ACA Category Banner

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.

Maker of OxyContin Gets Hit with Another State Lawsuit

The company that makes OxyContin did not stop pitching the powerful opioid painkiller to doctors even when its sales representatives raised concerns that they were prescribing the drug inappropriately, the Pennsylvania attorney general’s office said in a lawsuit announced Tuesday.

Read More

New Freestanding Clark County ERs Must Accept Medicare, Medicaid

New hospitals or medical centers that offer or advertise emergency services in Clark County will need to accept Medicare and Medicaid, starting this summer.

Read More

Millennials’ Uninsured Rate Soars

The percentage of Millennials who lack major medical coverage may have soared since 2016. Analysts from the Transamerica Center for Health Studies are reporting new survey results that show loss of Medicaid coverage and individual major medical coverage has wiped out increased use of group health coverage.

Read More

Newsom Changes Course On Plan To Pay For Immigrant Health Coverage

Gov. Gavin Newsom’s administration Friday reversed course on his plan to divert public health dollars from several counties to help provide health coverage to young adults who are in the country illegally.

Read More

Teva and Other Generic Drugmakers Inflated Prices Up to 1000%, State Prosecutors Say

Leading drug companies including Teva, Pfizer, Novartis and Mylan conspired to inflate the prices of generic drugs by as much as 1,000 percent, according to a far-reaching lawsuit filed on Friday by 44 states.

Read More

Now that Trump’s Forced Drug Prices Into Ads, What’s Next? Lawsuits and Compliance, for Two

Sorry, pharma. Self-policing didn't fend off an official rule requiring drug prices in TV ads. And now that the requirement is coming, response from the industry ranges from challenging to cheering—with a few potential lawsuits in the mix.

Read More

House Dems Look to Strengthen Public Exchanges

House Democratic leaders are planning to use H.R. 987 — an Affordable Care Act (ACA) public exchange marketing funding bill — as a train engine for pulling many other health insurance bills to the House floor.

Read More

Health Industry to Clash Over Surprise Medical Bills

Three powerful players in the health care industry are gearing up for battle over surprise medical bills. Doctors, hospitals and insurers have all pledged to protect patients from being hit with massive, unexpected bills for out-of-network care, but no one wants to take on the added costs that come with it.

Read More

Washington to Offer First ‘Public Option’ Insurance in US

Washington is set to become the first state to enter the private health insurance market with a universally available public option.

Read More

Trump Calls on Congress to End ‘Surprise Medical Bills’

President Donald Trump on Thursday called for an end to "surprise medical bills," the astonishingly high charges insured patients can face when a member of a medical team that treats them is not in their insurer's network.

Read More
arrowcaret-downclosefacebook-squarehamburgerinstagram-squarelinkedin-squarepauseplaytwitter-squareyoutube-square