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.
It's survived an IT meltdown and attempts to kill it in the Legislature. It's now facing the loss of two insurance carriers and an effort to constitutionally ban it.
Several Republicans Thursday heaped blame on the Obama administration for the failure of more than half of the cooperatives set up under the health law to infuse competition into the insurance market. The collapse of 12 out of 23 operating co-ops is providing a fresh opportunity for the GOP to criticize the Affordable Care Act ...
The uninsured rate has fallen to a new low of 9 percent, marking 16.3 million more people with health insurance since ObamaCare’s coverage expansion took effect in 2013, according to data released Thursday. The survey from the Centers for Disease Control and Prevention (CDC) finds that the uninsured rate was 9 percent in the first six months ...
The nation’s insurance commissioners are recommending sweeping new standards to address complaints from consumers about limited access to doctors and hospitals in health plans sold under the Affordable Care Act. Limited networks of health care providers are a feature of many insurance policies offered in the public marketplaces, or exchanges, where people with low incomes ...
Health plans that offer coverage of doctors and hospitals outside the plan’s network are getting harder to find on the insurance marketplaces, according to two analyses published this week. Two-thirds of the 131 carriers that offered silver-level preferred provider organization plans in 2015 will either drop them entirely or offer fewer of them in January, ...
A Senate committee has started an investigation into the large drug price increases by Turing Pharmaceuticals and three other companies, responding to public concern about escalating prices for critical medicines. The Senate’s Special Committee on Aging requested documents and information on Wednesday from Turing, Valeant Pharmaceuticals and two other drug makers already under scrutiny for ...
After nearly two years in operation and millions of dollars spent in development, the small business health insurance exchange created by the Affordable Care Act is struggling to catch on. Nationally, about 85,000 people, from 11,000 small businesses, have coverage through the online marketplace known as the Small Business Health Options Program, or SHOP, according ...
Healthcare spending grows modestly among commercially insured, except for drugs – Modern Healthcare Modern Healthcare business news, research, data and events <iframe src=”//www.googletagmanager.com/ns.html?id=GTM-7TS2″ height=”0″ width=”0″ style=”display:none;visibility:hidden”></iframe> Overall healthcare spending among patients who get their health insurance from an employer grew at a tepid rate in 2014, but spending on prescription drugs jumped significantly, stemming ...
A panel of medical experts said on Friday the prices of prescription medicines in the United States need to be brought in line with the value they bring to patients instead of continuing to let drugmakers set any price they choose. “Americans at the same time are getting tremendously ripped off with drugs and also ...
The Senate approved a crucial bipartisan budget agreement early Friday that would avert a government default and end nearly five years of pitched battles between congressional Republicans and the Obama administration over fiscal policy. The measure, which passed 64 to 35, now goes to the White House, wherePresident Obama has said he will sign it. ...