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 CMS Innovation Center is awarding $685 million to more than three dozen physician groups, health systems and other organizations for training, education and investment in information technology, care coordination and quality-improvement efforts. The funds were awarded under the Transforming Clinical Practice Initiative, which was first announced last year as a four-year effort that federal ...
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. The General Accountability Office study found the Centers for Medicare & Medicaid Services, which administers Medicare Advantage plans, primarily relies on ...
Hillary Rodham Clinton will in the coming days speak out against the so-called Cadillac tax on certain health care plans, a move that is part of a series of reforms she’s suggesting for the Affordable Care Act, according to a union official briefed on her plans. Mrs. Clinton’s campaign aides informed Randi Weingarten, the president ...
The public opposes ObamaCare’s “Cadillac Tax” on high-cost health insurance plans by a wide margin, according to a new poll. The poll from the Kaiser Family Foundation, which does nonpartisan healthcare analysis, finds that 60 percent of the public opposes the tax, while 28 percent favor it. The tax is meant to help control healthcare ...
The chief executives of two of the nation’s largest health insurance companies told skeptical senators on Tuesday that consumers would benefit if the federal government approved their plans to acquire two other big insurers. But Consumers Union, a consumer advocacy group, expressed doubts about the deals, and Senator Richard Blumenthal, Democrat of Connecticut, objected to ...
The nation’s biggest nonprofit health insurer spawned by the Affordable Care Act has been ordered to shut down as it reels toward insolvency, disrupting coverage for more than 200,000 New York state residents and becoming the fourth such co-op to collapse in recent months. The action Friday to force Health Republic Insurance of New York ...
As a third open-enrollment season nears under the Affordable Care Act, the Obama administration plans to focus on 10.5 million uninsured Americans, trying to persuade them to sign up for coverage that they have ignored or rejected in the past. According to estimates released Tuesday by Health and Human Services Secretary Sylvia Mathews Burwell, that is ...
Employers are leaving a bigger chunk of the bill for care to workers who use their health insurance, and benefits experts see few signs of this trend slowing. Most companies now offer health coverage that requires employees to pay an annual deductible before insurance kicks in, and the size of that deductible has soared in ...
Republicans will seek to repeal a range of ObamaCare taxes as well as the healthcare law’s mandates to buy insurance through the fast-track process known as reconciliation. President Obama is sure to veto the measures, but reconciliation will allow them to at least reach his desk, bypassing an expected Senate Democratic filibuster. The process is ...
When it comes to health care costs, it’s clear: Where you live matters. And in California, the gap is especially sharp between the north and south. Take, for instance, common procedures like a cesarean section or a total knee replacement. The total average price tag for a typical C-section in the four-county Sacramento area is ...