Tag: Regulation

HHS Launches New Advisory Committee on Healthcare Programs

The HHS has launched a new advisory committee to enhance Medicare and Medicaid's efficiency through strategic recommendations. Public participation is vital!

Impact of New Pharmaceutical Policies on Insurance Compliance and Strategy

Explore the effects of new drug pricing policies on insurance strategies and compliance. Understand current legal challenges and regulatory impacts in the pharmaceutical sector.

New ACA Regulations by CMS for 2027: Impact on Premiums and States

CMS introduces new ACA regulations for 2027, managing premiums, eligibility verification, and state oversight, affecting millions of enrollees.

Healthcare Fraud Scheme Resulting in Prison Sentence for New York Resident

A New York man was sentenced for his role in a $1.5 million healthcare fraud scheme targeting Medicare. Learn more about this significant case now.

Proposed Regulations on Fertility Benefits for Employers

Discover proposed regulations allowing employers to offer fertility benefits, exempt from ERISA, projected for 2027. Understand implications for health plans.

U.S. Departments Propose New Regulations for Fertility Benefits

Proposed regulations set guidelines for fertility benefits as limited excepted benefits, enhancing access to treatments and ensuring compliance with healthcare laws.

Celebrating Graduates at the Regulatory Review: Future Leaders in Regulatory Compliance

Celebrate the 2025-2026 graduates of the Regulatory Review, as they prepare for future challenges in regulatory compliance and insurance coverage. Join their journey!

New CMS Rule Aims to Lower Health Insurance Costs and Combat Fraud

CMS's new federal rule aims to lower health care costs and enhance state oversight, impacting millions. Discover its implications for insurance affordability.

Allstate Lawsuit Against Pharmacies for Fraudulent Practices Highlights Legal Trends

Allstate sues NY pharmacies alleging overbilling related to auto accidents, reflecting broader fraud trends in the insurance industry. Learn more!

Oregon Health Insurance Premiums Set to Increase in 2025

Oregon health insurance premiums are rising in 2025, affecting 170,000 residents. Get insights on rate hikes from PacificSource and Providence Health Plan.