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.
Aetna Inc.’s $37 billion deal to buy Humana Inc.was approved by the California Department of Managed Health Care, which said Monday that it could move forward after the company agreed to invest in the state’s health care infrastructure.
Skyrocketing drug prices are forcing states to take unprecedented measures to rein in health care spending. Vermont just became thenation’s first state to require prescription drug pricing transparency. The New York and Massachusetts attorneys general have launched investigations into major pharmaceutical companies’ and insurers’ drug pricing policies and strategies.
However, he noted that these increases do not reflect any rebates or discounts. After taking those price breaks into account, in fact, Risinger estimated that the actual “net price growth” was slightly less than half of the increases in the list prices.
Health and Human Services (HHS) Secretary Sylvia Mathews Burwell on Thursday sought to calm the nerves of health insurers increasingly in doubt about the fate of the ObamaCare marketplace.
Drug makers are sick and tired of coming under attack for high prices.
The Geisinger Health Plan, run by one of the nation’s top-rated health care organizations, foresees medical costs increasing next year by 7.5 percent for people buying insurance under the Affordable Care Act.
As health care consolidation accelerates nationwide, a new study shows that hospital prices in two of California’s largest health systems were 25 percent higher than at other hospitals around the state.
Five blood tests were performed in March at Torrance Memorial Medical Center. The hospital charged the patient’s insurer, Blue Shield of California, $408. The patient was responsible for paying $269.42.
Obama administration officials want to limit use of short-term health insurance in the United States to periods of three months or less.
The Obama administration is seeking to limit short-term health policies that include features largely banned under the Affordable Care Act, a proposal that could crimp a profitable and growing business for some insurers.