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.
FDA Commissioner Scott Gottlieb, M.D., hasn’t been shy about allying with President Donald Trump on the subject of high drug prices. Even though pricing is not the FDA's purview, Gottlieb has vowed to do his part to bring down drug costs by speeding up approvals of generics, for example, and cracking down on companies that try to stifle generic competitors.
At a rally in Michigan a little over a week ago, President Trump assured his supporters that he had kept his promise to abolish the Affordable Care Act — even though Congress had failed to repeal the Obama-era health law.
About 4 million Americans lost health insurance in the last two years, according to a new survey from the Commonwealth Fund, which attributed the decline to actions taken by the Trump administration.
The share specialty drugs have of total U.S. pharmaceutical sales is hurtling toward 50% just as the Donald Trump White House prepares next week to unveil proposals to curtail the nation’s tab for prescription drugs.
A couple of giant proposed healthcare mergers have garnered a lot of attention in recent months. People want to know what CVS’ $69 billion deal for Aetna or Cigna’s $52 billion agreement to buy Express Scripts can tell us about the future of U.S. healthcare.
Former Secretary of Health and Human Services Tom Price on Tuesday said that the repeal of ObamaCare’s individual mandate would drive up costs, a remark seized on by Democrats.
A new direct provider contracting model under consideration at the CMS could potentially save providers billions in administrative costs, but could also threaten access to care for Medicare's frailest and lowest-income beneficiaries.
The nation's second-largest health insurer joined rival UnitedHealth Group Inc. in topping analyst expectations for the quarter and hiking its 2018 forecast. Anthem said Wednesday that it now expects 2018 adjusted earnings to be greater than $15.30 per share after saying in January that they would exceed $15 per share.
A California Democrat has introduced a proposal for Obamacare that Senate Republicans backed during their repeal and replace efforts last year. The legislation from Rep. Ami Bera would allow states to set up programs that automatically enroll people in Obamacare plans or in Medicaid, depending on which programs they qualify for. People would have 60 days to opt out of the health insurance.
The percentage of employers offering telemedicine shot up 24% in the last year, from 49% in 2016 to 73% in 2017, while the number of firms offering employees access to a 24-hour nurse line increased 10%, from 69% to 79%, according to the report, which surveyed more than 850 WorldatWork members.