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.
One way of defining a "rogue" industry is to see which ones have declared war on their customers. By that measure, pharma stands at or near the top of combining the elements that go into making a rogue: contempt for the public and the unmitigated pursuit of greed.
Federal investigators found significant cybersecurity weaknesses in the health insurance websites of California, Kentucky and Vermont that could enable hackers to get their hands on sensitive personal information about hundreds of thousands of people, The Associated Press has learned. And some of those flaws have yet to be fixed.
The Affordable Care Act was aimed mainly at giving people better options for buying health insurance on their own. There were widespread predictions that employers would leap at the chance to drop coverage and send workers to fend for themselves.
More wages, less health insurance. In a recent survey, one in five people with employer-based coverage said they would opt for fewer health benefits if they could get a bump in their wages. That’s double the percentage who said they would make that choice in 2012.
State insurance commissioner Dave Jones continued to make his skepticism clear regarding Anthem Inc.’s proposed $54.2 billion acquisition of Cigna Corp. during a hearing here on Tuesday.
People newly insured under the Affordable Care Act were sicker, used more medical care and had higher medical costs than those who already had coverage, the Blue Cross and Blue Shield Association said Tuesday in a new study of its policyholders.
Anthem Blue Cross announced Thursday it will collaborate with Dignity Healthto offer a new insurance plan designed to lower costs through an integrated care management system.
Federal regulators said Monday that payments to insurers that offer private Medicare plans to older Americans would rise slightly, but somewhat less than the government indicated earlier this year.
In a few months, California will begin providing full Medi-Cal coverage to all low-income children — regardless of their immigration status.
Companies selling individual health plans on Obamacare’s insurance marketplaces must grapple with the impending expiration of two of the law’s key early-stage programs, likely foretelling premium increases in 2017, as PricewaterhouseCoopers points out in a new regulatory brief.