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.
An ambitious California Democrat wants the world’s fifth-largest economy to create its own National Institutes of Health and vaccine program, saying the state can’t rely on the administration to support research and science.
Braidwood oral arguments are set for April 21. A policy expert says many states will maintain the current standards, even if the federal rules go away
Congress could consider updating the provision in the Employee Retirement Income Security Act that preempts states’ efforts to regulate employee benefits. Analysts at the Congressional Research Service, an in-house research center that helps members of Congress and their aides understand the matters they’re working on, mention that possibility in a new report on recent U.S. Supreme Court ...
On March 19, 2025, the California Department of Managed Health Care (DMHC) issued an All Plan Letter (APL 25-005) directing its regulated health plans to provide specific flexibilities to providers who were displaced by the devastating wildfires in Los Angeles and Ventura counties earlier this year.
The Word & Brown Companies today announced that several systems in use by Word & Brown® General Agency and CHOICE Administrators® have earned Certified status by HITRUST for information security. HITRUST r2 Certification demonstrates that The Word & Brown Companies’ systems have met demanding regulatory compliance and industry-defined requirements and are appropriately managing risk. By including federal and ...
Telehealth groups celebrated the extension, but added that the short-term reprieve means continued uncertainty for providers.
The $3.44 billion loan, first floated to lawmakers Wednesday, will cover obligations for Medi-Cal, through March, but it’s raising questions about a bigger budget hole that may need to be filled later on. Lawmakers said they were caught off guard by the news and still don’t understand the extent of the shortfall.
The insurance industry relies on a steady flow of publicly available data to predict losses, price policies, and mitigate financial exposure. What happens when those data streams dry up? We’re on the verge of finding out. Recent governmental workforce reductions, agency closures and “streamlining” initiatives fostered by President Donald Trump, his unelected advisor, Elon Musk, ...
The Consolidated Appropriations Act (CAA) of 2021 introduced a complex set of transparency-related compliance requirements for health plans, insurance issuers, agents, and providers – all designed to improve clarity and accountability in health care. One of the CAA’s key transparency initiatives is the annual Rx Data Collection (RxDC) reporting requirement, which mandates that health plans and ...
The Trump administration issued its first major set of proposed changes to the Affordable Care Act on Monday that federal officials said are intended to crack down on fraud in the program. Policy experts said they will make it harder for consumers to sign up for coverage, potentially reducing enrollment.