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.
In the current Congress, Democrats were able to expand Affordable Care Act (ACA) subsidies and introduce drug price reforms, but experts say there could still be some progress on areas of common ground if Republicans take one or both chambers of Congress.
Government negotiation of Medicare drug prices—even for a small set of older, single-source drugs—is a remarkable policy development. But how exactly will the government do it? The Inflation Reduction Act (IRA), signed into law August 16, contains an 86-page blueprint laying out which drugs are on the table, implementation timelines, “factors” to be considered, and rules of engagement ...
The Consolidated Appropriations Act that passed this year will next year make self-insured employers the fiduciaries for the healthcare services that they purchase, which means they’ll have more say about quality and cost but also more responsibility. This portion of the approximately 5,600-page act hasn’t gotten as much attention as, for instance, the parts that guard against ...
Healthcare insurance premiums remained stable in 2022 compared to 2021 but might surge next year because of inflation and the demands of employees for better mental health coverage, according to the Kaiser Family Foundation’s “2022 Employer Health Benefits Survey.” “Demand” might be the right word, given the competition among employers for workers in a tight ...
It would be understandable if some leaders of self-funded benefits plans have not devoted ample time and attention to the Consolidated Appropriations Act (CAA), introduced into law in late 2021. Plan sponsors, including big and small companies, labor unions, and other organizations that provide health benefits, have had their hands full fending off challenges on ...
After several business groups complained about the original timeline of the DOL’s proposed independent contractor rule, the agency is now allowing interested parties 15 additional days to comment on the rule. The U.S. Department of Labor extended the deadline from November 28 to December 13. The proposed rule, released on October 11 (and published in the ...
Operating costs in healthcare centers and hospitals across the country are rising amid inflationary pressures, staffing shortages and supply chain disruption, and such locations are going to have to continue implementing measures to help mitigate the highly challenging situation, according to a report from the Medical Group Management Association. While revenues vary across locations, costs rose almost universally from ...
The federal government has eased its annual punishments for hospitals with higher-than-expected readmission rates in an acknowledgment of the upheaval the covid-19 pandemic has caused, resulting in the lightest penalties since 2014. The Hospital Readmissions Reduction Program has been a mainstay of Medicare’s hospital payment system since it began in 2012. Created by the Affordable ...
The Biden administration issued a final rule that seeks to make it easier for beneficiaries to enroll in Medicare and curb delays in getting coverage. The final rule, released Friday by the Centers for Medicare & Medicaid Services (CMS), would expand the number of special enrollment periods (SEPs) to let beneficiaries change their coverage outside ...
Business Insurance has selected The Word & Brown Companies among its “Best Places to Work in Insurance” for 2022. The award recognizes outstanding insurance-related employers for their outstanding performance in establishing workplaces where employees can thrive, enjoy their work, and help the companies grow.