The Obama administration, which is defending the Patient Protection and Affordable Care Act, said Congress had such authority due to its constitutional power to regulate interstate commerce.Read More
Forty percent of employers want the high court, which is hearing oral arguments this week on the constitutionality of the Patient Protection and Affordable Care Act, to strike down the 2010 law. Still, employers are far from being united in favor of repealing it.Read More
In addition to our web news and analysis coverage, we've posted transcripts of the arguments from all three days.Read More
With IT employment at an all-time high, finding skilled IT workers could present a challenge to health care organizations mandated to implement ICD-10 Codes. Read More
Health care organizations are partnering with universities and other learning institutes to train the next generation of information technology employees. University of California, San Diego, Extension has partnered with the region's health care providers to train and grow their own coders.
Health care reform regulations that took effect for the 2011 plan year require non-grandfathered self-insured and insured group health plans to make changes to their internal appeal procedures and offer external reviews of denied claims. As a result, all plans, whether subject to or exempt from ERISA, will have to follow the same general claim-handling rules.
Under one administration suggestion, TPAs could fund the coverage through rebates they receive from drug manufacturers that the TPA is not contractually liable to forward to the affiliates.Read More
Under the ERRP, early retiree health care sponsors are reimbursed for 80 percent of claims—up to $90,000—after a participant incurs $15,000 in expenses.Read More