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 growth of high-deductible health plans led to people with employer-sponsored coverage paying for a larger share, on average, of their health care costs between 2013 and 2019, according to a new analysis by the Employee Benefit Research Institute.
The CMS is asking for public feedback on how to make the Medicare Advantage program more affordable, sustainable and equitable for enrollees, while driving better health outcomes.
Executives from some of the country’s largest for-profit health systems say it’s likely their organizations will be able to pass rising cost pressures along to commercial insurers during the next round of contract negotiations. Speaking to investors during earnings calls this past week, the hospital chains each reported limited non-COVID volumes, supply chain interruptions and ...
Democrats want to go into their August recess telling their constituents they’re lowering what they pay for medicines — but many of their promised changes won’t be felt for years, and only by a fraction of the nation. Drug-pricing legislation is expected to get a vote in the Senate as soon as this week as ...
The Biden administration finalized a 4.3% bump for inpatient payments for the federal fiscal year 2023, an increase compared to the 3.2% that was originally proposed back in April. The Centers for Medicare and Medicaid Services released on Monday the final Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System rule that ...
Karla Garcia said her son’s social media addiction started in fourth grade, when he got his own computer for virtual learning and logged on to YouTube. Now, two years later, the video-sharing site has replaced both schoolwork and the activities he used to love — like composing music or serenading his friends on the piano, ...
The feds expect Medicare Part D premiums to decline by nearly 2% next year. The Centers for Medicare & Medicaid Services (CMS) said Friday that it expects the average premium to decrease to $31.50 in 2023, or about 1.8% from the 2022 rate of $32.08. The projected monthly premiums are based on bids to CMS ...
Embracing these seven tips can help you prepare for what’s ahead later this year
Amazon's latest move to further entrench itself in health care will stoke heated competition by other major retailers to capture new customers by delivering primary care.
Study finds that more than three-quarters of respondents couldn’t identify the word coinsurance, and nearly half incorrectly defined copayment and deductible – and that’s just the beginning of their confusion about the U.S. health insurance system.