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Compliance

This section focuses on health care compliance and regulations – both national and state – including the ACA. It includes changes in health care law, regulation, and court decisions and their impact on health insurance professionals, employers, and individuals.

Americans Can Wait Many Weeks To See A Therapist. California Law Aims To Fix That

When Greta Christina fell into a deep depression five years ago, she called up her therapist in San Francisco — someone she’d had a great connection with when she needed therapy in the past. And she was delighted to find out that he was now “in network” with her insurance company, meaning she wouldn’t have ...

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Avalere: Providers Face 40% Hit To Part B Reimbursements Under Dem Drug Price Reforms

Providers could face a 40% cut on average to their Medicare Part B drug reimbursements under legislation that gives Medicare the power to negotiate a small amount of drug prices in Parts B and D, a new analysis finds. The analysis, released Thursday by consulting firm Avalere, examines the effect of a drug pricing negotiation ...

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Federal Appeals Court Affirms Stay On Biden Vaccine Mandate For Businesses

A federal appeals court has upheld its stay on President Biden’s vaccine-or-test mandate for companies with at least 100 employees.

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Kaiser Permanente, Unions Reach Labor Deal To Avert Strike

An alliance of unions representing 50,000 Kaiser Permanente workers in California, Oregon and six other states called off a strike notice after reaching a tentative labor deal Saturday with the health care network.

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Dems’ Bitter Pill: Popular Health Provisions Won’t Kick In Until After The Midterms

Democrats are close to making good on long-held promises to lower prescription drug costs and make health care more affordable. The rub? Voters won’t feel much of it until after the 2022 elections. The party is increasingly banking its midterm prospects on passage of the president’s domestic agenda in the coming weeks, convinced that it ...

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Biden Signs Into Law Infrastructure Bill That Pauses Controversial Rebate Rule

President Joe Biden signed into law Monday a roughly $1 trillion infrastructure bill that pauses a controversial rebate rule from going into effect. The law aims to use funding from the cuts and other sources to make major investments in roads, bridges and other transportation items. The massive legislation also includes provisions aimed at increasing ...

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As Big Pharma and Hospitals Battle Over Drug Discounts, Patients Miss Out on Millions in Benefits

In early July, as the covid-19 pandemic slammed rural America, the president of a small Kansas hospital sat down on a Friday afternoon and wrote the president of the United States to plead for help. “I do not intend to add to your burden,” said Brian Williams, a retired Army lieutenant colonel and Desert Storm ...

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Medicare Part B Premiums Are Increasing By 14.5%

The Centers for Medicare and Medicaid Services has increased Medicare Part B premiums, deductibles and coinsurance for next year in what will be a significant hike.

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More Plans, Carriers, Savings Available During Open Enrollment

Open enrollment began Monday on NevadaHealthLink.com, the online health insurance marketplace operated by the Silver State Health Insurance Exchange, which connects Nevadans to affordable health and dental plans.

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Average Family Premiums Rose 4% This Year To $22K Due To Healthcare Use Decline: KFF

The annual family premiums for employer-sponsored health plans increased by 4% in 2021 to an average of $22,221 as the COVID-19 pandemic blunted massive premium hikes, a new survey finds. The Kaiser Family Foundation released its 2021 employer health benefits survey Wednesday, which explored the employer benefits and cost-sharing offered for plans. The survey also found more ...

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