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.
Workers’ compensation claims can result directly from worksite conditions, whether in construction, manufacturing, distribution, office or other environments. The Occupational Safety and Health Administration (OSHA) tracks violations of safety and health standards, which can lead to workers’ comp claims.
Harmony is not often found between two of the most boisterous senators on Capitol Hill, Bernie Sanders (I-Vt.) and Rand Paul (R-Ky.). But it was there at Tuesday’s Senate Health, Education, Labor and Pensions Committee markup of legislation to reauthorize the Food and Drug Administration’s user fee program, which is set to expire Sept. 30. This user fee program, which ...
Flexible spending accounts can be a useful way for workers to stretch health-care spending dollars further than they otherwise could. However, little is known about how workers use — or don’t use — FSAs. In response, the Employee Benefit Research Institute established the FSA Database to shine a light on this under-researched employee benefit. Analysis of this ...
The American Hospital Association has urged the Centers for Medicare and Medicaid Services to extend enforcement discretion for the No Surprises Act regulatory requirement that healthcare providers exchange certain information to create a good faith estimate for uninsured and self-pay patients – until the agency identifies, and providers can implement, a standard, automated way to exchange the ...
Transparency is an ongoing, major focal point in the health insurance and health care industries. Federal and state laws have been enacted across the country, aimed at making the costs of health care and health insurance more available, transparent, and digestible for consumers and the general public. In 2020, the Departments of Health and Human ...
Four in 10 employees deferred healthcare in the past year, according to a new report from Willis Towers Watson. The survey, which polled more than 9,600 workers in the U.S., found that 28% delayed or canceled a medical procedure, while 17% did not fill a prescription. Twenty percent of those surveyed said their provider canceled the ...
Hospital groups and providers are demanding the Biden administration increase a proposed 3.2% pay bump for inpatient payments to facilities, arguing inflation and a staffing crisis are still hitting them hard. The Centers for Medicare & Medicaid Services (CMS) proposed the pay bump for fiscal year 2023 as part of the Inpatient Prospective Payment System ...
Meta Platforms Inc. was sued over claims that private medical data is being shared secretly with Facebook when patients access web portals for some health-care providers. Facebook’s Pixel tracking tool redirects patient communications and other supposedly “secure” information without authorization and in violation of federal and state laws, according to the lawsuit filed Friday in San ...
Californians have traveled a bumpy road to post-pandemic recovery, with healthy employment and wage growth on the one hand, but soaring inflation and cost-of-living increases on the other.
When Cynthia Johnson learned she would owe $200 out-of-pocket for a diagnostic mammogram in Houston, she almost put off getting the test that told her she had breast cancer.