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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.

While Politically Divided, Americans United in Fear of Affording Retirement

Everyone knows how politically divided the country is these days, but Americans can agree on some things: The pandemic has increased concerns about financial security in retirement, and they want Social Security to be around for the long haul to help. A new report from the National Institute on Retirement Security shows the vast majority ...

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Federal Watchdog Raises Concerns About Increasing Telehealth Fraud During Pandemic

A federal government watchdog is sounding the alarm that Americans’ growing enthusiasm for telehealth services during the coronavirus pandemic has led to a worrying parallel: a “dramatic increase” in telehealth related fraud. The health department’s independent inspector general criticized policymakers for failing to put regulatory safeguards in place when they expanded access to telehealth in ...

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COVID-19 Costs, Care Deferrals Came Back To Bite Insurers In Q4 2020

While health plans reported sky-high profits in the early parts of 2020 due to care deferred under the pandemic, rising costs related to COVID-19 and more stable care utilization dinged their finances in the fourth quarter. Cigna was the most profitable of the major national insurers in the fourth quarter, bringing in $4.1 billion in ...

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Health Insurance Special Enrollment Period Opens

President Joe Biden signed a package of health care-related executive orders in late January that, among other initiatives, will reopen HealthCare.gov for a special, three-month insurance enrollment period starting Monday, Feb. 15.

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Prominent Scientists Call on CDC to Better Protect Workers From Covid

A prominent group of academics is pressing the Biden administration to move faster and take stronger action to protect high-risk workers from airborne exposure to the coronavirus, urging enforceable standards to help safeguard risky workplaces including health care, food processing and prisons.

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Biden Says He Invoked Production Law for More Vaccine Doses

President Joe Biden said that Moderna Inc. and Pfizer Inc. agreed to sell more doses of their coronavirus vaccine to the U.S. faster than planned after he invoked federal law that could force their production. In a CNN town hall event in Milwaukee on Tuesday, Biden touted his administration’s ramp-up of vaccine shipments while also warning that the pandemic ...

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CVS Health Announces Plan To Re-Enter ACA Markets, Reports 44% Drop In Q4 Profits

CVS Well being will re-enter the Inexpensive Care Act exchanges come January 2022, with CEO Karen Lynch calling the market sound and estimating it might comprise as much as 15 million lives. “It is clearly stabilized over time because of among the treatments put in place,” Lynch stated. Aetna introduced it was leaving the change ...

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Senate Democrats Unveil Health Care Proposal With Public Option

Two Democratic senators released their version of a public option health care plan Wednesday, setting the stage for this year’s debate over how best to expand coverage to the millions of people who are uninsured. The proposal from Sens. Michael Bennet (Colo.) and Tim Kaine (Va.) would create a government-run health care plan on the Affordable Care Act (ACA) ...

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As Biden Sticks To The Changes Of The Trump Era, New Rules For 401 (K) Rollovers Will Take Effect

The Ministry of Labor said late last week that it would not replace it, but build it under the Trump administration’s regulations to manage advice affecting trillions of dollars in retirement accounts. Countermeasures With many rollovers coming into effect on Tuesday, hundreds of billions of dollars a year will be transferred from 401 (k) to ...

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U.S. Seven-Day Average Of Daily New Cases Drops Below 90,000 For First Time Since Early November

Newly reported coronavirus infections in the United States continued their steep drop, with about 56,000 new cases reported Monday, though the figure may be artificially low due to the holiday.

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