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.
When four of the country’s five largest for-profit health insurers announced two summers ago that they would pair off, many saw the moves as a game changer. Now, with both the Aetna-Humana and Anthem-Cigna deals struck down by the federal courts, the implications for both the health insurance industry and antitrust enforcement are just as powerful. Here’s what the experts say about what those decisions mean, and what the future could hold.
President Trump’s secretary of health and human services, Tom Price, took office on Friday with a promise to fix what he called a “broken health care system” that was “harming Americans and their families.” Mr. Price was sworn in by Vice President Mike Pence just hours after the Senate, by a party-line vote of 52 to 47, confirmed his nomination in the early hours of Friday morning.
More than 12.2 million people have signed up for coverage nationwide this year under the Obama-era health care law even with the uncertainty created by President Donald Trump's vow to repeal and replace it.
In a surprise move Monday, Marathon Pharmaceuticals told patient advocates that it would “pause” the launch of its drug Emflaza because of pricing concerns expressed by patients and advocacy groups.
Provider choice is down. Premiums and cost sharing are up. This is the current state of the healthcare market, Janet Trautwein, executive vice president and CEO of NAHU, on Wednesday told Congress — and it’s unsustainable, she said.
President Trump said Sunday that it could take “sometime into next year” until his ObamaCare replacement plan is ready, a slower timetable than he and other Republicans have put forward in the past.
Two of the top Republicans in Congress on Monday said they are pushing ahead with the plan to begin repealing ObamaCare this spring, despite any confusion caused by President Trump saying the process could spill into next year.
A California lawmaker has introduced a bill that would ban drugmakers from issuing coupons that lower patients’ prescription copayments for certain drugs. The bill by Assembly member Jim Wood, D-Healdsburg, would prohibit distribution of discount coupons for prescription drugs where a cheaper, FDA-approved equivalent exists.
Trump Administration Proposes New Obamacare Regulation That Could Make ‘Special Enrollments’ Tougher
The Trump administration filed notice of a proposed new federal rule on Obamacare — and a person involved in its development says it could tighten up restrictions on people signing up for individual health plans in so-called special enrollment periods.
They are just three little words — "health savings accounts" — but they are generating a lot of buzz as Republicans contemplate plans to repeal and replace the Affordable Care Act.