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.
As a result of the ruling, HHS has postponed a planned meeting of the Advisory Committee on Immunization Practices this week.
A proposal to remake the health insurance exchanges could open up a vast new market to emerging companies that sell health plans without provider networks. Cash-pay startups and reference-based pricing companies such as Sidecar Health and Imagine360 say they are ready to jump at the opportunity. The Centers for Medicare and Medicaid Services issued a proposed ...
Managers of Anthem Blue Cross think that in-network hospitals in California should use in-network physicians to treat health plan participants. The Elevance Health subsidiary announced earlier this week that it will impose a 10% payment penalty on some in-network hospitals and other health care facilities that bill patients for care provided by out-of-network doctors. “Participating facilities ...
For-profit acute and behavioral hospital operator Universal Health Services is acquiring virtual behavioral care provider Talkspace, the companies announced on Monday. The definitive agreement would see Talkspace acquired for $5.25 per share. That translates to an enterprise value of about $835 million, according to the announcement. The deal is expected to close in Q3. UHS ...
What Does Today’s Supreme Court Decision Striking Down Tariffs Mean For The Pharmaceutical Industry?
The Trump administration has other legal avenues to impose tariffs on pharmaceuticals despite today’s Supreme Court decision striking down many of the administration’s current tariffs. In a 6-3 decision, the court ruled that President Donald Trump did not have the authority to impose tariffs under a 1977 law, the International Emergency Economic Powers Act. But ...
Assemblymember Ash Kalra has tried a handful of times over the past few years to institute massive changes in the state's health care system.
A federal judge in Chicago temporarily blocked on Thursday the Trump administration from moving ahead with $600 million in cuts to public health grants in four states led by Democrats. U.S. District Judge Manish Shah said that California, Colorado, Illinois, and Minnesota were likely to succeed in a lawsuit alleging the funding cuts were meant to ...
Sens. Elizabeth Warren (D-Mass.) and Josh Hawley (R-Mo.) are teaming up to “break up big medicine.” The lawmakers introduced legislation to crack down on health care conglomerates that own multiple parts of the industry — including pharmacy benefit managers (PBMs), which act as a conduit between insurers and drug manufacturers, and pharmacies themselves. Warren and Hawley’s “Break Up Big Medicine Act” proposes prohibiting ...
Trump Required Hospitals To Post Their Prices for Patients. Mostly It’s the Industry Using the Data.
Republicans think patients should be shopping for better health care prices. The party has long pushed to give patients money and let consumers do the work of reducing costs. After some GOP lawmakers closed out 2025 advocating to fund health savings accounts, President Donald Trump introduced his Great Healthcare Plan, which calls for, among other ...
After years of conversation, legislators pushed key reforms to pharmacy benefit managers over the finish line, much to the chagrin of the industry. Under the bipartisan health funding deal, which was signed into law by President Donald Trump on Tuesday, PBMs will be required to pass through all drug rebates, fees and other funds to ...