09.29.20
On September 18, 2020, the Department of Health and Human Services Office of Inspector General (OIG) issued an unfavorable Advisory Opinion.
03.19.20
This document summarizes regulatory issues for health insurers, managed care entities and employment-based health plans in light of the novel coronavirus outbreak.
11.19.19
The Mental Health Parity and Addiction Equity Act (MHPAEA) requires health plans to provide comparable levels of treatment for mental health conditions and substance use disorders (SUDs) as they do for physical illnesses.
In FY 2018, the federal government won or negotiated more than $2.3 billion in healthcare fraud judgments and settlements.
10.22.19
The Mental Health Parity and Addiction Equity Act (MHPAEA) prohibits health plans and health insurance coverage from applying more stringent treatment limitations or financial requirements on mental health and substance use disorder (SUD) treatments than they do for physical illnesses.
10.11.19
In a closely watched case that many hoped would bring some clarity—and sanity—to the subject of website accessibility under the Americans with Disabilities Act, the Supreme Court has instead chosen to punt.
09.24.19
Editor’s Note: A new rule from the IRS and other federal agencies could kick off the same kind of transformation for employer-sponsored health insurance that turned traditional pension plans into employee-directed 401(k)s.
04.08.19
Over the past month, there has been significant activity related to the future of requirements that condition Medicaid eligibility on work/community engagement (CE).
11.26.18
In 2014, the Centers for Medicare & Medicaid Services (CMS) published a rule instructing MA plans to use “reasonable diligence” to make sure the diagnosis data they submit to CMS is correct.
