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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.

States Fight Trump On Non-ObamaCare Health Plans

“What I worry about the most is the agents and brokers” selling the plans, Kreidler said. “They are looking at the [large] commission, and that blinds them to their legal responsibility” to inform consumers about the limitations of the short-term plans.

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Once Its Greatest Foes, Some Doctors Now Embrace Single-Payer

California doctors — young and old — advocated on behalf of the single-payer advocates during the debate, said Dr. Anna Yap, 26, an emergency medicine resident at UCLA, who served as a medical student delegate to the AMA until June.

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Analysis: For Patients with Large Employer Coverage, About 1 in 6 Hospital Stays Includes an Out-of-Network Bill

Emergency Room, Mental Health and Substance Abuse Admissions Most Likely to Generate Out of-Network Claims

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‘In the Pocket of Big Pharma’: Ad Says About Silicon Valley Congresswoman

A group that’s buying ads to try to elevate the issue of high drug prices in the midterm elections has identified its latest target: a Democratic congresswoman from Silicon Valley who wants to lead on health care issues.

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Tech Companies Earn White House Praise for Committing to Easier Health Data Access

Major technology companies on Monday announced their commitment to making it easier to share data across the healthcare sector, in a move backed by the White House.

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Medicare To Overhaul ACOs But Critics Fear Less Participation

Accountable care organizations were among the key initiatives of the Affordable Care Act, designed to help control soaring Medicare costs. ACOs were expected to save the government nearly $5 billion by 2019, according to the Congressional Budget Office. It hasn’t come anywhere close.

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Trump Administration Sinks Teeth Into Paring Down Drug Prices, On 5 Key Points

Three months after President Donald Trump announced his blueprint to bring down drug prices, administration officials have begun putting some teeth behind the rhetoric.

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Attorneys General File Suit to Challenge Association Health Plans

On Thursday, August 2, attorneys general from 11 states and the District of Columbia filed suit against the Department of Labor, challenging the Trump administration’s new Association Health Plan (AHP) rule.

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Silver Loading in the Golden State

For those who make too much money to qualify for health insurance subsidies on the individual market, there may be no Goldilocks moment when shopping for a plan. No choice is just right.

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Expansion Of Short-Term Health Plans A Non-Starter In California

The planned expansion of short-term health plans under a new Trump administration rule unveiled this week is on a crash course with a brick wall in California.

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