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Finalized Rule Can Jeopardize Legal Immigrants Residency for Using Medicaid

The Trump Administration finalized a rule on Monday that allows for legal immigrants to have their legal status threatened if these individuals utilize certain government benefits, such as Medicaid. The rule was published by the Federal Register by the Department of Homeland Security and will give authority to federal immigration officials to scrutinize the use [...]

By | 2019-08-16T13:44:36+00:00 August 16th, 2019|Articles, Government Mandates and Compliance|0 Comments

Majority of Short-Term Health Plans are Low Loss Ratios

In a study published by the National Association of Insurance Commissioners' 2018 Accident and Health Policy Experience, health insurance companies spend less on the dollar for their short-term health plans. These short-term health plans were recently given more access to by the Trump Administration last year. Compared to more extensive health plans offered on the [...]

By | 2019-08-09T12:14:38+00:00 August 9th, 2019|Articles, Industry Updates|0 Comments

Hospitals, Insurers Dispute Price Transparency Proposed Rule

Earlier this week, the Trump Administration had announced a proposed rule that will require hospitals to publicly post their prices for services on their websites. These prices are highly regarded by hospitals as secretive, as these are rates that are privately negotiated with healthcare insurance companies. Hospitals and insurers are speaking out against this rule, [...]

By | 2019-08-02T10:16:36+00:00 August 2nd, 2019|Articles, Government Mandates and Compliance|0 Comments

Short Term Health Plans Approved by Federal Judge

U.S. District Judge Richard Leon in Washington D.C. has ruled that short-term, limited-duration health insurance plan expansions are approved to move forward. In a court ruling, the Association for Community Affiliated Plans had attempted top strike down the Trump Administration's motion to expand the short-term plans, but had lost in the ruling. The Association for [...]

By | 2019-07-26T10:31:13+00:00 July 26th, 2019|Articles, Government Mandates and Compliance|0 Comments

Executive Order Issued on Healthcare Price Transparency

On Monday, June 24th, 2019, the Trump Administration will enact an executive order on the transparency of healthcare pricing. Within the order, healthcare providers and insurers will be required to disclose information about their negotiated rates and discounts. Through the Outpatient Prospective Payment System (OPPS) rule, federal agencies will be required start the regulatory process [...]

By | 2019-06-21T09:09:54+00:00 June 21st, 2019|Articles, Government Mandates and Compliance|0 Comments

Trump Issues Rule to Allow Employer Funded Health Plans

According to a new rule issued on Thursday by the Trump Administration, employers will be allowed to fund individual health plans for their workers. Previously, employers were allowed to fund health reimbursement accounts (HRAs) for workers to receive reimbursement for out-of-pocket medical expenses, but through this new rule, those HRAs can be used to purchase [...]

By | 2019-06-14T14:47:28+00:00 June 14th, 2019|Articles, Government Mandates and Compliance|0 Comments

Stark Law Hindering Progress for Value-Based Care Reimbursement

As the Centers for Medicare & Medicaid Services (CMS) continue their initiative to move healthcare towards a value-based care system, which is a form of reimbursement that ties payments for care delivery to the quality of care provided and rewards providers for both efficiency and effectiveness, one particular regulation stands in their way - the [...]

By | 2019-06-21T08:51:17+00:00 May 31st, 2019|Articles, Government Mandates and Compliance|0 Comments

Increase in Insurance Rebates Due to ACA Uncertainty

According to a report from the Kaiser Family Foundation, insurers who participate in selling health insurance plans in the Affordable Care Act (ACA) markets have collected more premiums than needed. The report estimates that insurers have collected an excess of $800 million in premiums and are expected to give these premiums back to consumers as [...]

By | 2019-05-09T10:45:20+00:00 May 9th, 2019|Articles, Industry Updates|0 Comments

More Physician Practices are Resorting to Private Equities for Investments

A growing number of physician practices are relying on private equity firms for investments, more than entrusting in hospital systems and larger physician organizations. Private equity firms are investing in  physician practices specializing in certain profitable specialties, such as  orthopedics, urology and gastroenterology. As certain compliance requirements have increased while reimbursement has decreased, physicians practices [...]

By | 2019-04-29T09:27:47+00:00 April 29th, 2019|Articles, Physician Issues & Best Practices|0 Comments