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.

Proposed Changes Could Raise Individual and Group Premiums

A seemingly minor change included in the Administration’s proposed rule setting Affordable Care Act (ACA) marketplace standards for 2020 would raise premiums for at least 7.3 million marketplace consumers by cutting their premium tax credits. These higher premiums — for example, $196 more annually for a family of four with income of $80,000 — would cause 100,000 people to drop marketplace coverage each year, according to the Administration’s own estimates.

Read More

Pelosi Health Care Strategy

House Speaker Nancy Pelosi is laying out her strategy on health care and first up is improvements to "Obamacare" and legislation to lower prescription drug costs. "Medicare for all" will get hearings.

Read More

Hospital Drug Spend Spiked 19% from 2015-17, Coalition Says

The report is the latest sortie in the ongoing PR battle between providers and pharmaceutical companies over who exactly is to blame for skyrocketing drug prices in the U.S.

Read More

Secretive ‘Rebate Trap’ Keeps Generic Drugs For Diabetes And Other Ills Out Of Reach

Lisa Crook was lucky. She saved $800 last year after her insurance company started covering a new, less expensive insulin called Basaglar that was virtually identical to the brand she had used for years.

Read More

CMS Wants to End Silver-Loading

The CMS issued a proposed rule on Thursday that would cut Affordable Care Act user fees and laid the groundwork to eliminate "silver-loading." 

Read More

CVS, Walmart Resolve Pharmacy Contract Impasse

Walmart Inc (WMT.N), the world’s largest retailer, will remain part of CVS Health Corp’s (CVS.N) network for commercial and Medicaid pharmacy customers, the companies said on Friday, breaking a contract impasse disclosed earlier this week.

Read More

Medicare Experiment Could Put More Pressure On Insurers to Save Money On Prescription Drugs

The federal government is giving health insurance companies that run Medicare prescription drug plans new tools it hopes will save money for patients.

Read More

Today is the Last Day to Sign Up for Covered California

Officials from state health exchange Covered California are ramping up efforts to enroll people in health coverage as the deadline to sign up looms.

Read More

Newsome Diverges Sharply From Washington With Health Care Budget

Gov. Gavin Newsom on Thursday unveiled his first state budget, one that leads California down a very different health care path than the one Washington has forged.

Read More

Chamber of Commerce CEO Vows to ‘use all our resources’ to Fight Single-Payer Proposals

Thomas Donohue, the president and CEO of the Chamber of Commerce, on Thursday vowed to use all of the Chamber's resources to fight single-payer health care proposals. 

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