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 National Community Pharmacists Association wants Elon Musk’s Department of Government Efficiency to help it fight the pharmacy benefit managers. The pharmacist group announced Friday that it had sent a letter encouraging DOGE to search for waste, fraud and abuse at PBMs. The PBMs contend that they fight to hold down prescription drug costs for employer health plan ...
The U.S. Supreme Court implied Friday that the outcome of a big Affordable Care Act preventive services benefits case may depend on legal issues that are unrelated to health insurance.
The state’s health insurance exchange transmitted pregnancy and domestic abuse data during a marketing campaign. It is reviewing its website practices.
Following oral arguments Monday, legal onlookers are giving the edge to the federal government in a lawsuit against employer Braidwood Management as the company tries to overturn a provision requiring private insurers to cover certain cost-free preventive services through the Affordable Care Act (ACA) marketplace or in employer-based coverage.
Health systems would be subject to greater oversight under a White House proposal to expand hospital cost report audits. The White House Office of Management and Budget is seeking information from the Centers for Medicare and Medicaid Services as it weighs whether to increase funding for hospital cost report auditing, according to a leaked draft ...
The ask to the U.S. Department of Labor cites a POLITICO investigation into 1199SEIU President George Gresham’s use of union funds.
Starting in 5 days, the Department of Health and Human Services (HHS) may begin slashing regulations it considers to be unlawful or to exceed the agency’s authority, according to a memorandum sent by the president on Wednesday.
President Donald Trump said Tuesday that pharmaceutical imports will soon be hit with “major” tariffs as part of his efforts to drive manufacturing back to the U.S. Drug imports evaded the first round of tariffs that Trump imposed on countries around the world, but the president said they will not be spared. “We’re going to ...
Even before President Trump’s announcement that he plans a “major tariff” on pharmaceuticals, the sector was getting hammered in the markets — and not just over concerns about higher costs. Why it matters: Investors are also responding to broader uncertainty about the Food and Drug Administration and how the industry will be regulated, experts tell Axios. ...
A new California law is about to make infertility coverage – including IVF (in vitro fertilization) – a standard benefit in fully insured Large Group plans. SB 729, signed into law by Governor Newsom in 2024, requires plans issued, amended, or renewed on or after July 1, 2025, to include coverage for the diagnosis and treatment of ...