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Federal Judge Unsure of ACA Without the Tax Penalty

On Wednesday, U.S. District Judge Reed O'Connor stated his uncertainty on the validity of the individual mandate without holding a tax penalty for the mandate. In the 2017 tax overhaul, Congress had revoked the tax penalty, which penalized individuals who did not have health insurance. Judge O'Connor questioned whether the overhaul of the tax penalty [...]

By | 2018-09-07T10:06:19+00:00 September 7th, 2018|Articles, Government Mandates and Compliance|0 Comments

CMS Saved $314 Million from Medicare ACOs

Just after the Centers for Medicare and Medicaid Services proposed overhauling Accountable Care Organizations (ACOs), the CMS shared on Thursday that Medicare ACOs had made $1.1 billion from 2017 in savings. Of that $1.1 billion in savings, the CMS allocated $780 million with the Medicare ACOs, leaving the CMS with $313.7 million. The CMS recently [...]

By | 2018-08-31T15:26:52+00:00 August 31st, 2018|Articles, Industry Updates|0 Comments

GAO Released Report on 2018 Open Enrollment

The U.S. Government Accountability Office (GAO) released a report on August 23, 2018 regarding the effect the Trump Administration has had on open enrollment via healthcare.gov for 2018. The Trump administration has made many actions that have affected the outcomes of the 2018 enrollment period, including reducing the time frame from 90 days to 45 days [...]

By | 2018-08-24T12:53:57+00:00 August 24th, 2018|Articles, Industry Updates|0 Comments

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

Trump Administration Sued for Association Health Plan Rule

On Thursday, twelve Democratic Attorneys filed a lawsuit against the Trump Administration in an effort to block the association health plan rule that the Trump Administration had proposed. The final version of the association health plans last Tuesday and are meant to encourage healthy individuals to look for cheaper health coverage options, which could ultimately [...]

By | 2018-07-27T09:40:21+00:00 July 27th, 2018|Articles, Industry Updates|0 Comments

CMS Reconstructs Standards to Compensate for Telemedicine

The Centers for Medicare and Medicaid Services (CMS), proposed on Thursday their plans to compensate doctors for telehealth services, where it is consulting via telephone or other methods of telecommunication on multiple types of devices. Telehealth plays a significant role in providing health care to elderly and disabled patients, making it easier for physicians to [...]

By | 2018-07-13T13:35:07+00:00 July 13th, 2018|Articles, Industry Updates|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