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 [...]
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 [...]
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, [...]
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 [...]
A federal appeals court called for Democratic states and the U.S. House to compile a brief which will explain the the legal standing for the Affordable Care Act (ACA). If the judges determine that there is no legal standing, then the ACA will be ruled as unconstitutional. Last year in June, the Trump Administration stated [...]
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 [...]
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 [...]
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 [...]
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 [...]
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 [...]