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.
Democratic lawmakers say they agreed to fine Californians without health insurance on the condition the state use that money to lower costs for residents purchasing coverage on the state exchange. They say Gov. Gavin Newsom has reneged on the deal.
The bill would require PBMs to meet new transparency requirements and would ban spread pricing in Medicaid. The (PATIENT) Act mandates that PBMs compile annual reports for employers with a slew of key information, including their drug spending, out-of-pocket costs, rebates, formulary placement and acquisition costs.
Health savings accounts (HSAs) offer a tax-advantaged way to save money to pay for certain medical expenses. Your HSA contributions are tax-deductible, so they potentially help reduce your taxable income. But contributions to your health savings account are limited each year by the IRS,
Four in 10 patients perceive implicit bias in their physicians, according to a MITRE-Harris survey on the patient experience. In addition to patients being extra sensitive to provider bias, the use of AI tools and machine learning models also have been shown to skew toward racial bias. On a related note, a recent study found 60% of Americans ...
Democrats beat back efforts to attach Medicaid work requirements to a debt limit deal, but the agreement reached over the weekend will claw back about $30 billion of unspent COVID relief funds and likely bring more budget austerity to federal health agencies. Why it matters: GOP negotiators had increasingly insisted that Medicaid work requirements needed to ...
As Washington struggles to reach a debt ceiling deal with little more than a week until potential default, a key hangup in the negotiations is turning out to be -- "work requirements."
The Biden administration issued a proposed rule Tuesday that aims to shed light on the price of prescription drugs covered by Medicaid. Under the proposal (PDF), pharmacy benefit managers, or pharmacy middlemen, that contract with Medicaid would have to disclose the prices they pay for medications in an effort to improve price transparency and pull the reins on ...
A key House panel advanced a slew of healthcare bills during a busy Wednesday on the Hill for health policy.
The federal government is continuing to debate a response to the looming debt limit deadline, and, should that ceiling be breached, it has significant implications for the healthcare industry.
In a ruling issued this week, the Los Angeles Superior Court upheld the constitutionality of a state law requiring health plans to fairly reimburse health care providers for the costs of COVID-19 testing during the COVID-19 state of emergency.