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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.

Telehealth Use Is Surging But Patient Satisfaction With The Service Has Declined, New Study Finds

As the use of telehealth has become more widespread, consumer satisfaction has fallen, according to a recent survey.

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Ban On ‘Surprise’ Medical Bills On Track For Jan. 1 Rollout

The Biden administration on Thursday put final touches on consumer protections against so-called “surprise” medical bills. The ban on charges that hit insured patients at some of life’s most vulnerable moments is on track to take effect Jan. 1, officials said.

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Democrats Weigh Health Care Provisions In $3.5 Trillion Bill

Democratic leaders struggling to satisfy both progressive and moderate factions’ demands are still trying to resolve divisions over scaling back the expansive health care policy wish list in their $3.5 trillion budget reconciliation package. A smattering of members in both chambers have concerns with key issues ranging from drug pricing to Medicare spending, while Democratic ...

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Health Insurance Stocks Surge In 2020-2021

There are many theories about what is (and what is not) a good indicator of a stock’s future growth (or decline). However, it is important to note that investment articles – for good reason – usually include an advisory about past performance not being a recommendation or guarantee of any future outcome or profit. Investing is a ...

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Limiting Medicare Benefits Deepens Rift Among Hill Democrats

Means-testing Medicare, a long-running controversy in health policy debates, is re-emerging as a major source of tension for Democrats seeking a path forward on their stalled social spending package. Centrist lawmakers are demanding that an expansion of the program to cover dental, vision and hearing care be limited to the poorest Americans, to pare the ...

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CMS: Employer Plans Can’t Deny Benefits To Unvaccinated Customers But Can Offer Premium Discounts

Employer group health plans cannot deny benefits to customers who have not gotten the COVID-19 vaccine but can offer premium discounts to customers who decide to get the shot, new guidance from the Centers for Medicare & Medicaid Services (CMS) said. But plans that increase premiums on the unvaccinated will have that increase count toward ...

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The U.S. Is The Drug Industry’s Gold Mine

Americans are paying pharmaceutical companies more for the world's 20 blockbuster drugs than the rest of the world combined, according to an analysis of company financial filings by Public Citizen.

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Democrats Promised To Slash Drug Prices. Now Internal Clashes Are Standing In The Way.

When House Democrats made their pitch for the majority ahead of the 2018 midterms, party leaders focused their message on “kitchen table” economic issues — and one in particular that, according to polls and focus groups, resonated broadly across America’s political divides.

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Medicare Advantage Premiums To Decline Slightly In 2022, Part D To Rise By Nearly 5%

Average Medicare Advantage plan premiums are expected to hit $19 per month next year, a slight decline from the $21.22 in 2021.

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As Democrats Bicker Over Massive Spending Plan, Here’s What’s at Stake for Medicaid

Hours after the Supreme Court in 2012 narrowly upheld the Affordable Care Act but rejected making Medicaid expansion mandatory for states, Obama administration officials laughed when asked whether that would pose a problem. In a White House briefing, top advisers to President Barack Obama told reporters states would be foolish to turn away billions in ...

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