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.
Last year's final enrollment numbers under President Barack Obama's health care law fell just short of a target the administration had set, the government reported Friday.
Vantage Health Plan executives saw an opportunity when they realized few of their female Medicare members were being screened for osteoporosis after they broke bones.
Obamacare enrollment is already millions of people below original forecasts, and we could see two sorts of death spirals in the insurance exchanges of the Affordable Care Act because of premium inflexibility mandated by law and partisan unwillingness to make the necessary compromises to fix it.
President Obama said on Thursday that enrollment in health coverage under the Affordable Care Act had reached a new high, 20 million, and he called the law an overwhelming success in this city and around the nation despite Republicans’ implacable opposition.
There has been a new interest in expanding the transparency of pharmaceutical markets, in many areas, including information about the outlays on R&D for the development of specific drugs. The debate over transparency legislation, still pending but stalled in California (AB 463), raised public attention to this issue worldwide and has stimulated additional interest in transparency measures in various states (notably in Colorado) and among members of Congress and in foreign countries.
Retail clinics, long seen as an antidote to more expensive doctor offices and emergency rooms, may actually boost medical spending by leading consumers to get more care, a new study shows.
ObamaCare enrollment could have a “ceiling” of around 14.7 million sign-ups, according to a new analysis from the Kaiser Family Foundation.
The Obama administration, responding to consumer complaints, says it will begin rating health insurance plans based on how many doctors and hospitals they include in their networks.
Nevada's health insurance exchange disputes a federal report claiming it misallocated funds for creating its program and recommending it consider refunding $893,000 to the Centers Medicare and Medicaid Services.
The new health maintenance organization launched by Sutter Health in 2014 more than doubled its membership in 2015, Sutter Health Plus officials say.