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.
Dive Brief: Arbiters can resume resolving payment disputes between providers and payers involving cases in which care was delivered prior to Oct. 25, the CMS said Friday. However, the arbitration process to is still on hold for disputes regarding services delivered on or after that date, following a federal judge’s decision earlier this month. The CMS is ...
Doctors, public health experts, and even Democratic members of Congress are sounding the alarm on a new Biden administration proposal to restrict access to a key addiction-treatment medication. The proposal would curtail access via telehealth to buprenorphine, a common and highly effective drug used to treat opioid use disorder. While doctors can currently give out both new ...
National Labor Relations Board this week put employers on notice that they can no longer silence laid-off employees in two very specific ways that the board says violates employees’ rights under sections 7 and 8(a)(1) of the National Labor Relations Act.
Humana is exiting the employer group commercial market after a strategic review of its business lines, the insurer announced Thursday.
The insurance industry and Republicans are using the debt ceiling fight and President Biden’s vows not to cut Medicare to fend off changes to private Medicare Advantage plans, which are popular among the public but have faced criticism about their costs to the government. So far this year, the Centers for Medicare and Medicaid Services ...
Amazon said Wednesday it has closed its $3.9 billion acquisition of the primary care organization One Medical. The e-commerce giant has said the buyout, which was announced in July, is a key component of its growing health care business, which includes its online drugstore Amazon Pharmacy and a patient to doctor messaging service called Amazon Clinic. One ...
It looks like California’s single-payer dreams will be delayed at least another year. After suffering a devastating blow in the Capitol last winter, advocates had been eager to reintroduce legislation that would create a first-in-the nation, state-run health care system.
Senators pilloried the lack of transparency from pharmacy benefit managers during a hearing Thursday, as lawmakers hope to pass reforms this session.
A key Senate panel is launching a major effort to shore up the healthcare workforce after lingering shortages have roiled the industry. The Senate Health, Education, Labor and Pensions (HELP) Committee held a hearing Thursday on addressing the crisis. Some of the policy solutions include expanding the Graduate Medical Education program and growing teaching health ...
A report released on Friday found that HIPAA complaints and breaches spiked between 2017 and 2021, with the agency in charge of handling the notices saying it lacks sufficient resources to properly respond. The Health Information Technology for Economic and Clinical Health Act requires the Department of Health and Human Services (HHS) to submit an ...