Health Insurance Innovations and its subsidiary Health Plan Intermediaries Holdings are accused by plaintiffs of perpetrating a scheme to defraud policyholders into believing that they were buying comprehensive medical coverage plans.
The Affordable Care Act requires employer-sponsored group health plans to cover pre-existing conditions for all individuals regardless of prior coverage.
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
In his decision, U.S. District Judge John Bates called the policy an "end-run" around the patient protections and regulations established with the passage of the Affordable Care Act.
This recent statement goes further in backing the complete invalidation of the ACA, which includes provisions that range from Medicaid expansion to calorie labeling to protections for pre-existing conditions.
A new price transparency rule from CMS requires hospitals to post their retail list prices online, but critics are saying it doesn't go nearly far enough.
A group of attorneys general led by California Attorney General Xavier Becerra have taken up the legal effort to appeal Judge O’Conner’s ruling striking down Obamacare.
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.
A selection of the biggest payer stories in 2018, ranging from Amazon's healthcare incursion to Medicare Advantage's continued growth.
The court ruled that individual mandate is unconstitutional and "inseverable" from the rest of the sweeping 2010 statute.
Current ACA subsidy programs are required to be based on income. Under the rules laid out by CMS states would be able to base subsidies on other factors potentially leaving lower-income, older and sicker patients with less comprehensive coverage options.
The percentage of Americans without health insurance in 2017 remained the same as during the last year of the Obama administration, but 14 states including Texas, Florida, Vermont, Minnesota, and Oregon saw the rate of uninsured rise.
Gabby Everett, the site director for BioLabs Pegasus Park, offered a tour of the space and shared some examples of why early-stage life science companies should choose North Texas.
Seema Verma, administrator of the Centers for Medicare & Medicaid Services, said it’s wrong to have ACOs that can only make profits but not risk any losses. “We want to put the accountability back into Accountable Care Organizations,” she said during a briefing with reporters.
By drawing younger or healthier consumers out of the ACA marketplace, the short-term plan expansion will add up to a 1.7 percent increase to premiums next year, according to the industry lobbying group America’s Health Insurance Plans.
The Trump administration is refusing to defend key parts of the Affordable Care Act, essentially arguing that federal courts should find the health law’s protection for people with pre-existing conditions unconstitutional.
A big part of why people don’t like the health law is that they don’t understand what it does or how it works. Some of that is because healthcare is complicated.
The nation's largest insurance lobby sent a letter to Senate leaders voicing opposition to the Graham-Cassidy bill and arguing that it allows states to eliminate private insurance and contributes to the growth of a government-run single-payer system.