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.
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.
Los Angeles-based managed care provider Health Net is being acquired by Centene Corp. in a deal valued at $6.8 billion. The deal could mean job losses at Health Net offices in Rancho Cordova, where more than 2,400 of the Woodland Hills-based health insurer's employees work.
The right to marry in any state won’t be the only gain for gay couples from last week’s Supreme Court ruling. The decision will probably boost health insurance among gay couples as same-sex spouses get access to employer plans, say analysts and benefits consultants. How much is unclear, but “it’s going to increase coverage” in ...
After the Supreme Court on Thursday ruled to uphold Affordable Care Act subsidies to help U.S. residents purchase coverage through the federal exchange, the GOP could turn to budget reconciliation as part of its efforts to repeal the law, National Journalreports (Scott/Johnson, National Journal, 6/25). Background The subsidies were challenged in the case King v. ...
U.S. Health and Human Services Secretary Sylvia Burwell said on Thursday the Obama administration will focus on improving quality over quantity in the nation’s healthcare system in the implementation of the Affordable Care Act. The Supreme Court ruled earlier on Thursday to uphold the nationwide availability of tax subsidies that are crucial to President Barack ...
If the physician networks for plans sold on the health law’s online insurance exchanges were T-shirts, more than 40 percent would be size X-small or small. That’s the takeaway from a new study that analyzed nearly 400 physician networks in silver-level plans sold around the country in 2014. The study labeled 11 percent of plans ...