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.
The Trump administration is moving to overrule any state laws that may protect consumers’ credit reports from medical debt and other debt issues. The Consumer Financial Protection Bureau has drafted what’s known as an interpretative rule related to the Fair Credit Reporting Act, interpreting the law in a way that says the FCRA should preempt any state ...
As shopping season opens for Affordable Care Act plans in some states, customers are confronting staggering costs for their health insurance next year. The extra federal subsidies put in place in 2021 that made coverage more affordable for millions of people will expire at the end of this year unless a gridlocked and idle Congress acts.
Mark Cuban, the billionaire entrepreneur and “Shark Tank” alumnus who started Mark Cuban Cost Plus Drugs, told senators on Wednesday that he thinks price transparency is critical to helping employers bring down the cost of health benefits. But Cuban said his Dallas-based online discount pharmacy is using its deep knowledge of health care pricing and ...
Hospitals argue that spending caps imposed by an affordability office will result in layoffs, cuts in health care services and reduced access to care for Californians.
States are worried Congress missed its opportunity to extend enhanced ACA subsidies and lower premiums before consumers start picking plans in a few weeks.
Changes to prior authorization, charity care screening and corporate influence in medicine are on the way for Californian healthcare organizations. Among the dozens of bills signed this week by Gov. Gavin Newsom ahead of an Oct. 12 deadline were several outlining new requirements or broader enforcement of healthcare practices. The new laws, as well as ...
AstraZeneca became the second drugmaker to enter a deal with the Trump administration to offer lower prices to Medicaid and to offer some of its drugs at a discount through TrumpRx, a government website to facilitate sales directly to consumers. “In other words the lowest price anywhere in the world, that’s what we get,” President Trump ...
The government health program fights in Washington could hit small employers hard, because government programs provide health benefits for 19% of their workers. Medicaid covers 5% of all U.S. workers and 11% of workers at employers with fewer than 50 employees, according to a Commonwealth Fund survey results posted Thursday. Individual and family plans purchased through the ...
Vice President Vance said Sunday that subsidies offered under the Affordable Care Act (ACA) fuel waste and fraud in the insurance industry, as Republicans refuse Democratic demands to extend the tax credits ahead of open enrollment next month. “The tax credits go to some people deservedly. And we think the tax credits actually go to a lot of waste ...
Fortunetellers already know how U.S. benefits professionals will spend some of their time from now through mid-2027: They will keep searching the internet for the minimum numbers, maximum numbers and other numbers that shape how the tax breaks for health benefits and other benefits work in 2026. The Internal Revenue Service publishes several batches of ...