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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.

Record-High HSA Limit Coming for 2024

Health savings accounts (HSAs) offer a tax-advantaged way to save money to pay for certain medical expenses. Your HSA contributions are tax-deductible, so they potentially help reduce your taxable income. But contributions to your health savings account are limited each year by the IRS,

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Healthcare Must Set Guardrails Around AI For Transparency And Safety

Four in 10 patients perceive implicit bias in their physicians, according to a MITRE-Harris survey on the patient experience. In addition to patients being extra sensitive to provider bias, the use of AI tools and machine learning models also have been shown to skew toward racial bias. On a related note, a recent study found 60% of Americans ...

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Debt Deal Claws Back COVID Relief, Spares Medicaid

Democrats beat back efforts to attach Medicaid work requirements to a debt limit deal, but the agreement reached over the weekend will claw back about $30 billion of unspent COVID relief funds and likely bring more budget austerity to federal health agencies. Why it matters: GOP negotiators had increasingly insisted that Medicaid work requirements needed to ...

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‘Work Requirements’ Emerge As Flashpoint In Debt Ceiling, Spending Talks

As Washington struggles to reach a debt ceiling deal with little more than a week until potential default, a key hangup in the negotiations is turning out to be -- "work requirements."

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CMS Proposed Rule Aims To Shed Light On Prescription Drug Costs For Medicaid

The Biden administration issued a proposed rule Tuesday that aims to shed light on the price of prescription drugs covered by Medicaid. Under the proposal (PDF), pharmacy benefit managers, or pharmacy middlemen, that contract with Medicaid would have to disclose the prices they pay for medications in an effort to improve price transparency and pull the reins on ...

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A Key House Panel Approved A Slew Of Health Policies. Here’s A Look At 4 Of Them

A key House panel advanced a slew of healthcare bills during a busy Wednesday on the Hill for health policy.

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The Feds Still Haven’t Reached A Debt Ceiling Deal. Here’s How A Breach Could Impact Healthcare

The federal government is continuing to debate a response to the looming debt limit deadline, and, should that ceiling be breached, it has significant implications for the healthcare industry.

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Superior Court Upholds CMA Legislation Mandating Reimbursement For COVID-19 Testing And Vaccination

In a ruling issued this week, the Los Angeles Superior Court upheld the constitutionality of a state law requiring health plans to fairly reimburse health care providers for the costs of COVID-19 testing during the COVID-19 state of emergency.

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Progressives Reintroduce ‘Medicare For All’ Bill

Key progressives in the House and Senate have revived the fight in Congress over "Medicare for All," a single-payer health system based on the Medicare program.

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House Panel Advances Transparency And PBM Bills

A House Energy and Commerce Committee health markup on Wednesday offered more evidence that price transparency and pharmacy benefit manager regulation are two issues that have enough bipartisan support to move ahead in this Congress. Among the measures the panel advanced on a unanimous 27-0 vote: Codifying and strengthening Trump-era rules for hospitals and insurers to make ...

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