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.
A federal judge in Washington today blocked Aetna Inc.'s proposed $37 billion acquisition of Humana, punctuating an era of antitrust enforcement under the Obama administration that broke up merger deals in a host of industries.
California has withdrawn its request to the federal government for permission to allow undocumented people to obtain health insurance from the state exchange, with a lawmaker linking the decision to concerns about the incoming Trump administration.
Stephanie Blythe isn’t due to give birth until April, but she already ordered a breast pump through her insurance company because she’s worried about the future of the Affordable Care Act.
California and other states could keep their federally funded insurance exchange with consumer protections intact under a proposal unveiled Monday by two Republican U.S. Senators.
Repealing Obamacare without a replacement would result in higher costs for consumers and fewer people with insurance coverage, according to a report Tuesday from the nonpartisan Congressional Budget Office.
The doctor diagnosed a mild form of gastritis, an inflammation of the stomach lining, and recommended some over-the-counter medicine. But when the divorce became final, in 2008, she lost health coverage from her husband’s employer, and insurer after insurer refused to cover her because of the condition. She was finally offered a policy that excluded coverage for anything related to her gastrointestinal tract.
Federal officials this month warned 21 Medicare Advantage insurers with high rates of errors in their online network directories that they could face heavy fines or have to stop enrolling people if the problems are not fixed by Feb. 6.
Subsidiaries of two major health insurers — Aetna Inc. and Centene Corp. — have agreed to join Nevada’s Affordable Care Act-created health insurance exchange, even as Congress takes steps that could lead to its demise. Aetna Better Health of Nevada and Silver Summit Health Plan, two of the four providers selected by the state to offer managed care services to Nevadans enrolled in Medicaid, consented in contracts to offer plans on the exchange, Tammy Ritter of the Nevada Department of Health and Human Services said Thursday. The timeline for doing so isn’t yet clear, she said.
President-elect Donald Trump said in a weekend interview that he is nearing completion of a plan to replace President Barack Obama’s signature health-care law with the goal of “insurance for everybody,” while also vowing to force drug companies to negotiate directly with the government on prices in Medicare and Medicaid.
Eighteen million people could lose their insurance within a year and individual insurance premiums would shoot upward if Congress repealed major provisions of the Affordable Care Act while leaving other parts in place, the nonpartisan Congressional Budget Office said on Tuesday. A report by the office sharply increases pressure on Republicans to come up with a comprehensive plan to replace the health care law. It is likely to doom the idea of voting to dismantle the 2010 health law almost immediately, with an effective date set sometime in the future while Congress works toward a replacement.