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 order to stay in sync with the latest Centers for Disease Control and Prevention (CDC) recommendations, it’s time to say bye, bye, bye to the original Covid-19 mRNA booster vaccines. Or perhaps bivalent, bivalent, bivalent. Going forward, bivalent versions of the Pfizer/BioNTech and Moderna Covid-19 mRNA boosters are what’s going to be available, replacing ...
World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus said on Friday that the recent decline in monkeypox cases that has been observed in North America and Europe is evidence that the current outbreak can be stopped or eliminated outright. Tedros made note of how monkeypox has quickly grown in prominence from being a little-known virus that was ...
The Biden administration proposed new regulations aimed at overhauling the application and renewal processes for Medicaid and other government programs, including ensuring a beneficiary’s returned mail doesn’t automatically lead to coverage denials. The Centers for Medicare & Medicaid Services (CMS) released a proposed rule that makes changes to the enrollment process for Medicaid, Children’s Health Insurance Program ...
Healthcare prices have increased over the past year, and typically care prices and overall health spending outpace growth in the rest of the economy.
Cancer care has become the top driver of large employers' health care costs due to an increase in late-stage diagnoses, according to a new survey from the Business Group on Health.
The online retail giant revealed plans last week to shutter Amazon Care, its in-house business providing virtual and in-person medical services. The business launched in 2019 as a pilot project and then quickly expanded its telehealth services to all 50 states
For the second quarter in a row, the insurance industry saw the largest year-over-year growth in digital fraud attempts with an increase of 159% from Q2 2021 to Q2 2022, according to TransUnion’s latest quarterly fraud analysis report.
Telehealth, also known as virtual health care, offers patients the opportunity to see a doctor from almost anywhere if the patient and doctor have access to an online connection. It can be done on a laptop or desktop computer, tablet, or smartphone. Small business group health insurance plans have offered covered employees and family members ...
Virtual health is here to stay following a massive increase in use during the pandemic, but employers believe that it needs to evolve, a new survey shows. Nearly three-quarters (74%) of the 135 large employers surveyed this summer by the Business Group on Health said virtual care will have a major impact on care delivery in the ...
A new study by the Employee Benefit Research Institute (EBRI) found that workers with employer-sponsored health insurance are paying an increasing share of their health care costs. This is driven, primarily, by the growth of the High Deductible Health Plans (HDHPs).