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.
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. ...
The third year of open enrollment for health insurance under the Affordable Care Act began this week. Premiums are up and some people have decided they are not so affordable. Lisa Patton turns 26 years old this month. That means, she will lose coverage under her parents health insurance. But she doesn’t want to pay ...
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 ...