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.
The credit outlook for health insurers is stable for next year, though several trends to watch in 2021 could have a notable financial impact, according to a new report from Moody's Investors Service.
The Trump administration on Thursday proposed changes that aim to improve patient and provider access to medical records and reform prior authorization.
The NFL won’t be cutting in line to get the coronavirus vaccine. “No one should be thinking about the vaccine going anywhere other than our first responders and the most vulnerable people right now,” said DeMaurice Smith, executive director of the NFL Players Association. “We’re in complete harmony with the union in that we feel ...
A bipartisan group of lawmakers on Monday unveiled its $908 billion coronavirus relief package as Congress faces a time crunch to pass more aid. The proposal is split into two parts: One $748 billion piece includes another round of Paycheck Protection Program assistance for small businesses, an unemployment benefit, and more money for schools, vaccine distribution ...
The first of many freezer-packed COVID-19 vaccine vials made their way to distribution sites across the United States on Sunday, as the nation’s pandemic deaths approached the horrifying new milestone of 300,000. The rollout of the Pfizer vaccine, the first to be approved by the Food and Drug Administration, ushers in the biggest vaccination effort ...
Covid-19 health pass apps could help reopen businesses and restore the economy. They could also unfairly exclude people from travel and workplaces.
The Supreme Court on Wednesday upheld Arkansas’ regulations forcing pharmacy benefit managers to pay pharmacies at least their cost of acquiring a drug. The court unanimously sided with state regulators, which were supported by the Trump administration, in Rutledge v. Pharmaceutical Care Management Association. The conflict in the case was over an Arkansas law that ...
Dr. Anthony Fauci predicted Monday that the United States could achieve herd immunity against Covid-19 by “the end of the second quarter 2021” after vaccines are more widely deployed. Speaking to MSNBC’s Hallie Jackson, Fauci — director of the National Institute of Allergy and Infectious Diseases — said that, depending on the “efficiency of the ...
Each year brings annual compliance responsibilities to employers regarding their health plans and federal Affordable Care Act (ACA) responsibility. It’s important for employers to be aware of – and adhere to – these responsibilities. An overlooked compliance item can result in significant non-compliance penalties in the federal ACA and COBRA spaces. ACA Applicable Large Employer ...
The staff of the Food and Drug Administration on Tuesday endorsed the emergency use of Moderna’s coronavirus vaccine, a critical step forward in winning formal clearance to be administered to the public as early as next week. The staff report is meant to brief the FDA’s Vaccines and Related Biological Products Advisory Committee, which meets Thursday ...