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.
Political uncertainty isn't the only threat to the Affordable Care Act's future. Cracks also are spreading through a major pillar supporting the law.
The average cost for a year's supply of a prescription drug doubled in just seven years to more than $11,000 — about three-quarters of the average annual Social Security benefit.
The head of Aetna Inc., the nation’s third-largest health insurer, said he supports insurance exchanges, even though he questioned their sustainability earlier this month and lost money in the marketplaces last year.
With billions in taxpayer dollars at stake, the Obama administration has taken a "passive" approach to identifying potential fraud involving the president's health care law, nonpartisan congressional investigators say in a report released Wednesday.
The notion that mobs of Americans are actively plotting to cheat the Affordable Care Act by waiting until they get sick and then finding an excuse to sign up for health insurance is cherished by two groups: anti-Obamacare conservatives and insurance companies.
Zenefits, a San Francisco health insurance start-up facing regulatory scrutiny, plans to lay off 250 people starting Friday, David Sacks, the chief executive, says.
The California legislature Monday approved a new health care tax, capping a months-long quest to safeguard over $1 billion in annual Medi-Cal funding the federal government had threatened to take away.
Federal regulators proposed what they said was a slight rise in payments for insurers that offer private Medicare plans, a closely watched figure as this coverage becomes increasingly central to the companies’ business.
The move by insurance companies to sell more HMOs and health plans with narrow lists of medical care providers–particularly on public exchanges under the Affordable Care Act–has doctors calling for state legislation and closer scrutiny of insurer networks by insurance commissioners and the Obama administration.
A $2.4 billion managed-care organization tax package awaiting votes in the California Legislature reflects the heavy imprint of the state’s health insurance industry, which pushed for major changes to avoid any tax hit that could be passed on to customers.