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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.

430 Groups Demand Congressional Action On Permanently Expanding Telehealth Flexibilities

More than 400 advocacy groups are calling for Congress to act quickly to permanently expand flexibilities for telehealth that could go away after the end of the COVID-19 public health emergency expected to run through 2021. The 430 groups sent a letter to congressional leadership on Monday underscoring the urgency for action now amid concerns from providers ...

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$25,000 Signing Bonuses To Hospital Workers? Whatever It Takes.

Rachel Norton has been a critical care nurse for 14 years. She’s worked as a staff nurse at a hospital, as a flight nurse and, currently on an as-needed basis for a system in Denver. And every so often, she takes on travel nursing assignments, sometimes spending a month at a new hospital when there’s ...

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Want Fries With That Vaccine? Even at a Fast-Food Restaurant, Pop-Up Clinics See Slow Traffic

A few months ago, the boxy, teal truck parked outside a McDonald’s in this Inland Empire city might have drawn hundreds of people willing to stand in line for hours under the scorching sun. The truck is San Bernardino County’s mobile vaccine unit, which brings covid-19 vaccines directly to people. But on July 15, only ...

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Anthem, Humana Drop Nearly $140 Million To Launch New PBM

Anthem and Humana have invested nearly $140 million to form a new pharmacy benefit manager, as criticism over traditional PBMs’ operations kickstarts business at startups that promise transparency. The insurers will hold a minority stake in the new joint venture, named DomaniRx, which is being championed by SS&C Technologies. The Windsor, Conn.-based fintech company owns ...

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Dems’ Plan To Boost Health Care System The ‘Biggest Jolt’ Since The ACA

The budget package Democrats are assembling in Congress would likely provide the biggest jolt to the American health care system since the passage of the Affordable Care Act in 2010, according to sources familiar with work on the plan.

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Health Insurers Brace For Uptick In Claims And Severity Post-COVID

The COVID-19 pandemic may have given little health problems a chance to take root in our bodies and turn into big problems, because of decreased use of preventive care and other routine care.

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CDC Director: Delta Variant Accounts For 83 Percent Of All COVID-19 Cases In US

The delta variant of the novel coronavirus is now responsible for 83 percent of all sequenced COVID-19 cases in the United States, Centers for Disease Control and Prevention (CDC) Director Rochelle Walensky said Tuesday. That estimate is a major increase from just over two weeks ago. For cases tallied during the week of July 3, the CDC ...

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Biden Says He Believes Kids Under 12 Will Be Able To Get COVID-19 Vaccines ‘Soon,’ But It’s Up To Scientists

President Joe Biden said Wednesday that children under the age of 12 could be eligible to receive a Covid-19 vaccine “soon,” predicting that the government could green light the rollout for young Americans in the next few months. “Soon, I believe,” Biden said when asked by CNN’s Don Lemon when most children under 12 would be able ...

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Biden’s July Executive Order Includes Drug Pricing Provisions. But Will They Do Enough?

President Joe Biden’s executive order of July 9 included various steps toward making good on campaign promises to take on pharmaceutical companies by allowing the importation of prescription drugs and curbing the high cost of medicines.

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CMS Proposes Extension Of Medicare Telehealth Coverage

CMS is proposing to extend Medicare coverage of certain telehealth services granted for the COVID-19 public health emergency to the end of 2023 to help gather data that can determine whether the services should be permanently covered.

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