Tag Archives: health insurance

Obama-era Fiduciary Rule Voided by U.S. Appeals Court

Last week, a federal appeals court voided the DOL’s Obama-era fiduciary rule. The rule was adopted in 2016 in an attempt to curb conflicts of interest among providers working with Americans that were planning for retirement. The Fifth U.S. Circuit … Continue reading

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Modernizing Payment Processing Methods in the Health Care Industry

Today’s health care environment has grown increasingly complex due to compliance requirements that were introduced as part of the Affordable Care Act (ACA). Among other initiatives, the ACA included an industry mandate for the development and use of a HIPAA-compliant Electronic Funds Transfer (EFT) standard for electronic claims payments. The law also increased transparency by implementing Medical Loss Ratio (MLR) requirements that limit a health plan’s ability to pass increased administrative costs on to plan participants. Continue reading

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Referrals Drive Up Hospital Revenue—and Health Care Costs

As the health care field becomes increasingly competitive, hospitals are acquiring independent practitioners in order to increase referrals and revenue. The American Medical Association says that one third of all doctors—mostly primary care practitioners—work for hospitals or for practices wholly or partially owned by hospitals. Continue reading

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