Tag: ACA compliance

GAO Identifies Ongoing Fraud Risks in Federal Marketplace APTC Program

GAO's recent report uncovers persistent fraud vulnerabilities in the federal Marketplace advance premium tax credit program, revealing risks related to SSN misuse, unreconciled credits, and unauthorized enrollment changes.

ACA Preventive Care Coverage Gaps Highlighted by Patient Billing Dispute

An Illinois patient faced unexpected medical bills due to insurance coverage distinctions between preventive and diagnostic services under the Affordable Care Act, highlighting industry and regulatory challenges in patient cost-sharing and billing transparency.

North Dakota House Advances ACA-Compliant State Employee Health Plan

North Dakota's House passes Senate Bill 2160 to shift state employee health insurance to an ACA-compliant plan, aiming to improve benefits flexibility and manage rising healthcare costs without increasing employee premiums.