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.
New enrollees in the Affordable Care Act's exchanges in 2015 spent less on prescription drugs and tended to be younger than new enrollees last year, according to a report from pharmacy benefits manager Express Scripts, Modern Healthcare reports.
Dr. Michael Kaplan looked across his desk at a woman who had sought out his Long Island Weight Loss Institute and asked the question he often poses to new patients: “Where do you think you go wrong with food?”
President Barack Obama announced new rules that will require businesses to pay more in overtime wages, in a push to protect middle class pay and the 40-hour work week.
Insurers are sizing up their reimbursements under CMS' reinsurance program and some plans appear to be off on their estimates.
Jaws dropped earlier this year when Gov. Jerry Brown told the Legislature that he wanted to set aside $300 million for two years' worth of specialty drugs for Medi-Cal users, state prisoners and others covered by state health programs.
Hillary Rodham Clinton sharpened her partisan rhetoric to appeal to Democratic primary voters here Friday by issuing a dire warning: President Obama's health care law would disappear if a Republican wins the White House in 2016.
WASHINGTON — Health insurance companies around the country are seeking rate increases of 20 percent to 40 percent or more, saying their new customers under the Affordable Care Act turned out to be sicker than expected. Federal officials say they are determined to see that the requests are scaled back. Blue Cross and Blue Shield ...
Don Goldmann was named to the National Association of Health Underwriters (NAHU) Board of Trustees as president at the 85th Annual Convention and Exhibition in New Orleans, LA.
California insurers have received nearly $1.2 billion through the Affordable Care Act's reinsurance program, according to a Covered California analysis of a recent CMS report, Business Insurance reports (Geisel, Business Insurance, 7/6).
Aetna aims to spend about $35 billion to buy rival Humana and become the latest health insurer bulking up on government business as the industry adjusts to the federal health care overhaul.