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.
Covered California still faces major challenges in enrolling African-Americans and Latinos as the state’s health insurance exchange launches its third open enrollment period Sunday. “We know we’ve come up short in who’s enrolled today,” Covered California Executive Director Peter Lee said at a recent media briefing on the exchange’s marketing and outreach plans. “Of those ...
The Obama administration on Thursday said that it would wage a national advertising campaign to counter a perception among people with low incomes that health insurance under the Affordable Care Act was not affordable. The television advertisements say that most people who sign up for insurance at HealthCare.gov can “qualify for financial help to make ...
The skyrocketing cost of prescription drugs — already a hot issue on the U.S. presidential campaign trail — may be headed to California’s statewide ballot next fall. Advocates of a proposed measure that would require state programs to pay no more for prescription drugs than prices negotiated by the U.S. Department of Veterans Affairs said ...
The head of California’s health insurance exchange toured Los Angeles by bus Sunday, seeking to publicize the Affordable Care Act’s potential benefits among Southern Californians, many of them Latino, who officials say have failed to take advantage of the law. On the first day of this year’s open-enrollment period for federally subsidized health plans, the ...
Striving to end a cycle of crisis, congressional leaders and the White House united Tuesday behind an ambitious budget and debt deal aimed at restoring a semblance of order to Capitol Hill and ending the threat of government shutdowns and defaults until well after a new president takes office. The outgoing House speaker, Republican John ...
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 almost exclusively from pricey hepatitis C drugs. The latest report from the Health Care Cost Institute called out three hepatitis C drugs—Johnson & Johnson’s Olysio and Gilead ...
With the Affordable Care Act’s third open enrollment period to begin in less than two weeks, federal officials are racing to fix new features of HealthCare.gov that are supposed to make it easy for consumers to find insurance plans that cover their doctors and prescription drugs. The open enrollment period will start on schedule on ...
Two years into the grand experiment of setting up Nevada’s first health insurance exchange under the Affordable Care Act, the state is banking on one hard-earned prize after surviving its tumultuous launch: normalcy. The switch to a hybrid health exchange last year paid off for the Silver State Health Insurance Exchange in the form of ...
When the health insurance marketplaces open on Sunday, consumers shopping for 2016 coverage may encounter steeper premium increases than last year and more plans that offer no out-of-network coverage. According to an analysis released Monday evening by the Health and Human Services Department, the cost of the second-lowest silver plan in states using the federal ...
When Billy Sewell began offering health insurance this year to 600 service workers at the Golden Corral restaurants that he owns, he wondered nervously how many would buy it. Adding hundreds of employees to his plan would cost him more than $1 million — a hit he wasn’t sure his low-margin business could afford. His ...