ACA's Preventative Care Requirement Under Attack

Plaintiffs in an Affordable Care Act lawsuit are now asking a federal judge to toss all parts of the law requiring coverage of preventive health services.

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CMS Issues Medicare Broker Call Recording FAQs

As 2023 annual open enrollment begins, CMS has received questions regarding changes, including the requirement related to recording calls between beneficiaries and Third-Party Marketing Organizations (TPMOs) and the requirements related to the TPMO disclaimer.

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Kaiser Lands Deal with Mental Health Care Workers, Ending Two-Month Strike

Kaiser Permanente and the National Union of Healthcare Workers announced a tentative agreement Tuesday to end a Northern California mental health workers strike that stretched on for 10 weeks.

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Plan Premiums To Soar Along With Health System Labor Increases

Employer-sponsored health plans will likely see premiums increase by an average of 6.5% in 2023. The main driver? A shortage of health care employees, notably nurses. This is forcing health systems to pay more to current employees and offer more to recruit hard-to-find professionals.

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IRA Means Increased Drug Prices For Commercial Plans: Ways To Prepare

The recently enacted Inflation Reduction Act (IRA) includes several provisions aimed at lowering prescription drug prices for those on Medicare and reducing drug spending by the federal government. But these cost reductions for Medicare may lead to employers and their employees paying the price.

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401(k) Contribution Limits Are Taking a Big Jump for 2023

The I.R.S. announced one of its largest increases in decades to caps on retirement contributions, allowing workers with access to the plans to save more.

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Lawsuits, Challenges And Debates: Where California's Controversial Medicaid Contract Process Stands

California’s first-ever Medicaid managed contract procurements are a major shakeup in the state’s Medi-Cal system, which has over 12 million enrollees, or a third of California’s population. Millions of residents will switch plans as a result of the changes, and a lengthy road of appeals and legal battles could lay ahead. California selected the intended ...

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COVID-19 Regulation: Cal/OSHA Makes Big Changes Ahead of December Vote

California employers may want to get out their measuring tape — because the size (in cubic feet) of a workspace just became an important element of COVID-19 compliance. Last Thursday and Friday (October 13–14), the California Department of Public Health (CDPH) and California Division of Occupational Safety and Health (Cal/OSHA) made some significant changes to ...

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Pfizer Says COVID-19 Vaccine Will Cost $110-$130 Per Dose

Pfizer will charge $110 to $130 for a dose of its COVID-19 vaccine once the U.S. government stops buying the shots, but the drugmaker says it expects many people will continue receiving it for free. Pfizer executives said the commercial pricing for adult doses could start early next year, depending on when the government phases ...

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After Congress Fails to Add Dental Coverage, Medicare Weighs Limited Benefit Expansion

Proposed changes in Medicare rules could soon pave the way for a significant expansion in Medicare-covered dental services, while falling short of the comprehensive benefits that many Democratic lawmakers have advocated. That’s because, under current law, Medicare can pay for limited dental care only if it is medically necessary to safely treat another covered medical ...

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