Broker Regulation

Groups acting as Affordable Care Act navigators are struggling after Health and Human Services officials informed them that their funding for services this year will be reduced by as much as 92 percent.

A new report from analysts at the Congressional Budget Office predicts that federal spending on subsidies for three major ACA individual health insurance subsidy programs could amount to just $729 billion over the period from 2017 through 2026.

A federal report from the Office of the Inspector General found that numerous care providers failed to document patient assessments, provide community-based services or provide written care plans to patients. However, their contracts with the state obligated them to fulfill all these requirements.

It's too soon to tell just how many millions or even billions of dollars insurers may have to shell out as a result of this summers Equifax breach, but cybersecurity and insurance professionals say the impact from this event will be lasting.

Lawmakers and health care groups are hoping to get the Center for Medicare and Medicaid Services to become actively involved in making sure that advance directives are in place.

The St. Louis-based company said Tuesday it will pay $3.75 billion to acquire "substantially all of the assets" of New York State Catholic Health Plan Inc., which does business as Fidelis Care.