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Compliance & Legal

By Susan Morse | 10:52 am | November 10, 2020
The severability issue of the individual mandate is where "the rubber hits the road," says AHIP Attorney Pratik Shah.
By Kat Jercich | 04:30 pm | November 03, 2020
The fines are the latest effort on OCR's part to enforce HIPAA regulations around protected health information.
By Susan Morse | 06:58 pm | November 02, 2020
Democratic opponents say the "unlawful waiver" will expose consumers to greater financial risk by encouraging the use of junk plans. 
By Jeff Lagasse | 11:38 am | October 28, 2020
The president’s comments at a recent rally are false and contribute to the spread of misinformation, they say.
By Jeff Lagasse | 05:06 pm | October 22, 2020
The relief resources are meant to assist providers regardless of whether they accept Medicare or Medicaid payments.
By Jeff Lagasse | 02:37 pm | October 22, 2020
Heritage Health Adult will create a two-tiered Medicaid system, with enhanced benefits for those who meet requirements.
By Jeff Lagasse | 02:00 pm | October 20, 2020
Insurer participation is increasing for the third straight year, with the percentage of enrollees with access to just one insurer dipping to 4%.
By Jeff Lagasse | 11:57 am | October 16, 2020
CMS estimates that more than 30,000 people will receive Medicaid coverage during the first year of the demonstration.
By Susan Morse | 11:50 am | October 16, 2020
The layoffs are unrelated to a $6.8 million settlement Premera agreed to pay last month relating to a 2014 data breach.
By Kat Jercich | 02:30 pm | October 15, 2020
Hospital associations call the threat from CMS to withhold Medicare and Medicaid participation for non-compliant data reporting "reckless."