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.
With the first primaries of the 2016 presidential campaign just months away, the national healthcare debate is poised to enter a new phase, more focused on consumers’ pocketbooks than on re-litigating the 5-year-old Affordable Care Act. Hillary Rodham Clinton, who is campaigning on a detailed program to crack down on rising drug prices and runaway ...
Nearly half of the estimated 700,000 Californians who have dropped their Obamacare policies during the past two years have enrolled in an employer-based plan, a new report from the Covered California exchange shows. In a news conference Thursday, Peter Lee, the organization’s executive director, said there were about 1.3 million Californians enrolled in the exchange’s ...
During his three decades in the industry, Don Goldmann has made his mark in a number of ways. He got his start in life insurance, then moved to Southern California in the early 1980s just as HMOs were gaining momentum. After years of working his way into the corporate side of the business, he eventually decided ...
In advance of the Nov. 1 start of open enrollment for Covered California, new numbers show that just over half of the state’s remaining uninsured are eligible for health insurance coverage under the Affordable Care Act. The estimate was part of a state-by-state analysis compiled by the Kaiser Family Foundation. Researchers found that California has ...
A bill that requires health care insurers to update their provider directories with accurate information has been signed by Gov. Jerry Brown and will take effect in July. The bill, introduced by state Sen. Ed Hernandez, D-West Covina, and sponsored by three statewide health advocacy and consumer groups, was proposed in response to numerous complaints ...
Medicare’s quality incentive program for hospitals, which provides bonuses and penalties based on performance, has not led to demonstrated improvements in its first three years, according to a federal report released Thursday.
The federal government needs to increase its oversight over private Medicare health plans to make sure seniors have adequate access to doctors and hospitals, according to a report released this week by congressional auditors.
"Hundreds of millions of dollars" in insurance claims nationally, and possibly far more, could shift from health insurers to workers' comp carriers due to Obamacare, according to a new study.
From Hillary Clinton and Bernie Sanders on the Democratic side to key Republican lawmakers in Washington, including Sen. Dean Heller of Nevada, there is a growing bipartisan push to repeal the so-called “Cadillac Tax”...
It’s common knowledge that consumers have to pay more money if they choose doctors or hospitals outside of their insurance plan’s network.