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.
Since 2017, GoodRx has helped millions of people find deals on prescription drugs via an app and website. But what its customers may not have known is that the Santa Monica-based health company had also been sharing information about their prescriptions and illnesses with third parties such as Google and Facebook for advertising purposes.
After railing at the injustices of U.S. health care for decades, Sen. Bernie Sanders in January became the new chairman of the Senate Health, Education, Labor & Pensions Committee. The job gives the health care industry’s biggest Washington nemesis an unprecedented opportunity to shape health care reform in Congress.
The Biden administration rolled out new guidance to drugmakers for meeting a new requirement to dole out rebates if their prices on Medicare Parts B and D go above inflation. The guidance, released Thursday by the Department of Health and Human Services (HHS), implements a key part of the Inflation Reduction Act passed last year. ...
Senate Republican Leader Mitch McConnell said any idea on sunsetting Social Security and Medicare belongs to Sen. Rick Scott—not the GOP. “Unfortunately, that was the Scott plan, that’s not a Republican plan,” McConnell said on a Kentucky radio program. McConnell’s comments about Scott, a GOP rival, come as the White House continues to spotlight how Republicans heckled — and apparently committed ...
Agents are still required to earn at least three hours of Ethics CE training to renew a license, but under the new requirements, one of those hours must now focus entirely on fraud prevention. The CDI has developed its own one-hour CE course to satisfy this requirement. Taking the CDI course is the only way to earn this hour of CE.
As more employers, transition to High Deductible Health Plans (HDHPs) and Health Savings Accounts (HSAs) to control rising health care costs, they should familiarize themselves with the IRS rules governing HSAs. Failure to understand the rules governing HSAs can have tax and legal implications for employees and employers alike.
Individuals are not the only ones making resolutions for 2023. The ERISA Industry Committee (ERIC) spelled out its objectives in a recent letter to congressional leaders.
The coming end of the COVID-19 public health emergency and pandemic-era telehealth flexibilities could rattle an already besieged behavioral health system and force providers to make ethical decisions. The public health emergency, which President Biden will end May 11, allowed clinicians to prescribe controlled substance medications via telehealth without an office visit. The 2008 Ryan ...
Top Medicare and Medicaid officials want to create a “universal foundation” of quality measures aligned across all programs in a bid to ease reporting burdens and confusion. Officials with the Centers for Medicare & Medicaid Services called for aligning quality measures across more than 20 agency programs in a letter in The New England Journal of ...
The fear started when a few patients saw their nurses and dietitians posting job searches on LinkedIn. Word spread to Facebook groups, and patients started calling Coram CVS, a major U.S. supplier of the compounded IV nutrients on which they rely for survival. To their dismay, CVS Health confirmed the rumors on June 1: It ...