altarum. These job losses came alongside continued spending growth recovery and increases in overall healthcare prices. Modest employment gains in February and March were unable to ...

Read More
arrowcaret-downclosefacebook-squarehamburgerinstagram-squarelinkedin-squarepauseplaytwitter-squareyoutube-square