Government Mandates and Compliance

//Government Mandates and Compliance

Health Insurance Premiums Will Go Up Slightly in Some States

Amidst the uncertainty of the direction that health insurance will go these days, health insurance premiums are only expected to increase slightly in some states. The Trump Administration has been acting to radically change the Affordable Care Act and thus creating uncertainty and risk for health insurance carriers in the marketplace. The proposed health insurance [...]

By | 2018-08-17T09:27:15+00:00 August 17th, 2018|Articles, Government Mandates and Compliance|0 Comments

New Rule Will Expand Health Insurance Access

In an effort to make health insurance more affordable, the trump Administration has finalized a rule to expand access to health insurance coverage. This is aimed at consumers who were unable to purchase health insurance coverage in the individual market. The health insurance plans being offered are much more limited to other health insurance plans [...]

By | 2018-08-03T10:34:46+00:00 August 3rd, 2018|Articles, Government Mandates and Compliance|0 Comments

The CMS to Begin Auditing States for Improper Payments

The Center for Medicare and Medicaid Services (CMS), announced Tuesday that the organization will be enhancing their auditing efforts with the goal of ensuring that Medicaid beneficiaries are handled the right way. Medicaid beneficiaries are supposed to be identified as either expansion or pre-expansion enrollees, and states will receive match rates for the type of [...]

By | 2018-06-26T15:21:05+00:00 June 26th, 2018|Articles, Government Mandates and Compliance|0 Comments

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