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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.

Pharma’s Take On The Pelosi Drug-Pricing Bill: Fair Warning Or Fearmongering?

House Speaker Nancy Pelosi’s flagship proposal to curb prescription drug prices, the “Lower Drug Costs Now Act” ― H.R. 3 ― could come up for a vote in the chamber this month. The measure would allow Medicare to negotiate prices for a limited number of drugs, cap what seniors pay out-of-pocket ….

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Hospital Groups File Lawsuit to Stop Trump Price Transparency Rule

Hospital groups on Wednesday filed a lawsuit to stop the Trump administration’s price transparency rule that requires hospitals to disclose negotiated rates with insurers.

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Insurers Press for More Time to Respond to Transparency Rule, Say Changes Could Disrupt Market

Top insurance industry groups are imploring the Trump administration to delay a comment period on a proposed rule that would force payers to provide real-time out-of-pocket cost estimates.

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Biden Releases $3.2 Trillion Tax Plan, Highlighting Divisions with Sanders and Warren

Former vice president Joe Biden released a plan Wednesday to raise $3.2 trillion in taxes over 10 years to pay for his domestic spending proposals, including on health care and climate, as he seeks to cast himself as the fiscal moderate in the Democratic presidential primary amid pressure from his liberal rivals.

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Public Option Health Plan Would Kill Private Insurance

Most Americans like private health insurance. That's the key finding of a recent Wall Street Journal/NBC News poll. Fifty-six percent of voters oppose Medicare for All if it eliminates private coverage.

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Why the Less Disruptive Health Care Option Could Be Plenty Disruptive

The single-payer health plans proposed by Senators Bernie Sanders and Elizabeth Warren are often assailed as being too disruptive. A government plan for everyone, the argument goes, would mean that tens of millions of Americans would have to give up health insurance they like.

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Clashes Among Top HHS Officials Undermine Trump Agenda

President Donald Trump’s health secretary, Alex Azar, and his Medicare chief, Seema Verma, are increasingly at odds, and their feuding has delayed the president’s long-promised replacement proposal for Obamacare and disrupted other health care initiatives central to Trump's reelection campaign, according to administration officials.

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How Millions Were Left Behind by ACA’s ‘Family Glitch’

Most employers that offer health insurance tend to be quite generous when it comes to subsidizing the cost of their employees’ premiums. And although many also pay a large portion of the cost to add dependents to the plan, it’s not uncommon to see a plan that requires significant employee contributions to cover dependents.

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Senate Quicksand Engulfs a Bipartisan Plan That Trump Backs

President Donald Trump has vowed to lower the cost of prescription drugs. A Senate committee has approved a bipartisan bill to do just that. And the plan is going nowhere fast.

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Trump’s Drug Importation Plan Faces Resistance in US, Canada

President Trump’s proposal to import cheaper prescription drugs from Canada faces significant headwinds from U.S. pharmaceutical companies and the Canadian government.

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