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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.

FDA’s Proposed Rules On Drug Importation: What to Know

The Food and Drug Administration recently announced an action plan for allowing prescription drugs to be imported from Canada and other countries. However, employer plan sponsors and plan administrators must heed caution at this time as this is just the announcement that proposed rules are coming.

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Waste Gobbles Up 25% of US Healthcare Spending

The estimated cost of waste in the U.S. healthcare system ranges from $760 billion to $935 billion, or about 25% of the total healthcare spending, according to a report in JAMA issued Monday.

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Trump and Pelosi Aides Talk Drug Costs Despite Impeachment

Even as the impeachment battle rumbled, senior White House and Democratic aides sat down Tuesday to discuss details of drug pricing legislation, officials on both sides said.

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Trump to Unveil Medicare Plan in Bid to Contrast Democrat Rivals

President Donald Trump will outline his vision for the future of Medicare this week, contrasting plans with Democrats in a speech promising to strengthen the program for the elderly and disabled.

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Democratic Chairman Proposes New Fix for Surprise Medical Bills

House Ways and Means Committee Chairman Richard Neal (D-Mass.) is proposing a new way to move forward on crafting rules to protect patients from surprise medical bills.

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Trump Administration Pushes Individual Wellness Program Project

The Trump Administration is resuscitating a 2013 demonstration project contained within the Patient Protection and Affordable Care Act that would create a 10-state health-contingent wellness test program for the individual health insurance market.

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Health Care CEOs Hope ‘Idiocy’ Will Blow Over

The heads of two major hospital groups and one of the biggest U.S. health insurers said Wednesday that they hope policymakers in Washington will work on improving the current, Affordable Care Act-based system, rather than tossing the current system out and starting over.

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6 Employer Open Enrollment Trends to Watch

In the lead-up to open enrollment, the National Business Group on Health (NBGH) has identified six trends for employers to watch as workers gear up to choose their health benefits.

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Premiums for Employer-Sponsored Health Care Now Exceed $20,000 for Families

After 21 years of benchmarking the state of employer health benefits, there should be few surprises in the latest edition of Kaiser Family Foundation’s Employer Health Benefits Survey. Health insurance premiums are going up for both employers and employees (to the tune of $20,576 for family coverage);

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CBO: Fix Backed By Doctors For Surprise Medical Bills Would Cost Billions

A Congressional Budget Office (CBO) analysis finds that a rival approach backed by doctors groups for protecting patients from getting massive “surprise” medical bills would increase the deficit by “double digit billions” of dollars.

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