ACA Category Banner

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.

Controversial Rating System Gives Six Nevada Hospitals One Star

Five Southern Nevada hospitals were among six statewide that received only one star in a controversial five-star rating system unveiled Wednesday by the Centers for Medicare & Medicaid Services.

Read More

Study Bodes Well For Biosimilars But Highlights Need For More Research

Research released Monday finds comparable safety and efficacy for one type of biosimilar drugs, complex medicines intended to be near-copies of some of the most costly prescription drugs on the market, but highlights the need for more information on the products.

Read More

Many Well-Known Hospitals Fall Short of 5 Stars In Medicare’s New Ratings

The federal government released its first overall hospital quality rating on Wednesday, slapping average scores on some of California’s best-known medical centers while awarding top scores to unheralded ones.

Read More

Long-Term Care Is An Immediate Problem – For The Government

Donna Nickerson spent her last working years as the activity and social services director at a Turlock, Calif., nursing home.

Read More

Frustration Mounts Over ObamaCare Co-Op Failures

A new wave of failures among ObamaCare's nonprofit health insurers is disrupting coverage for thousands of enrollees and raising questions about whether regulators could have acted earlier to head off some of the problems.

Read More

Senior Surprise: Getting Switched With Little Warning Into Medicare Advantage

Only days after Judy Hanttula came home from the hospital after surgery last November, her doctor’s office called with bad news: Records showed that instead of traditional Medicare, she had a private Medicare Advantage plan, and her doctor and hospital were not in its network.

Read More

Big Pharma Is Jacking Up the Price of the ‘Antidote’ to the Overdose Crisis

President Barack Obama recently signed a law aimed at addressing the burgeoning opioid crisis in the US.

Read More

U.S. Opposes Anthem Push for a Quick Trial in Cigna Merger Cases

Anthem Inc. is pushing for a speedy decision on the government’s bid to block the health insurer’s planned $48 billion merger with rival Cigna Corp. The government doesn’t want that, and on Wednesday its lawyers told a federal judge the case is too complex to rush a ruling.

Read More

Making Care More Affordable, But Not Less Expensive

The big rate increases announced last week for health insurance policies sold by California’s version of the federal health reform are the latest evidence that the Affordable Care Act, despite its name, cannot do much to tame the rise of health care costs.

Read More

Small Employers Pulling Back On Health Benefits Since ACA

Small businesses have been pumping the brakes on offering health benefits to their employees since 2009, according to new data from the Employee Benefit Research Institute.

Read More
arrowcaret-downclosefacebook-squarehamburgerinstagram-squarelinkedin-squarepauseplaytwitter-squareyoutube-square