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 COVID-19 public health emergency is expected to end early in 2023, which means that next year will be marked by millions of Americans having to be determined eligible to continue to receive Medicaid benefits. According to an analysis by the Kaiser Family Foundation, an estimated 5.3 million to 14.2 million Americans could lose their Medicaid coverage ...
Under federal rules taking effect Thursday, health care organizations must give patients unfettered access to their full health records in digital format.
Administrative spending makes up 15% to 30% of all U.S. medical spending—multiple times as much as other comparable countries—and “at least half” of that spending “does not contribute to health outcomes in any discernable way,” according to estimates cited in a new Health Affairs research brief. So-called wasteful administrative spending is estimated to comprise 7.5% to ...
Don’t be surprised if you spend more time this year picking health-care benefits during open enrollment season. Between rising inflation, policy-specific changes and employees wanting more health-care services, many people won’t be clicking the exact same boxes as last year. Last year during open enrollment — generally in the October and November timeframe — people ...
Mark Cuban Cost Plus Drug Company nabbed its first health plan partner, Capital Blue Cross. Beginning this month, the Pennsylvania-based plan and Mark Cuban’s drug company (MCCPDC) will begin to let members and community organizations know about their collaboration and how they can access low-cost drugs, according to a press release. In 2023, Capital Blue Cross members ...
California voters strongly support Gov. Gavin Newsom’s plan to set up a new court system for people struggling with a combination of severe mental illness, homelessness and substance use, but split with the governor on requiring children to attend kindergarten, a new poll shows.
Telemedicine exploded in popularity after COVID-19 hit, but limits are returning for care delivered across state lines.
The COVID-19 pandemic combined with the Affordable Care Act resulted in a historic high percentage of Americans having health coverage. What’s behind this historic high? Two experts from Manatt Health looked at trends in access to care through Medicare, Medicaid and the commercial health insurance market at a webinar on Thursday. Between 2011 and 2021, ...
The Centers for Disease Control and Prevention (CDC) will stop reporting daily COVID-19 cases later this month and switch to weekly reports after more than two years of near constant daily updates. In an update regarding its coronavirus data and surveillance, the CDC said it was transitioning from daily to weekly reports to allow for more ...
Three-quarters of Americans give U.S. healthcare affordability a D or F rating, according to a new poll from Gallup and West Health. More than 5,000 Americans were asked to grade the U.S. healthcare system overall and regarding affordability, equity, accessibility and quality. Overall, 44% of Americans gave the entire system a poor or failing grade. ...