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.
Dr. Steven-Huy Han, a UCLA liver specialist, has prescribed Ocaliva to a handful of patients, although he’s not sure it helps. As advertised, the drug is lowering levels of an enzyme called alkaline phosphatase in their blood, and that should be a sign of healing for their autoimmune disease, called primary biliary cholangitis. But “no ...
Health care providers, nursing home representatives, and advocates for residents say Medicare Advantage plans are increasingly ending members’ coverage for nursing home and rehabilitation services before patients are healthy enough to go home.
A U.S. Army major doctor and their physician wife were arrested for an alleged criminal plot to give Russia confidential medical information about people connected to the American military and government.
The Food and Drug Administration wants to update its rules for which foods can be branded “healthy.” The proposed label rule aims, in part, to address a question as old as medicine: What does it mean for a food to be healthy? It would update the “healthy” label guidelines from 1994 to match up-to-date nutrition ...
Financial advisors and investors are weighing the implications of the latest rate hike by the Federal Reserve last week. The Fed announced it will raise benchmark interest rates by three-quarters of a percentage point and indicated that more increases likely are ahead. The latest rate hike is the third consecutive .75% percentage point move and ...
President Joe Biden caused a stir in a “60 Minutes” interview on Sept. 18 when he declared that the covid-19 pandemic is over. “We still have a problem with COVID— we’re still doing a lot of work on it,” Biden said. “But the pandemic is over.”
The American Telehealth Association is working with Congress and several federal agencies to shape the fate of policies and payments for telehealth services that experienced a rapid uptake during the COVID-19 pandemic.
The Texas Medical Association issued a new lawsuit Thursday taking aim at a modified rule implementing a surprise medical bill ban, with the group charging the regulation still unfairly favors insurers.
Overall spending on mental health services increased from 6.8% to 8.2% between 2013 and 2020, according to a new study published by the Employee Benefit Research Institute (EBRI).
America’s prescription-drug prices are out of control. The problem is so large that it has begun attracting high-profile new market entrants, like the Mark Cuban Cost Plus Drug Company that launched earlier this year. Cuban seeks to fix the convoluted prescription-drug market by not taking insurance, and charging 15% over cost. But another path exists for health ...