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.
Cyber criminals have come up with a new strategy for getting insurance agents and brokers to click on dangerous links: They convey the idea that they’re insurance industry insiders by referring both to the National Association of Insurance Commissioners and to the NAIC’s Center for Insurance Policy and Research (CIPR).
Private insurance companies are expecting to pay out a record of at least $1.3 billion in rebates to consumers this fall based on their share of premium revenues devoted to health care expenses in recent years, surpassing the previous record high of $1.1 billion in 2012, according to a new KFF analysis.
Health insurers are now pleading with the U.S. Supreme Court to get it to make the rest of the federal government to pay $12.4 billion in Affordable Care Act (ACA) risk corridors program bills.
Whether Congress will act this year to address the affordability of prescription drugs — a high priority among voters — remains uncertain. But states aren’t waiting.
Administering pricey specialty drugs in doctors' offices and patients' homes instead of hospitals could reduce drug costs by $4 billion a year for insurance plans, according to a study from insurance giant UnitedHealth Group.
Pharma watchers have been awaiting House Speaker Nancy Pelosi’s drug pricing plan, and on Monday the industry got a peek at what Democrats are discussing to lower drug prices. The upshot? If the House leadership gets its way, it would devastate pharma's pricing power.
Emory University medical fellow Dr. Nicole Herbst was shocked when she saw three patients who came in with abnormal results from chest CT scans they had bought on Groupon. Yes, Groupon — the online coupon mecca that also sells discounted fitness classes and foosball tables.
Nevada saw a 30 percent drop in the number of uninsured residents between 2009 and 2017 as a result of federal health care reform, but the latest data show its uninsured rate at the end of that period was still the sixth highest in the nation.
The CMS on Tuesday launched a redesigned Medicare Plan Finder to help Medicare beneficiaries and their caregivers shop for and compare Medicare Advantage and Part D plans, the first major update to the most popular tool in a decade. The changes include an improved mobile-friendly design, as 25% of beneficiaries accessed the plan finder via mobile devices in 2018 and that number is growing quickly.
It’s that time of year to start thinking about health insurance. For Nevadans who don’t have coverage through their employer or don’t qualify for Medicare or Medicaid, securing health insurance can be daunting. Enter Silver State Health Insurance Exchange, Nevada’s state agency that helps individuals obtain budget-appropriate health coverage through the online marketplace, Nevada Health Link.