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.
Martin Shkreli, the eccentric former pharmaceutical CEO notorious for a price-gouging scandal and for his snide "Pharma Bro" persona on social media, was convicted Friday on federal charges that he deceived investors in a pair of failed hedge funds.
Under preliminary Obamacare rates announced by Covered California, premiums on exchange plans will rise by an average of 5.7 percent in Sacramento, Placer, El Dorado and Yolo counties. That’s less than half of the statewide average of 12.5 percent, and consumers could virtually avoid an increase altogether if they shop around.
Big insurers have retreated from Obamacare’s individual market, where fighting over the future of the health law has contributed to financial losses. They’re focusing instead on Medicare Advantage, a politically popular program that’s being embraced by a growing population of older Americans.
After all, the Oakland, Calif.-based hospital and managed-care giant is swimming against the same national trends that dented the earnings of investor-owned hospital chains in the second quarter.
Covered California on Tuesday announced that health insurance rates on the state’s health insurance exchange created under the Affordable Care Act will increase by an average rate of 12.5 percent for 2018 plans.
Administering a health and welfare benefit plan means keeping up with deadlines, and that can be a challenge. It also means planning well in advance for each new plan year and open enrollment period--and for employers with calendar year plans, that work is now underway. This newsletter highlights some deadlines and regulatory guidance available to assist employers and benefit professionals with these tasks.
Obamacare remains the law of the land, for now, perhaps nowhere more securely than in California.
The Senate's top Democrat accused President Donald Trump on Tuesday of childish behavior by threatening to halt federal payments that help millions afford health coverage, saying such a move would impose a "Trump premium tax" by forcing consumers' insurance costs upward.
President Trump on Saturday scolded Congress for looking “like fools” and urged Republican senators not to be “total quitters” as he insisted that his push to overhaul the nation’s health care law remained viable, the day after it was rejected by the Senate.
U.S. Health and Human Services Secretary Tom Price said on Sunday that it was his department's job to follow the law on the Affordable Care Act, former President Obama's signature domestic initiative known as Obamacare.