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.
Surprise medical bills happen when patients seek care from a facility within their health insurance network but then unknowingly receive services from an out-of-network provider, such as an anesthesiologist, who's not covered by their insurance.
A number of readers asked about this tweet, which was a summary of comments made by Earnest during a White House press briefing.
Despite much hand-wringing about health insurers exiting the marketplaces where people buy individual coverage, in many areas consumers will likely still have a choice of plans when the 2017 open enrollment starts in November.
Under intense pressure to curb costs that have led to losses on the Affordable Care Act exchanges, insurers are accelerating their move toward plans that offer limited choices of doctors and hospitals.
A number of readers asked about this tweet, which was a summary of comments made by Earnest during a White House press briefing. The tweet included a video of Earnest’s remarks, in which he said: “What is clear is that the vast majority of people all across the country will have access to a plan that costs $75 a month or less.”
The mixed results for Medicare accountable care organizations continued last year with fewer than one-third of them qualifying for bonus payments, the CMS said Thursday.
The Obama administration is fighting the notion that recent bad news for the Affordable Care Act marketplaces, including multiple insurers pulling out and reports of skyrocketing premium rates, will sink the exchanges.
Despite a slowdown in the growth rate of overall national health expenditures, Americans are seeing more of their paychecks go to health-care costs. The increase is largely thanks to cost-shifting through higher deductibles in plans offered by employers, which cover the majority of workers and their families. The trend has hit middle-income households the hardest. Here are five things to know about trends in U.S. health-care spending.
A new analysis predicts there will be 10.1 million people enrolled in exchange plans by the end of 2016, less than half of the number originally predicted by the Congressional Budget Office in 2010.
The Obama administration for years has been pleading with states to expand their Medicaid programs and offer health coverage to low-income people. Now it has a further argument in its favor: Expansion of Medicaid could lower insurance prices for everyone else.