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.
After three years, only a third of 2,000 U.S. hospitals reviewed were in compliance with the Hospital Price Transparency Rule of 2021, says a new PRA report, which puts some of the blame on feds for not enforcing the rule.
The latest attempt to bring a single-payer healthcare system to California failed in the state Legislature on Thursday, undercut by its steep price tag as lawmakers struggle with a mounting budget shortfall.
Following the Change Healthcare and Ascension breaches, this new HHS program will solicit proposals from companies that can create tools to ensure internet-connected hospital equipment is kept safe and functional.
An emerging legal battle over workplace health insurance could empower employees to fight back against high costs and put new pressure on their employers. Why it matters: Workers fed up with rising health care costs, which also eat into their wages, are filing lawsuits aiming to hold employers accountable for cutting what they say are bad deals with firms ...
The U.S. Department of Justice (DOJ) announced Thursday it has established a new task force to take on healthcare monopolies and collusion. The task force, called HCMC for short, will guide the division’s enforcement strategy and policy approach in healthcare, including by facilitating policy advocacy, investigations and, where warranted, civil and criminal enforcement in healthcare ...
President Biden’s administration is working overtime to ensure his health care priorities are protected from a potential second Trump White House. In recent weeks, regulatory agencies have been racing against the clock to finalize some of their most consequential policies.
As concerns continue to be raised about consumer barriers to care resulting from prior authorization requirements, the federal government issued a final regulation aimed at streamlining and automating the prior authorization process and improving transparency for certain payers.
President Joe Biden counts among his accomplishments the record-high number of people, more than 21 million, who enrolled in Obamacare plans this year. Behind the scenes, however, federal regulators are contending with a problem that affects people’s coverage: rogue brokers who have signed people up for Affordable Care Act plans, or switched them into new ...
The 2018 rule sought to expand opportunities for smaller employers to join together to serve as the sponsor of a single, multiemployer health plan but was never implemented after a court ruling blocked it.
The new dispute resolution process is designed to use government officials to oversee disagreements, however, lobby group PhRMA said the new process "panders to 340B hospitals" while ignoring drugmakers' concerns.