Government Mandates and Compliance

//Government Mandates and Compliance

U.S. Justice Department Declines to Defend Obamacare in Lawsuit

On Thursday, the U.S. Justice Department declined to defend the Affordable Care Act against states request to invalidate the mandate. The lawsuit, filed by 20 Republican state attorneys general, was pushed back  by the Justice Department, due to the fact that the tax penalty is still in motion until the beginning of 2019. The Justice Department's [...]

By | 2018-06-08T14:48:13+00:00 June 8th, 2018|Articles, Government Mandates and Compliance|0 Comments

Thousands of Doctors Will Face Penalties for Not Meeting MIPS

In an announcement on Thursday from the Center for Medicare and Medicaid Services Administrator, the CMS reported that 91% of physicians who were eligible to participate in MIPS, the Merit-based Incentive Payment System, submitted data in 2018. The CMS' goal for participation in MIPS was a 90% rate. Of the pool of 1.5 million clinicians [...]

By | 2018-06-01T13:39:07+00:00 June 1st, 2018|Articles, Government Mandates and Compliance|0 Comments

Uninsured Rate Stays Stable in Defiance of ACA Criticism

Despite the constant attack on the Affordable Care Act from the Trump administration, a study found that uninsured rate has held at a steady constant since 2017. The study from the Centers for Disease Control and Prevention that was released last Tuesday showed that the uninsured rate stayed right at 9.1% during Trump's presidency. Although [...]

By | 2018-05-22T15:19:37+00:00 May 22nd, 2018|Articles, Government Mandates and Compliance|0 Comments

President Trump Announces Plan to Lower Drug Prices

President Trump announced today his plan to lower drug prices. Named "American Patients First," the plan outline's Trumps intentions to create incentives to lower drug prices, stir competition and the improve negotiation. During Trump's speech, he criticized the prescription drug middlemen, even saying that they are "getting away with murder." He also said that the [...]

By | 2018-05-11T14:24:53+00:00 May 11th, 2018|Articles, Government Mandates and Compliance|0 Comments

CMS Proposes Direct Provider Contract Model

On Monday, the Centers for Medicare and Medicaid Services announced their intent to institute a direct provider contract pay model. Within this proposed pay model, those who are enrolled in Medicare coverage can deal directly with their physicians in terms of their health bills. Through this new pay model, physicians can bill differently than Medicare's [...]

By | 2018-04-24T15:20:47+00:00 April 24th, 2018|Articles, Government Mandates and Compliance|0 Comments

2018 ACA Enrollment Falls Short of 2017 Enrollment

According to the Centers for Medicare and Medicaid Services on Tuesday, the total enrollment number for health insurance coverage through the Affordable Care Act exchanges is 11.8 million people. These enrollees comprise of Americans who signed up via federal or state based exchanges or those who automatically enrolled for coverage. Of this count, 27% of [...]

By | 2018-04-06T13:09:44+00:00 April 6th, 2018|Articles, Government Mandates and Compliance|0 Comments

Stabilization Package Denied, State Insurers Struggling for a Solution

As the stabilization package proposed by Republicans gets heavily opposed by Democrats, state insurers are left in a scramble before they are required to file their rate requests in May 2018. The stabilization package that failed to pass included funding for Cost Sharing Reductions (CSR) and a $30 billion reinsurance pool. The stabilization package lowered [...]

By | 2018-03-27T10:18:50+00:00 March 27th, 2018|Articles, Government Mandates and Compliance|0 Comments

ACA Premiums Expected to Increase in the Next 3 Years

A new report published by California's insurance marketplace found that premiums for Affordable Care Act health plans are expected to increase within the next three years. The analysis was conducted nationwide and found that the insurance premiums will most likely increase by 35% to 94%. Although there is a variance between states on the increase [...]

By | 2018-03-27T10:19:29+00:00 March 13th, 2018|Articles, Government Mandates and Compliance|0 Comments

Proposed Rule Seeks to Expand Access to Associated Health Plans

In an effort to increase access to affordable healthcare coverage, the Trump Administration on Thursday morning proposed a new rule that aims to expand access to certain associated health plans. The rule is meant to stir competition in the health insurance markets. Within the rule, small businesses and those who are self-employed will be able [...]

By | 2018-03-27T10:21:06+00:00 January 5th, 2018|Articles, Government Mandates and Compliance|0 Comments

GOP Tax Reform Bill Causes a Big Hit to the ACA

Tax Reform Bill Repeals Individual Mandate in the Affordable Care Act Last week, the GOP tax reform bill was passed, which contained a provision that dismantled an individual mandate in the Affordable Care Act that will affect health care in the U.S. President Trump had stated that with the passing of this bill, his Administrations [...]

By | 2018-03-27T10:21:44+00:00 December 27th, 2017|Articles, Government Mandates and Compliance|0 Comments