Government Mandates and Compliance

//Government Mandates and Compliance

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

Democrats Condemn Trump’s ACA Abolishment

The Trump Administration had ordered the Justice Department to abolish the Affordable Care Act (ACA), which had been enacted nine years ago under the Obama Administration. The House of Representatives voted on Wednesday to stop the Justice Department from carrying out the ACA termination, with the final tally set at 240 to 186, counting eight [...]

By | 2019-04-04T15:11:54+00:00 April 4th, 2019|Articles, Government Mandates and Compliance|0 Comments

Federal Judge Overrules AHP Final Rule

On Thursday, a U.S. District Judge ruled against the Trump administration's efforts to expand on association health plan rules. The Trump administration had developed a final rule that allows for association health plans to be developed by associations and employers, which the judge has ruled that it is beyond the Trump administration's authority under the [...]

By | 2019-03-29T09:36:29+00:00 March 29th, 2019|Articles, Government Mandates and Compliance|0 Comments

Fewer Providers Participating in the Bundled Payments for Care Improvement Advanced Model

On Thursday, the Centers for Medicare and Medicaid Services (CMS) made the announcement that the number of providers who participate in the Bundled Payments for Care Improvement (BCPI) Advanced model has decreased by 16%, scaling down to 1,086 providers from 1,299 providers. The BCPI Advanced model was initially started in October 2018 as the first [...]

By | 2019-03-22T13:01:14+00:00 March 22nd, 2019|Articles, Government Mandates and Compliance|0 Comments

CMS Administrator Announces Stark Law Overhaul

After having received over 300 comments on recommended modifications to the Stark law, the Centers for Medicare and Medicaid Services (CMS) decided to make major changes to the federal law. CMS Administrator Seema Verma announced part of the big improvement to the Stark law on Monday, stating that the CMS will a major part will [...]

Texas Judge’s Ruling on ACA Impedes Medicaid Expansion Plans

On Friday, a federal judge from Texas had ruled that the Affordable Care Act, ACA, is unconstitutional, and has in turn caused some difficulties in Medicaid expansion. The federal judge, U.S. District Judge Reed O'Connor's ruling would most likely impact funding for Medicaid expansion, which provides healthcare support for adults with lower incomes. Judge O'Connor's [...]

By | 2018-12-19T13:31:49+00:00 December 19th, 2018|Articles, Government Mandates and Compliance|0 Comments

States Given Flexibility in Insurance Markets with Waivers

On Monday, the Centers for Medicare and Medicaid Services released a guidance that gave states more power to overhaul their own individual insurance markets through the 1332 waiver. The waiver is meant to stimulate enrollment and allow states to offer more cost-effective but lean association and short term insurance plans. Through the Affordable Care Act, [...]

By | 2018-10-25T09:25:23+00:00 October 25th, 2018|Articles, Government Mandates and Compliance|0 Comments