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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.

Biden’s Latest Order Could Boost Private Equity, End State Licensing

President Joe Biden’s latest executive order promoting competition in the U.S. economy could be a boon to private equity and disrupt the medical profession’s long-standing guilds, depending on how far federal officials want to take matters. The order empowers federal agencies to use existing federal law to lower healthcare costs, particularly prescription drugs. While few ...

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Biden Calls For Efforts To Lower Drug Prices As Part Of Executive Order To Foster Competition

President Biden is calling on federal health officials to intensify efforts to drive down prescription drug prices as part of an executive order he signed Friday to spur federal agencies to promote economic competition.

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Plugging Obamacare’s Biggest Hole Poses Dilemma For Democrats

Democratic lawmakers are grappling with how to extend health insurance to millions of poor Americans in states that have refused Obamacare’s Medicaid expansion, believing their upcoming party-line “human infrastructure” package represents the best chance to plug the health law’s biggest gap.

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Hospital Mergers To Get Added Scrutiny Under Biden Order

The hospital lobby pushed back against the president’s executive order. The American Hospital Association said hospital mergers already are subject to an “enormous amount of rigorous scrutiny” from federal and state regulators. The lobby pointed the finger at the insurance industry, and urged the administration to focus its efforts there instead. The Federation of American ...

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Telehealth Use Falls Nationally For Third Month In A Row: Fair Health

Dive Brief: * Telehealth claim lines as a percentage of all medical claims dropped 13% in April, marking the third straight month of declines, according to new data from nonprofit Fair Health. * The dip was greater than the drop of 5.1% in March, but not as large as the decrease of almost 16% in February. However, overall ...

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What Is the Great Resignation of 2021? (If You Don’t Know, You’ll Want to Read This)

If you don’t spend your days on TikTok or Reddit, you may be blissfully unaware of a growing movement urging people to quit their jobs en masse this fall. It’s called “The Great Resignation of 2021,” and for businesses already struggling to attract workers back to the office it could spell very bad news. The social media ...

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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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