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.
In the shadow of Silicon Valley, the hub of the world’s digital revolution, California officials still submit their records to the feds justifying billions in Medicaid spending the old-fashioned way: on paper.
Starting next year, Medicare Advantage plans will be able to add restrictions on expensive, injectable drugs administered by doctors to treat cancer, rheumatoid arthritis, macular degeneration and other serious diseases.
When Paul Lyons opened a primary-care practice in the Palm Springs area for low-income patients, the need was clear.
Improving consumers’ healthcare literacy could save the U.S. healthcare system billions of dollars per year, according to a new analysis from Accenture.
Sen. Dean Heller (R-Nev.) is hitting back on criticisms his opponent, Rep. Jacky Rosen (D-Nev.), has made on his health-care record, trying to blunt a major line of attack against him ahead of November's midterms.
The Trump administration is making it easier for individuals to opt out of ObamaCare’s individual mandate.
The House Republicans' proposed suspension of the Affordable Care Act's employer mandate is on track for a vote this week. But it's unlikely the legislation, projected to add more than $58 billion to the deficit, will move through the Senate this year.
Nevada Medicaid will reverse its decision to require prior authorization for mental health services after providers and patients raised concerns that the policy change could delay treatment.
A lawsuit has been filed on behalf of three Dignity Health nurses claiming they were required to perform off-the-clock work and were subject to impermissible rounding of time entered on timecard software and an employee monitoring system hospital staff use to record hours worked.
Consumers who buy insurance through the Affordable Care Act markets may be pleasantly surprised this fall as average premiums are forecast to rise much less than in recent years.