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.
California regulators won't challenge the next round of health insurance rate increases in the state exchange, but insurers' narrow networks of doctors and hospitals are drawing tougher scrutiny.
A federal district judge in Oklahoma dealt a blow to the Affordable Care Act on Tuesday, ruling that the federal government could not subsidize health insurance in three dozen states that refused to establish their own marketplaces. This appears to increase the likelihood that the Supreme Court will ultimately resolve the issue.
The clock is ticking for Tommy Cain and thousands of other U.S. employers facing deadlines to make changes to the health insurance they offer their employees under the Affordable Care Act. Mr. Cain has already met one of the law's key requirements: offer health insurance to at least 70% of full-time staffers by 2015, or face penalties.
Hundreds of thousands of Americans face a Tuesday deadline to verify their income and are at risk of losing or having to pay back their federal health-insurance subsidies under the Affordable Care Act.
Lance Shnider is confident Obamacare regulators knew exactly what they were doing when they created an online calculator that gives a green light to new employer coverage without hospital benefits. “There’s not a glitch in this system,” said Shnider, president of Voluntary Benefits Agency, an Ohio firm working with some 100 employers to implement such plans. “This is the way the calculator was designed.”
The total price tag for ObamaCare's main enrollment portal now stands at more than $2 billion, according to a new analysis by Bloomberg Government. The new total, released Wednesday, includes efforts to construct and then fix HealthCare.gov after serious technical problems threatened to shutter the site last fall.
The Obama administration increased the pressure on states to expand Medicaid on Wednesday, citing new evidence that hospitals reap financial benefits and gain more paying customers when states broaden eligibility.
Crawford Memorial Hospital, in rural Robinson, Ill., is the only hospital for miles around. Just like elsewhere, Crawford’s doctors deliver babies, perform routine operations and see thousands of patients in the emergency room.
Consumers in much of the country will have a broader selection of health insurance plans next year, the Obama administration said Tuesday, as it predicted an increase of about 25 percent in the number of insurers that are expected to compete in federal and state marketplaces.
If an employer has 15 or more employees, it’s illegal to discriminate against someone who has a condition that makes work harder. The business has to try to make reasonable accommodations, including restructuring a job, adjusting training, providing devices for the disabled or even reassigning an employee to a vacant job.