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.
A few months back, after returning from a family vacation that involved lots of pool time, my 9-year-old son complained that his ear hurt. A Sunday morning trip to urgent care brought a diagnosis of swimmer’s ear — an infection of the outer ear canal — and a prescription for ear drops.
Everyone knows that real estate is no bargain in Northern California. It turns out that giving birth ain’t cheap either.
About 1.6 million people who signed up for coverage this year under President Barack Obama's health care law dropped out by the end of March, according to administration figures released late Thursday.
Doctors and hospitals in the United States received $7.52 billion in payments and ownership and investment interests from the makers of drugs and medical devices in 2015, according to data released by a government health agency.
Insurers losing money from Obamacare plans will get a collective $7.8 billion to make up for their losses through the law's reinsurance program, the Obama administration announced Thursday.
Continued increases in prescription drug costs are "the number one driving factor” for increasing health insurance premiums, according to testimony from Wyoming Insurance Commissioner Tom Glause, who was appointed by Gov. Matt Mead (R), at a subcommittee hearing on small business health care costs held by the Senate Committee on Health, Education, Labor and Pensions.
With 91% of the population now covered by some form of health insurance, and the coverage rate higher in some states, the next big debate in health policy could be about the adequacy of coverage. That particularly means rising payments for deductibles and their impact on family budgets and access to care.
If you have private health insurance, the good news is you may be helping your employer keep its health care spending down. The bad news is it's coming out of your pocket.
Some consumers who use health insurance copays to buy prescription drugs are paying far more than they should be and would be better off paying with cash, especially for generics.
The health law opened the door for millions of young adults to stay on their parents’ health insurance until they turn 26. But there’s a downside to remaining on the family plan. Chances are that mom or dad, as policyholder, will get a notice from the insurer every time the grown-up kid gets medical care, a breach of privacy that many young people may find unwelcome.