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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.

When Adult Children Get Sick, It May Be Hard For Parents To Get Information

When Sean Meyers was in a car accident on a November evening three years ago, he was flown by air ambulance to the emergency department at Inova Fairfax Hospital, in Northern Virginia.

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Insurers Seek Big Premium Boosts

Big health plans stung by losses in the first few years of the U.S. health law’s implementation are seeking hefty premium increases for individual plans sold through insurance exchanges in more than a dozen states.

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Impact of ‘Millionaire Tax’ To Fund Mental Health Care Still Hard To Gauge

An 11-year-old statewide effort to expand mental health services with a tax on high incomes is helping many people, but there’s not enough hard data to measure the overall impact of the billions of dollars raised so far, members of an independent state watchdog agency said Thursday.

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Revised CMS Guidance on Waiting Periods

Subject: Frequently Asked Questions on Health Insurance Market Reforms and Marketplace Standards

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I.R.S. Ruling Is Obstacle to ACO’s

A ruling by the Internal Revenue Service creates a significant obstacle to a new type of health care network that the Obama administration has promoted as a way to provide better care at lower cost, industry lawyers and providers say.

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In a Secret Meeting, Revelations on the Battle Over Health Care

On Jan. 13, 2014, a team of Internal Revenue Service financial managers piled into government vans and headed to the Old Executive Office Building for what would turn out to be a very unusual meeting.

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Blue Shield ‘Lifts The Veil’ On Executive Pay

In its first detailed disclosure on executive pay, nonprofit Blue Shield of California said Chief Executive Paul Markovich made $3.5 million last year – a 40 percent increase since he took the top job in 2013.

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Price Increases for Obamacare Depend on Where You Live

Obamacare prices are all over the map.

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Average Family Healthcare Costs Have Tripled Since 2001

The costs of providing health care to an average American family surpassed $25,000 for the first time in 2016 — even as the rate of health cost increases slowed to a record low, a new analysis revealed Tuesday.

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Anthem CEO Says Cigna Deal Moving Forward

Anthem Inc. Chief Executive Joseph R. Swedish acknowledged “dynamic tension” with Cigna Corp. over their $48 billion pending merger, but said the health insurers had resolved differences and are on track to receive regulatory approval.

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