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.
Employers can cut their health-care expenses by paying top medical providers a flat rate for a bundle of related services while offering incentives to the patients who use them, a study suggests. The study, published Monday in the journal Health Affairs, found that employers using a flat-rate approach run by Carrum Health saved about 11% ...
President Biden will announce Tuesday that pharmaceutical giant Merck will help make Johnson & Johnson’s single-shot coronavirus vaccine — an unusual pact between fierce competitors that could sharply boost the supply of the newly authorized vaccine, according to senior administration officials. The officials, who spoke on the condition of anonymity to discuss a matter that has not been ...
The U.S. has hit a plateau in coronavirus cases and deaths that signal a “potential shift in the trajectory of the pandemic,” the director of the Centers for Disease Control and Prevention warned states on Monday not to loosen restrictions and get in front of the progress the country has made since it hit a monumental 300,000 cases a ...
President Joe Biden’s $1.9 trillion coronavirus relief package would trigger cuts to Medicare and other programs early next year unless Republicans agree to a waiver — a hurdle that could give the GOP leverage over Democrats’ slim majorities. The Congressional Budget Office said in a letter Thursday to House Minority Leader Kevin McCarthy that Medicare would face ...
CMS issued a guidance Feb. 26 that requires group health plans to waive cost-sharing for COVID-19 testing even if a person doesn’t have symptoms or a suspected exposure, among other requirements. Five things to know: 1. The guidance clarifies that private group health plans generally can’t use medical screening criteria to deny coverage for COVID-19 tests for ...
The Biden administration is asking the Supreme Court not to hear arguments in two cases on its March calendar about the Trump administration’s plan to remake Medicaid by requiring recipients to work. The Biden administration has been moving to roll back those Trump-era plans and cited “greatly changed circumstances” in asking Monday that the cases be dropped ...
A group of Democratic state lawmakers introduced legislation Friday to create a single-payer health care system to cover all Californians, immediately defining the biggest health policy debate of the year and putting enormous political pressure on Gov. Gavin Newsom.
President Joe Biden is set to change the main US coronavirus aid program for small businesses on Monday to try to reach smaller, minority-owned businesses and sole proprietors left behind in previous rounds of aid.
Kaiser Permanente is ramping up the distribution of COVID-19 vaccination for senior members in a development being welcomed in the Bay Area and across California.
President Joe Biden’s pick for health secretary, Xavier Becerra, told senators Tuesday that tackling the coronavirus pandemic will be his first priority if confirmed, but he also pledged to work to expand health insurance coverage, curb prescription drug costs and reduce racial and ethnic disparities in medical care.