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.
Secretary of Health and Human Services Sylvia Mathews Burwell argued Thursday that premium hikes floated by health insurance companies this week will likely end up being lower once they are finalized. Republicans have seized on the higher rates to attack the healthcare law. Tennessee’s biggest insurer has proposed an increase of 36 percent for some ...
Some health care organizations might opt to leave the accountable care organization program because CMS did not address some of their concerns in its latest rules update, Modern Healthcare reports (Dickson, Modern Healthcare, 6/5). New Final Rule Details CMS on Thursday issued a final rule for the Medicare Shared Savings Program that seeks to keep ...
A top California regulator vowed a “deep dive” into a $1.2-billion acquisition proposed by Blue Shield of California amid criticism that the nonprofit insurer is shortchanging the public. Shelley Rouillard, director of the state Department of Managed Health Care, signaled tough scrutiny ahead for Blue Shield’s proposed purchase of Medicaid insurer Care1st Health Plan at ...
Millions of Americans could soon lose health insurance when the Supreme Court decides the latest challenge to the Affordable Care Act this month, but states have made few concrete plans to deal with the potential fallout, and they may get little help from Washington, President Obama warned Monday. “If somebody does something that doesn’t make ...
WASHINGTON — A decision by the Supreme Court to strike down health care subsidies in federally run marketplaces would be a “contorted reading” of the Affordable Care Act that would disrupt coverage for millions of people, President Obama said on Monday. But at a news conference at the end of a two-day trip to Germany, ...
Floor sessions on Tuesday in the state Senate and Assembly were fast-paced affairs. The deadline to pass bills out of their house of origin is June 5 so the legislation queue on Tuesday was pretty long and resulted in a rapid-fire pace. The Senate passed a high-profile measure to expand coverage to some undocumented immigrants. A ...
Douglas White knew high-deductible insurance is supposed to make patients feel the pain of medical prices and turn them into smart shoppers. So he shopped. He called around for price quotes on the CT scan his doctor ordered. After all, his plan’s $2,000 deductible meant paying the full cost out of pocket. Using information from ...
That sure is a lot of paper clips. Obamacare is set to add more than a quarter-of-a-trillion—that’s trillion—dollars in extra insurance administrative costs to the U.S. health-care system, according to a new report out Wednesday. (Tweet this) The $273.6 billion in additional insurance overhead represents an average of of $1,375 per newly insured person, per ...
Employer groups and insurers are pushing to keep businesses with 51 to 100 workers exempt from a provision of the federal health law that they say could significantly increase their costs. For these midsize employers, the Affordable Care Act’s requirements for what health plans must cover—and how they are priced—are set to take effect on ...
Dozens of health insurers say higher-than-expected care costs and other expenses blindsided them this year, and they’re going to have to hike premiums for individual policies well-beyond 10 percent for 2016. The proposed double-digit hikes would apply to plans sold on the health insurance exchanges created under President Barack Obama’s law, as well as individual ...