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, Yellen Say GOP Virus Aid Too Small, Democrats Push On

President Joe Biden panned a Republican alternative to his $1.9 trillion COVID rescue plan as insufficient Tuesday as Senate Democrats pushed ahead, voting to launch a process that could approve his sweeping rescue package on their own, if Republicans refuse to support it. Biden and Treasury Secretary Janet Yellen joined the Democratic senators for a private virtual ...

Read More

CMS Pauses Three Trump-Era Proposed Rules

CMS on Tuesday paused three proposed rules developed under the Trump administration. The proposed rules would affect in-center dialysis coverage requirements for third-party payment programs, enable seniors to keep their Social Security retirement benefits if they opt out of Medicare Part A coverage and increase oversight of accrediting organizations. The White House budget office had ...

Read More

A Fast, At-Home Coronavirus Test Will Be Available To Americans This Year

The White House announced Monday it is buying 8.5 million rapid coronavirus tests that can be taken at home without a prescription and that yield immediate results. The $231.8 million contract will allow the Australian company Ellume, which manufacturers the tests, to quickly scale up its production and create a manufacturing facility in the United States. Once running, ...

Read More

Biden To Reopen ACA Insurance Marketplaces As Pandemic Has Cost Millions Of Americans Their Coverage

President Biden is scheduled to take executive actions as early as Thursday to reopen federal marketplaces selling Affordable Care Act health plans and to lower recent barriers to joining Medicaid.

Read More

Biden Now Hopes For 1.5 Million Vaccinations A Day, A Big Jump From Earlier Comments

For weeks President Biden has emphasized that his goal for rolling out the coronavirus vaccine was an easy-to-remember 1 million shots a day, or 100 million vaccinations in his first 100 days. On Monday, he suggested a much faster clip, saying he could envision 1.5 million vaccinations per day.

Read More

Did COVID Undo Years Of Health Plan Cost-Containment Gains?

For more than a decade, employers have been searching for ways to reduce the ever-escalating cost of employee health insurance, while still offering a strong benefits package. By partnering with nontraditional brokers, many employers were making headway; some even began to spend less while offering more-comprehensive benefits. Then came the pandemic, and all bets were ...

Read More

Biden And Health Care: What Can He Do In 100 Days?

Joe Biden ran on an expansive health care platform during his 2020 presidential campaign, with a broad array of promises such as adding a government-sponsored health plan to the Affordable Care Act and lowering prescription drug prices. Perhaps most significantly, he pledged to get control of the COVID pandemic that claimed more than 400,000 American lives ...

Read More

The Semi-Resurrection Of IRS Notice 2020-29

Many of the COVID-19 relief provisions included in the Families First Coronavirus Response Act (FFCRA), the Coronavirus Aid, Relief, Economic Security Act (CARES), and Internal Revenue Service (IRS) Notice 2020-29 were set to expire at the end of the 2020 calendar year. As infection rates continued to soar into the holiday season, employers and group health plan ...

Read More

Large Hospitals And Systems Take A Scattershot Approach To Complying With Price Transparency Rule

Large hospitals and health systems have been inconsistent in their approaches to compliance with a major new rule that requires them to post payer-negotiated rates online, and experts warn this could cause confusion for consumers. Hospitals had to post the payer-negotiated rates for 300 shoppable services online starting Jan. 1. But while some hospitals have posted spreadsheets with their ...

Read More

With America’s Attention On COVID-19, Drugmakers Are Quietly Raising US Prescription Prices

With most Americans focused on COVID-19 vaccines, pharmaceutical companies are quietly raising the list prices of name-brand prescription drugs at a torrid pace. January is typically when increases hit the U.S. market. Already, more price hikes by drugmakers have been recorded in less than half a month (813) this year than for all of January 2020 (737), according to research by Ohio ...

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