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.
Vice President Vance said Sunday that subsidies offered under the Affordable Care Act (ACA) fuel waste and fraud in the insurance industry, as Republicans refuse Democratic demands to extend the tax credits ahead of open enrollment next month. “The tax credits go to some people deservedly. And we think the tax credits actually go to a lot of waste ...
Fortunetellers already know how U.S. benefits professionals will spend some of their time from now through mid-2027: They will keep searching the internet for the minimum numbers, maximum numbers and other numbers that shape how the tax breaks for health benefits and other benefits work in 2026. The Internal Revenue Service publishes several batches of ...
Health care providers across the country are canceling telehealth visits with Medicare beneficiaries or warning patients they will have to pay out of pocket for appointments because Congress let coverage lapse. When government funding expired Sept. 30, so did several health care policies mostly involving payments, and among them are provisions that allowed Medicare to ...
The federal government started shutting down early Wednesday after Congress failed to approve a funding bill before the beginning of the new fiscal year — resulting in widespread ramifications for hundreds of programs and giving the Trump administration an avenue to fire federal workers en masse.
A jury awarded Saint Mary’s $510 million after United Health Services was found liable for fraud against the longtime Reno healthcare network.
President Donald Trump and congressional leaders from both parties exited a high-stakes negotiation meeting Monday afternoon with little optimism a deal could be struck before the end of the month to avoid a government shutdown. “I think we’re heading to a shutdown because the Democrats won’t do the right thing,” Vice President J.D. Vance told ...
President Trump on Tuesday announced that Pfizer had agreed to sell its products in the U.S. at “Most Favored Nation” pricing, one day after the administration required companies to respond to his prescription drug pricing executive order. Drugmakers were given until Sept. 29 to respond to Trump’s “Most Favored Nation” Executive Order that required companies ...
In announcing that branded or patented drugs would be hit with 100 percent tariffs on Oct. 1, Trump also said drugmakers could escape the penalties if they have a U.S.-based pharmaceutical manufacturing plant for which ground has been broken, or is currently under construction.
With the Trump administration scaling back federal efforts to protect Americans from medical bills they can’t pay, advocates for patients and consumers have shifted their work to contain the nation’s medical debt problem to state Capitols. Despite progress in some mostly blue states this year, however, recent setbacks in more conservative legislatures underscore the persistent ...
On September 17, California Governor Gavin Newsom signed Assembly Bill 144 (AB 144) into law, a move in response to recent changes in immunization recommendations by the U.S. Food and Drug Administration (FDA). The bill, which took effect immediately, mandates that health plans cover a wide range of preventive care services, including immunizations, without cost-sharing or utilization ...