News & Insights


Idaho Kidney Patients Trapped Between Insurer, Dialysis Companies

Debbie Birch’s kidneys failed last year. But the 63-year-old woman is now caught in a rift between a national dialysis company and her health insurer – no dialysis centers within driving distance of Birch’s home in Caldwell will take her insurance plan, the Bronze Choice plan sold on Idaho’s exchange. Read more.

More Jobs, More Ready to Work

As the recruiting crisis spreads from the high-skills sectors to minimum wage jobs, more Americans are deciding to give work a chance. A recent U.S. Department of Labor (DOL) labor force participation rate survey reveals that the labor participation rate — composed of working people and those actively looking for work — rose the tiniest bit, from 62.4 percent to 62.9 percent. Read more.

The 1095 Tax Form for Health Care Coverage: What You Need to Know

Millions of Americans who have health coverage through a big employer are receiving a new, unfamiliar tax form in the mail this year, thanks to the Affordable Care Act: the 1095-C. Most tax filers do not need to do much with it, except file it away with their tax records. Read more.

Anthem Sues Express Scripts in $3 Billion Pharmacy Dispute

Anthem Inc. is suing Express Scripts Holding Co. It is seeking to recover excess payments the health insurer said it made for drugs from the pharmacy benefits manager. The suit, which Anthem said it filed in the U.S. District Court for the Southern District of New York, deepens the dispute between the firms. Read more.

New HIPAA Audits Will Target Healthcare Industry’s Business Partners

A new round of federal privacy and security audits will target the business associates of healthcare providers, insurers and other HIPAA-covered entities along with the entities themselves, according to the Office for Civil Rights at HHS. HHS' Office for Civil Rights has started sending out e-mails to obtain and verify contact information for covered entities and business associates of various types for possible inclusion in the pool of potential audit subjects. Read more.

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