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.
State employees and covered family members will have health coverage for gender reassignment and other transgender procedures under a new insurance policy that takes effect July 1. The Public Employee Benefits Program board voted in November to remove language in the state’s self-funded and HMO plans that specifically excluded therapy for gender dysphoria. Brock Maylath, ...
A California lawsuit accuses two surgeons and four hospitals in Las Vegas of participating in a massive health care fraud scheme that involved implanting counterfeit spinal hardware into unsuspecting patients. The case, filed in February by dozens of insurance companies in Los Angeles County Superior Court, was recently unsealed. According to the lawsuit, California-based Spinal ...
Gov. Brian Sandoval on Monday appointed Richard Whitley director of the Department of Health and Human Services. Whitley, former administrator of the Division of Public and Behavioral Health, has been interim director of the huge state agency since February. “Richard has proven to be a steady and capable leader and I am pleased to make ...
Nevada Commissioner of Insurance Scott J. Kipper announced Thursday his resignation effective July 2. “It has been an honor to have served the state of Nevada as commissioner,” Kipper said. “I am proud of the division’s accomplishments. I am certain that the Division of Insurance will continue to serve the consumers, protecting the rights of ...
The Affordable Care Act survived its second Supreme Court test in three years, raising odds for its survival but by no means ending the legal and political assaults on it five years after it became law.
Coinsurance? Premium tax credit? HMO and PPO? Swimming through the health insurance word soup can be frustrating for anyone. Even though I cover health, I couldn’t define “cost-sharing reduction plan” until I Googled it just now. And it seems I’m not the only clueless 20-something here. Young adults, who generally have little experience managing their ...
WASHINGTON — Millions of people gained health insurance last year as Affordable Care Act benefits took effect, according to the first official accounting by the federal government. In 2014, 36 million U.S. residents, or 11.5 percent of the population, were uninsured on the day they were surveyed, a decline of 8.8 million people and 2.9 ...
Anthem sees its more than $47 billion bid to buy rival Cigna as a way to muscle up on technology that helps consumers and to strengthen its rapidly growing Medicare Advantage business. Leaders of the Blue Cross-Blue Shield insurer reaffirmed on Monday their commitment to getting a deal done a day after Cigna shot down ...
WASHINGTON — The night his administration’s Affordable Care Act passed in 2010, President Obama described the victory the way he hopes historians will: as a “stone firmly laid in the foundation of the American dream.” But Mr. Obama’s prospects for a legacy of expanding health care coverage in the United States for generations have rarely ...
California’s health insurance exchange wants to know why you got sick this summer. With 1.4 million people enrolled, the state-run marketplace is embarking on an ambitious effort to collect insurance company data on prescriptions, doctor visits and hospital stays for every Obamacare patient. Covered California says this massive data-mining project is essential to measure the ...