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.
On February 17th, 2022, Senators Mark Warner (D-VA) and Rob Portman (R-OH) introduced S. 3673. This bipartisan bill will provide much-needed relief for employers seeking to comply with the reporting requirements under Section 6055 and 6056 for enforcement of the ACA's individual and employer mandates.
Upon analyzing the 10 drugs that amounted to the highest Medicare Part B spend from 2018-2020—and were purchased, stored and administered in a healthcare setting—an AHIP study published Wednesday found that drug treatments given in hospitals were marked up an average of $7,000, when compared to those purchased through specialty pharmacies.
The passage of a federal American Rescue Plan relief bill last year, which expanded health care subsidies within the Affordable Care Act, resulted in a 25% increase in enrollment in Nevada, officials said.
The Centers for Medicare and Medicaid Services is delaying the release of the hospital star ratings from April until June due to an error in one of the measures. CMS is updating the Overall Hospital Quality Star Ratings on the Care Compare website from April until July so it can correct a calculation error in ...
The Biden administration is debating whether to overhaul a major Trump-era program tied to Medicare as soon as this week in the face of rising pressure from prominent progressive Democrats, more than a half-dozen people familiar with the matter told POLITICO. The Trump program — known as a direct contracting model — allows private companies ...
The Centers for Disease Control and Prevention was expected as early as next week to loosen its guidance on indoor masking as COVID cases and hospitalizations continue to drop and the White House considers a new nationwide strategy to move past the pandemic.
Republicans in Congress have asked President Biden to end the designation of COVID-19 as a public health emergency (PHE), citing the accessibility of vaccines and effective treatments as well as the harms of long-term isolation on public health.
Unable to tame inflation that has worsened sharply under his watch, President Joe Biden stressed Thursday that his administration’s policies would cut prescription drug prices and make life more affordable for families. His pitch, which he delivered at a community college in Culpeper, Virginia, came on the heels of a dire inflation report released earlier ...
The Biden administration and state officials are bracing for a great unwinding: millions of people losing their Medicaid benefits when the pandemic health emergency ends. Some might sign up for different insurance. Many others are bound to get lost in the transition. State Medicaid agencies for months have been preparing for the end of a ...
Amazon.com Inc. says its medical consultation service is expanding around the U.S., underscoring the company’s determination to become a major player in the health care industry. Amazon Care offers virtual health services nationwide and this year will expand in-person care to 20 more cities, including New York, San Francisco, Miami and Chicago, Amazon said Tuesday in ...