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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. Drug Spending Projected To Spike With New Alzheimer’s Drug

U.S. prescription drug spending will jump at least 8% by the mid-2020s as a controversial new Alzheimer’s disease drug hits the market, a new analysis finds.

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Supreme Court Ruling Should Help ACA Stick: Health Care Lawyer

A health care lawyer says the new U.S. Supreme Court ruling on the constitutionality of the Affordable Care Act is about more than procedural rules. Stephen Lucke, a partner at law firm of Dorsey & Whitney and the co-chair of the firm’s health litigation group, contends in a commentary on the ruling that the court majority clearly ...

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Medicaid Enrollment Hits Record 80 Million

The pandemic-caused recession and a federal requirement that states keep Medicaid beneficiaries enrolled until the national emergency ends swelled the pool of people in the program by more than 9 million over the past year, according to a report released Thursday. The latest figures show Medicaid enrollment grew from 71.3 million in February 2020, when ...

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CDC Director: Delta Variant To ‘Probably’ Become Dominant Strain In U.S.

Research from Scotland released this week showed the variant made hospitalization more than twice as likely than for patients with the Alpha variant.

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Pricey Drugs Paid By Medicare Lack Cost-Effectiveness Data

Nearly $50 billion or a third of Medicare Part D costs in 2016 were for drugs with absent cost-effectiveness analyses, according to a report from JAMA Network Open. Why it matters: The lack of a quality analysis that weighs the relative cost with outcomes of these drugs may create hurdles toward efforts aimed at addressing drug spending ...

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Don’t Deny Vacation Due to Recent Use of COVID Sick Leave

My employee used most of her COVID-19 Supplemental Paid Sick Leave over the last couple of weeks. Now she wants to take a week’s vacation. Can I deny the vacation request since several other employees in that department, who have been working lots of extra hours to cover her missed shifts, also want to take ...

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Breaking News: Supreme Court Upholds Obamacare In 7-2 Ruling

The Supreme Court on Thursday upheld ObamaCare against the latest Republican challenge, preserving the landmark law and its key protections for millions of people with preexisting health conditions.

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Obamacare Wins For The 3rd Time At The Supreme Court

The U.S. Supreme Court upheld the Affordable Care Act for the third time on Thursday, leaving in place the broad provisions of the law enacted by Congress in 201o. The vote was 7 to 2.

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Supreme Court Leaves Affordable Care Act Intact

The Supreme Court on Thursday rejected a challenge to the Affordable Care Act, the third time it has preserved the 2010 healthcare law.

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Hybrid Work Culture Best Practices

None of us imagined at the beginning of the COVID-19 pandemic that we would continue to be working virtually over a year later. Even with the tier restrictions lifting here in Orange County and throughout the state, we have faced a point where decisions are being made to either return our workforce in-person, continue to work from home, or in many cases, implement some sort of hybrid arrangement.

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