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.
The last major piece of President Barack Obama’s health care law could raise costs for thrifty consumers as well as large corporations and union members when it takes effect in 2018. The so-called Cadillac tax was meant to discourage extravagant coverage. Critics say it’s a tax on essentials, not luxuries. It’s getting attention now because ...
White House budget director Shaun Donovan called for a “more aggressive strategy” to thwart improper government payments to doctors, hospitals and insurance companies in a previously undisclosed letter to Health and Human Services Secretary Sylvia Mathews Burwell earlier this year. Government health care programs covering millions of Americans waste billions of tax dollars every year ...
As health care costs rise a bit faster than recent years, look for more health plans offered by employers and on public exchanges under the Affordable Care Act to pare their lists of doctor and hospital choices for 2016. Health insurers are already disclosing plans to maintain their business on government run exchanges under the ...
Nevada’s health insurance co-op will be closing down on January 1 next year. The co-op was established through the Affordable Care Act and serves as a non-profit insurance organization that is meant to provide consumers with more options when it comes to affordable coverage. The problem, however, is that the co-op has struggled to meet ...
About 340,000 California residents ages 65 and older have incomes below the federal poverty level, but many more likely need assistance in paying for medical care, food and other expenses,according to a brief released Monday by the UCLA Center for Health Policy Research, KPCC’s “KPCC News” reports. Details of Brief The federal poverty level in ...
SACRAMENTO — California lawmakers hope to tackle major issues in the state’s health care program for the poor over the next two weeks, starting with how to ensure the state doesn’t lose $1 billion in federal funding. The potential billion-dollar loss comes as critics say Medi-Cal is already struggling to meet the needs of the ...
WASHINGTON — More than 15 years have passed since this small a share of Americans didn’t get medical care they needed because of the cost, a new federal government report reveals. During the first three months of 2015, 4.4 percent of Americans surveyed said they went without health care at some point in the past ...
A patent law change sought by the pharmaceutical industry could cost federal health-care programs $1.3 billion over a decade by delaying new generic medicines, an analysis by the Congressional Budget Office found this summer, according to people familiar with the matter. Pharmaceutical trade groups are asking Congress to exempt drug patents from being challenged through ...
Finance chiefs at companies ranging from Cisco Systems Inc. to Westmoreland Coal Co. are scrutinizing employee health benefits as they face the Affordable Care Act’s looming “Cadillac tax” on generous health plans. They aren’t the only ones. Across the country, cities and states are also scrambling to figure out how many millions the tax will cost them. The ferment underscores how ...
Federal spending on Medicare, Medicaid, the Children’s Health Insurance Program and exchange subsidies will rise from 5.2% of the country’s economic output in 2015 to 6.2% in 2025, the Congressional Budget Office said Tuesday inupdated budget projections (PDF). The CBO said in its March report that those healthcare programs would constitute 6.1% of the country’s ...