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.
Obamacare premiums cost less than employer-based insurance this year, according to a new report, but a major reason was narrower networks that offer fewer doctor choices in Obamacare plans.
As the number of people covered by high-deductible health plans soars, some insurers and employers are easing the strain on consumers’ wallets by covering certain benefits like doctor visits or generic drugs before people have reached their plan’s deductible.
While the political world focuses on the Affordable Care Act, changes have been occurring for the many more Americans who get health insurance through work. The biggest change: rising deductibles, which are transforming the nature of health insurance from more comprehensive coverage to skimpier insurance with higher out-of-pocket costs.
In California, it is not unusual for patients to be hit by large, unexpected medical bills when they are unwittingly treated by someone outside their insurance company’s network.
Changes in the way small and mid-sized companies are regulated by the Affordable Care Act could make a substantial difference to more than half of Orange County’s workers and their families — and both they and their employers could benefit.
State health insurance exchanges created under the new health care law are in turmoil. By contrast, the employer market — where the majority of Americans still get their coverage — seems like a bastion of stability.
The number of Americans without health insurance declined to 9.1 percent last year, according to federal data released Tuesday. A set of maps released by the Census Bureau suggests an obvious way to decrease the uninsured rate even more: expand Medicaid in the 19 states that haven't.
The dozen ObamaCare exchanges run by the states are struggling financially and could be headed toward collapse over the next several years, according to a new report released Tuesday by House Republicans.
Early in August commercial health insurer Humana Inc. disclosed it was joining a growing list of big insurance companies scaling back participation in public health exchanges.
Thirteen year-old Natalie Giorgi probably didn’t know the name of the company that makes EpiPen. The 2013 death of the Sacramento girl from a peanut-induced allergy attack inspired passage of the California law that made the Mylan product a staple at every school.