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.
A House panel has advanced legislation to expand the eligibility for Affordable Care Act (ACA) exchange plan subsidies, taking another step toward final passage.
The number of Medicare Advantage plans that offer supplemental benefits continues to grow, according to new data from the Better Medicare Alliance. The analysis, conducted by Milliman, found the number of plans offering such benefits increased across 36 out of 41 categories from 2020 to plan year 2021. That includes increases across 15 of 17 traditional supplemental ...
Approximately 30% of hospitals are not complying with a new rule that requires them to post payer-negotiated rates, with a lack of resources the main reason, a new analysis found. The analysis of more than 1,000 providers across 27 states completed by consulting firm Guidehouse found larger health systems were more likely to comply with the rule ...
Anthony Fauci said he thinks that by April it will by “open season” for vaccinations in the country, and anyone who wants a shot will be able to get one. Speaking on NBC’s “Today,” Fauci, the nation’s top infectious diseases doctor and science adviser to President Biden, predicted the rate of vaccinations will pick up in ...
Scientists don’t know yet whether the mutation makes the variants more contagious, but they are concerned that it might.
COVID-19 caused a massive 51% drop in outpatient Medicare fee-for-service claims last April compared to 2019 as the pandemic reached full swing, according to a new analysis. The analysis, released Tuesday from consulting firm Avalere Health, sought to explore the impact of the pandemic on healthcare utilization from March through May. The pandemic caused doctors’ offices to ...
The Pentagon has authorized more than 1,000 active-duty service members to help the Federal Emergency Management Agency (FEMA) with its vaccination effort against COVID-19. The 1,110 active-duty troops will be broken up into teams of 222 people to support five state vaccination sites, according to a Defense Department fact sheet released Friday.
The bill, which the Ways and Means Committee will mark up later this week, would fully subsidize ACA coverage for people earning up to 150 percent of the federal poverty level and those on unemployment insurance.
Oscar Health has officially filed to go public. The tech-enabled startup insurer filed for its initial public offering on the New York Stock Exchange on Friday, where it intends to list its stocks under the ticker OSCR. Details on the plans beyond that were limited. “The number of shares of Class A common stock to be offered ...
Dive Brief: * The growing shift from reactive to preventive healthcare could rapidly decelerate health spending over the next two decades, according to a new report from Deloitte, running counter to much more dire predictions made before COVID-19. * Previous CMS analyses estimate health spending will grow by 5.3% per year through 2028, which — if ...