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.
During this fall’s open enrollment period, workers who get health insurance through their employers may not see huge premium increases or significant hikes to deductibles or other out-of-pocket costs. But there may be less obvious changes that could make a notable difference in coverage or costs, benefits consultants say. Employers again are sharply focused on ...
Why did hospitals binge-buy doctor practices in recent years? To improve care coordination, lower costs and upgrade patient experiences, say hospitals. To raise costs, gain pricing power and steer patient referrals, say skeptics. Researchers at Stanford University tested those opposing arguments by comparing referral patterns between independent doctors and those working for hospitals. Ownership by ...
New government procedures have caused more than 400,000 immigrants to lose healthcare coverage they received under Obamacare this year, according to the Associated Press. The change in procedure shortens the timeframe during which foreign-born citizens can resolve eligibility issues, which has caused 423,000 people to lose their state-sponsored benefits. The healthcare law provides a 95-day ...
California had the most health insurance exchange enrollees of any state, with about 1.4 million enrollees as of June 30, according to new federal data, The Hill reports (Sullivan, The Hill, 9/8). Details of Exchange Enrollees Overall, the data show about 9.9 million U.S. residents had selected and paid for health coverage through the federal ...
The White House isn’t likely to wait long to challenge Wednesday’s ruling allowing House Republicans to sue the Obama administration for spending federal funds on the Affordable Care Act‘s cost-sharing assistance. The administration is expected to seek what’s called an interlocutory appeal, which would allow a higher court to consider the issue of whether ...
By sheer number of covered lives, Kaiser Permanente has been California’s largest health insurer for decades. But if Anthem gets its way — no longer. The Indianapolis-based insurer is currently the second-largest health insurer in the Golden State, and one of the three largest health insurers in the nation. Its planned mega-merger with Cigna is ...
About 9.9 million people have signed up and paid for health insurance under President Barack Obama’s health care law, the administration said Tuesday, a slight dip from a previous count but on track toward the administration’s year-end goal of 9.1 million. The U.S. Department of Health and Human Services said that 84 percent of those, ...
As the open enrollment season for employer-sponsored health insurance gets underway this fall, experts say there’s one group that should definitely consider changing plans: people who have coverage through their former employer under the federal law known as COBRA. COBRA allows people who leave their jobs to keep their job-based group coverage for 18 months, ...
The White House is calling for a “more aggressive strategy” to reduce improper payments made by Medicare and the Affordable Care Act (ACA), according to a letter made public to the Department of Health and Human Services (HHS). The Center for Public Integrity obtained the February letter — written by Office of Management and Budget Director Shaun ...
BOSTON — President Obama rallied union workers here Monday, unveiling a new executive order that will require federal contractors to offer employees up to seven days of paid sick leave, a move he sought to contrast with Republican economic policies. Obama announced the new directive, which the White House said could benefit more than 300,000 ...