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.
The growth in private sector U.S. healthcare spending is expected to slow next year, but continues to rise at a rate above the rest of the economy, according to a new report. The report from PricewaterhouseCoopers projects that private sector healthcare spending will grow by 6.5 percent in 2016. That is a slight reduction from ...
A Supreme Court decision in favor of the petitioner in King v. Burwell could trigger the end of the employer mandate, legal experts say, but it’s far from certain how the court will decide. The highly anticipated case, heard before the Supreme Court on March 4, challenges the legality of subsidies for individuals who bought ...
It will be up to state officials and Congress to help consumers who can’t afford health insurance if the Supreme Court strikes down health law subsidies for millions of Americans, Health and Human Services Secretary Sylvia Burwell said Wednesday. “The critical decisions will sit with the Congress and states and governors to determine if those ...
An increasingly public battle between payroll giant ADP and Silicon Valley start-up Zenefits has taken a legal turn, with ADP suing Zenefits for defamation and the “intentional interference with prospective economic relations.” Zenefits, which Forbes listed as one of the “Hottest Startups of 2014,” offers HR services — such as payroll, onboarding and insurance processing ...
The clock is ticking for various state legislatures that are pondering a change in the way their residents enroll in public health insurance exchanges ahead of the widely anticipated June ruling in King v. Burwell on whether federal subsidies will be scrapped in 34 states that rely on Healthcare.gov for signups. One such example is a joint ...
The list continued to grow of preventive services that people are entitled to receive without paying anything out of pocket. In 2014, the U.S. Preventive Services Task Force recommended two new services and tweaked a handful of others that had previously been recommended. Under the health law, preventive care that receives an “A” or “B” ...
California lawmakers are advancing legislation to add pregnancy to the list of so-called ‘life-qualifying events’ allowing people to buy health insurance outside the regular open enrollment period. U.S. Sens. Barbara Boxer and Dianne Feinstein of California have urged the state to adopt the measure, and advocates are pressuring federal health authorities to do the same. ...
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 ...