Insurers Rally to Defend Obamacare Risk Payments

Insurers are ramping up lobbying to defeat legislation that would limit their payments under one of the 2010 health law's stabilization programs, according to congressional staff and outside experts.

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House G.O.P. Returns Focus to Obamacare’s Spending Authority

The Obama administration knowingly spent billions in health care dollars without proper congressional authority and went to “great lengths” to impede congressional scrutiny of the money, Republicans on two major House committees said in a report that will be made public on Thursday.

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Inaccurate Provider Lists A Major Barrier To Care, Study Finds

Provider directories for some health plans sold through Covered California and in the private market are so inaccurate that they create an “awful” situation for consumers trying to find doctors, according to the lead author of a new study published in the journal Health Affairs.

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Court Strikes Down Obama Health Care Rule on Insurance Standards

A federal appeals court has ruled that consumers must be allowed to buy certain types of health insurance that do not meet the stringent standards of the Affordable Care Act, deciding that the administration had gone beyond the terms of federal law.

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What Costliest Drugs Cost Commercial Insurance Plans in 2014

A new study from the University of North Carolina-Chapel Hill examining usage of and spending for specialty prescription drugs by commercial insurance plans finds huge spikes from 2003 through 2014. During that stretch, drugmakers launched more and more high-priced drugs, many of them big scientific advances, and raised their prices for existing drugs at least once a year.

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Affordable Care Act Battle Returns to Court and Capitol Hill

The battle between congressional Republicans and the White House over the Affordable Care Act is again escalating—in court and on Capitol Hill.

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Surprise Medical Bill Fuel Fight Between Providers, Insurers

The growth of insurance plans built around small networks of health-care providers is fueling new fights over surprise medical bills, when patients inadvertently get care from out-of-network doctors.

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Big Insurers Defend $34 Billion Merger

Aetna Inc. and Humana Inc. face resistance from the Justice Department to their proposed $34 billion merger and an uphill battle persuading antitrust enforcers the deal won’t harm competition, according to people familiar with the matter.

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Big Pharma’s $70 Million Tops California Campaign Contributions

With Californians facing the busiest ballot in more than a decade, big spenders are poised to make it one of the most expensive election battles in state history -- already contributing $185 million to fight over everything from sex, drugs and guns to tobacco and taxes.

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IRS Proposed Rules Address Premium Tax Credits, Benchmark Premiums, And Pediatric Dental Plans

The Affordable Care Act (ACA) requires individuals who do not qualify for an exception to have minimum essential coverage or pay a tax.

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