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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.

More Medicine Goes Off Limits in Drug-Price Showdown

Steve Miller is waging war on high-priced medicine, guiding decisions to ban drugs from the health plans of millions of Americans and sending companies reeling in a $270 billion market.

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Using Doctors with Troubled Pasts to Market a Painkiller

Dr. Judson Somerville, a pain specialist in Laredo, Tex., received $67,000 in speaking fees, travel and meals in 2013 to promote a powerful and addictive painkiller called Subsys, according to a new federal database of payments that drug companies make to physicians.

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Administration Warns Employers: Don’t Dump Sick Workers from Plans

As employers try to minimize expenses under the health law, the Obama administration has warned them against paying high-cost workers to leave the company medical plan and buy coverage elsewhere.

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Immigrant Baffled by HealthCare.gov Lapse

HealthCare.gov is working better, but immigrants are running into what looks like an obvious slip-up.

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Obamacare Premiums for Most Popular Plans Will Spike 10 Percent

Premiums on the most popular Obamacare exchange plans will increase by an average of 10 percent in 2015, according to an analysis released Thursday that underscores the importance of shopping around in the law's second year.

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Health Insurance Enrollment for Exchanges Was Overcounted

The Obama administration acknowledged on Thursday that it overcounted the total number of people signed up for health insurance through the Affordable Care Act exchanges.

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Obamacare Users Would Move to Low-Cost Plans in 2016 Under U.S. Proposal

Obamacare customers who choose to re-enroll in insurance plans would automatically default to cheaper coverage during sign-up periods, protecting them from price increases, under rules proposed by the U.S. government.

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The Industrialization of Care: How Medical Care Is Being Corrupted

WHEN we are patients, we want our doctors to make recommendations that are in our best interests as individuals.

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Financial Health of Insurance Marketplace to be Tested in 2nd Year; Must be Self-Sustaining

The federal government shelled out billions of dollars to get health insurance marketplaces going in the 14 states that opted to run their own.

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HHS Formally Moves To Close Loophole Allowing Plans Without Hospital Benefits

The Obama administration took another step to close what many see as a health-law loophole that allows large employers to offer medical plans without hospital coverage and bars their workers from subsidies to buy their own insurance.

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