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Health Policy

Previously, small businesses across California came together to purchase health insurance in order to obtain cheaper rates with their larger pool of enrollees. However, after a sequence of these “association health plans” failed, state legislators worked tirelessly to pass laws throughout the 1990s that nearly eradicated these bands. Today, President …

Anthem Blue Cross recently notified physicians in several states of upcoming changes to the payor’s reimbursement policies and claims editing software, called ClaimsXten. As part of the policy changes, scheduled to become effective on January 1, 2018, Anthem will begin reducing reimbursement of evaluation and management (E/M) services billed with modifier 25 under …

In 2017, Covered California, California’s health benefit exchange, enrolled approximately 1.48 million individuals in qualified health plans. With a number of changes set to occur for 2018, it is critical that physician practices understand their participation status, which products are being offered and what changes to expect. Some of the …

With the GOP’s tax cut legislation proposed, the Senate tax-writing committee is already preparing to develop details in hopes of a possible vote early Thursday. The following is an update on the proposal’s possible effects on current mandates regulated under the Affordable Care Act (ACA): President Trump has repeatedly echoed …

Last week, California Congressman and Majority Leader Kevin McCarthy (R-Bakersfield) announced that the U.S. House of Representatives plans to vote November 2, 2017, on a bill that would finally repeal the Medicare Independent Payment Advisory Board (IPAB). The bill—HR 849, “Protecting Seniors’ Access to Medicare Act of 2017”— is a …

 Homelessness is a serious health problem throughout the United States and has shown to disproportionately affect Los Angeles County. Since taking office, Mayor Eric Garcetti has made it his priority to address the homelessness crisis. The administration has a three-pillar approach: housing those who are homeless, preventing people at risk …

The Trump administration’s decision to cut advertising for Healthcare.gov may result in a drastic 1.1 million fewer people signing up for Obamacare this year. The Department of Health and Human Services announced that it would be severely slashing the marketing budget for enrollment in the marketplaces back in August, stating …

Last Thursday, President Trump signed an executive healthcare order designed to increase insurance competition and choice—dealing a fatal blow to the Affordable Care Act. Although the president claims the executive order will give millions of Americans access to more affordable healthcare coverage, critics are beginning to argue that the new …

AB 72, passed by the California Legislature and signed into law effective as of July 1, 2017, is a law that was designed to protect patients from costs associated with out-of-network health services. The legislation caps a patient’s cost-sharing at the in-network amount when he/she received services in an in-network …

Source: CMA Legislative Hot List The California State Legislature has passed two California Medical Association (CMA)-sponsored bills: AB 2121, a life-saving measure requiring alcohol servers and managers to complete a training course on responsible beverage service; and SB 1177, to establish a Physician Health and Wellness Program for California physicians. …