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 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.
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 ...
Eighteen months after its final rule on price transparency went into effect, the Centers for Medicare and Medicaid Services issued its first penalties to a pair of Georgia hospitals that did not update their websites or reply to the agency’s warning letters. Northside Hospital Atlanta and Northside Hospital Cherokee have been issued civil monetary penalties ...
A recent survey of Medicare Advantage enrollees found 13% had a claim or pre-authorization request denied as the program has gotten scrutiny over its prior authorization practices. The survey, released Monday by the online insurance marketplace eHealth, also found that 67% of respondents chose MA over Medigap due to concerns over its affordability. The MA ...