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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.

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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Employees Have Return-To-Work Anxiety. Here’s How Employers Can Help.

People have adjusted to working from home for over a year now, but many companies are beginning to think about transitioning their employees back to the office. For many, the thought of returning to a traditional office setting after enduring the drastic changes that COVID brought can be overwhelming and anxiety-inducing.

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OSHA’s Revised COVID-19 Guidance Highlights Employer Duties for Unvaccinated and At-Risk Workers

On June 10, 2021, shortly after issuing its Emergency Temporary Standard (“ETS”) for healthcare settings, OSHA updated its Guidance on Mitigating and Preventing the Spread of COVID-19 in the Workplace (“Updated OSHA Guidance”), which is applicable to all employers not covered by the ETS.

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A Public Option Wouldn’t Just Compete With Private Insurance — It Would Destroy It

Congress is trying to chart a path forward on health reform. Some are pushing to expand Medicare’s benefits to include dental, vision, and hearing care. Others want to make generous subsidies for coverage sold through the Affordable Care Act’s exchanges permanent. And recently, several congressional Democrats announced plans to draft a bill that would create ...

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The ACA’s Future Hangs In The Balance

The Supreme Court case in which the Justices consider whether the Affordable Care Act is unconstitutional without the Individual Mandate will see a judicial decision any day now. If the court decides to strike down the law, nearly 30 million Americans will lose healthcare coverage and nearly 1.2 million would lose their jobs, according to data from ...

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