Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

California's four largest health plans could owe $10B in back taxes

Depending on how pending lawsuits play out in court, California's four largest health plans could owe the state $10 billion in back taxes--and be subject to a hefty tax bill in the future, according to the  San Jose Mercury News.  

ER drug shortages for life-saving medications on the rise

Drug shortages in hospital emergency departments have worsened, increasing more than 400 percent since 2008, according to a study published in Academic Emergency Medicine.

Questions about HHS transparency impede health reform progress

You might think that after the Supreme Court rejected a series of Affordable Care Act challenges and a presidential veto nixed Congress' repeal attempt, ACA opponents might take a break to lick...

CMS sanctions Cigna over 'substantial failures' in Medicare plans

Federal regulators have banned Cigna from selling new Medicare products because of issues with its Part C and Part D plans that increased enrollees' out-of-pocket expenses which led to delays or denials in receiving medical services and prescription drugs.  

The downside of tightening special enrollment period rules

Though health insurers have pressured the government to tighten its rules governing the Affordable Care Act's special enrollment periods, doing so may not be in the best interests of consumers or health plans.  

Lawmakers slam oversight of failing CO-OPs

At a Senate committee hearing Thursday, Congress members grilled Centers for Medicare & Medicaid Services Acting Administrator Andy Slavitt about what has gone wrong with the Affordable Care Act's flailing startup health insurers.  

Price variation among hospitals hurts patients

There is an enormous variation in prices for identical healthcare services in Massachusetts, a finding that worried members of a special commission that studies the Bay State's healthcare policies.

Lawmakers subpoena IRS, Treasury over ACA payments

Following what they claim is the Obama administration's unlawful payments to insurance companies for almost a year, Rep. Fred Upton (R-Mich.) and Rep. Kevin Brady (R-Texas) have submitted subpoenas to both the IRS and the Secretary of the Treasury, according to an announcement from the House Energy and Commerce Committee.

Security breach exposes info of Blue Shield of California members

Blue Shield of California has experienced a security breach that exposed the personal information of nearly 21,000 customers late last year, the  Orange County Register  reports.  

Supreme Court rules against health plan in injured-beneficiary case

In a decision handed down Wednesday, the Supreme Court ruled against a health insurance plan that sought to recover medical expense payments from a member who had won money in court to cover his injury-related costs.