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.
On the heels of healthcare reform, 2016 be-gan with the expansion of the small-group employer category—the bedrock of the U.S. economy.
The U.S. Department of Labor wants to use major changes to the Form 5500 benefit plan annual return program to get more information about U.S. group health plans
California’s Obamacare premiums will jump 13.2 percent on average next year, a sharp increase that is likely to reverberate nationwide in an election year.
Insurers are ramping up lobbying to defeat legislation that would limit their payments under one of the 2010 health law's stabilization programs, according to congressional staff and outside experts.
The Obama administration knowingly spent billions in health care dollars without proper congressional authority and went to “great lengths” to impede congressional scrutiny of the money, Republicans on two major House committees said in a report that will be made public on Thursday.
A federal appeals court has ruled that consumers must be allowed to buy certain types of health insurance that do not meet the stringent standards of the Affordable Care Act, deciding that the administration had gone beyond the terms of federal law.
A new study from the University of North Carolina-Chapel Hill examining usage of and spending for specialty prescription drugs by commercial insurance plans finds huge spikes from 2003 through 2014. During that stretch, drugmakers launched more and more high-priced drugs, many of them big scientific advances, and raised their prices for existing drugs at least once a year.
The battle between congressional Republicans and the White House over the Affordable Care Act is again escalating—in court and on Capitol Hill.
The growth of insurance plans built around small networks of health-care providers is fueling new fights over surprise medical bills, when patients inadvertently get care from out-of-network doctors.
Aetna Inc. and Humana Inc. face resistance from the Justice Department to their proposed $34 billion merger and an uphill battle persuading antitrust enforcers the deal won’t harm competition, according to people familiar with the matter.