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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.

U.S. Officials Say Fully Vaccinated Don’t Need Booster

U.S. health officials, after meeting with vaccine maker Pfizer PFE.N>, reiterated on Monday that Americans who have been fully vaccinated do not need to get a booster shot, a spokesperson for the Health and Human Services Department said. Pfizer said last week it planned to ask U.S. regulators to authorize a booster dose of its ...

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State Privacy Law Update – Colorado & Nevada

While a uniform federal privacy law in the United States continues to be an uncertain prospect overshadowed by other national priorities such as infrastructure and COVID relief, state legislatures have pushed forward with their own privacy regimes, resulting in an increasing patchwork of laws which businesses must parse in order to remain compliant.

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Nevada To Seek Federal Help as COVID-19 Cases, Hospitalizations Rise

Nevada will ask for more federal assistance to combat increasing numbers of COVID-19 cases, stagnating vaccination rates and a growing threat from the delta variant, particularly in the Las Vegas region, Gov. Steve Sisolak announced late Thursday.

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A New Digital Era Born from the Pandemic

With the COVID-19 pandemic impacting business operations across the globe, the health insurance industry is no exception. Almost immediately, a new accelerated digital era began to reshape business as we know it — and the impact on our industry has begun to change how brokers will conduct business from here on.

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Telehealth Use Falls 37% From Pandemic Highs, While Demand For Healthcare Services Projected To Flatten: Report

Future demand for healthcare services will be relatively flat to declining, with little to no effect from the COVID-19 pandemic, according to a new forecast report.

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Employers Fear Costs as States Adopt Public Option Health Plans

Businesses are worried that public option health plans taking shape in some states may end up costing them more than the high premiums they already pay.

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No Surprises Act Regs Leave Out Broker Comp Disclosure Regs

Federal agencies have rolled out 411 pages of No Surprises Act regulations — without giving health insurance agents and brokers anything but one small hint about how they’ll implement the producer compensation disclosure section.

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Surprise Billing Law May Create New Tension Between Providers And Patients

At least one major source of tension remains unresolved regarding the new law banning surprise medical bills: what it looks like for patients to willingly waive their protections — or refuse to waive them. Why it matters: This could yet again pit providers’ rights against their patients’. Driving the news: The Biden administration last week released the first ...

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COVID-19 Continues To Impact Premium Rates

As the health insurance rate-setting season approaches, the big question on everyone’s mind is, “how will COVID-19 impact health premium rates in 2022?” While the full financial impact of COVID-19 is not yet known, it is expected that the ramifications of the pandemic will be experienced for years to come. Based on this, there are ...

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Hospital Prices Must Now Be Transparent. For Many Consumers, They’re Still Anyone’s Guess.

A colonoscopy might cost you or your insurer a few hundred dollars — or several thousand, depending on which hospital or insurer you use. Long hidden, such price variations are supposed to be available in stark black and white under a Trump administration price transparency rule that took effect at the start of this year. It requires ...

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