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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.

A Nation Slowly Emerging From Pandemic Honors Memorial Day

A nation slowly emerging from social distancing measures imposed by the coronavirus pandemic honored generations of U.S. veterans killed in the line of duty on a Memorial Day observed without the severe pandemic restrictions that affected the day of tribute just a year ago. Memorial Day parades and events were held in localities large and ...

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First HRA Council Meeting May Hint At Future Of Individual Health Insurance

A new HRA Council held its first meeting Friday, and the founding member list could give hints about which insurers have the strongest interest in the commercial individual major medical insurance market. Organizers of the Washington-based group say it will be a non-partisan, nonprofit coalition that will promote awareness of health reimbursement arrangements (HRAs), help develop HRA standards, ...

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Health Spending Would Increase by 23% Under Biden Budget

Health spending would increase by almost a quarter of its current funding level as the White House aims to build a new health research agency, eliminate racial and socioeconomic disparities, and beef up the nation’s public health preparedness. President Joe Biden’s budget request, released Friday, includes includes $133.7 billion for the Department of Health and Human ...

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Senate Votes To Confirm Chiquita Brooks-Lasure As CMS Administrator

The Senate last week voted 55-44 to confirm the nomination of Chiquita Brooks-LaSure to be the administrator of the Centers for Medicare and Medicaid Services (CMS). All of the 50 Democrats who voted backed Brooks-LaSure. Brooks-LaSure also won support from five Republicans. The list of Republicans supporting her included three senators who are known for voting ...

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Family Healthcare Costs Decreased Last Year For First Time In Milliman Report’s 16-Year History

Dive Brief: * Healthcare costs for a family of four decreased year over year from 2019 to 2020, a first in the 16-year history of the annual Milliman Medical Index report. The COVID-19 pandemic was responsible for the decline, as people deferred care. Milliman, an actuarial firm, relies on claims data from 2019 and a chunk of 2020 ...

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What’s in Biden’s $6 Trillion Budget

What would you do with $6 trillion? President Joe Biden would give a lot more money to working-class parents and spend billions on roads and bridges, among other priorities. The question is whether he can get a closely divided—yet Democratic majority—Congress to go along. The president’s proposed budget outlines his ambitious plans for the country over the ...

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New House, Senate Bills Aim To Make Telehealth Expansion Permanent In Medicare, Medicaid

A pair of bills recently introduced in the House and Senate aim to ensure that a boom in telehealth use during the pandemic does not go away. A House bill introduced Monday and a Senate bill introduced Tuesday both aim to make certain telehealth flexibilities permanent for Medicaid and Medicare beneficiaries.

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COBRA Changes Under The American Rescue Plan Act Of 2021

Among the American Rescue Plan Act of 2021’s many economic stimulus provisions is a temporary subsidy for COBRA coverage that will undoubtedly be a significant benefit for individuals who lost health coverage during the pandemic, but which is just as certain to be a tremendous administrative burden for employers and group health plans.

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New Google Certification Program Required For Health Insurance Advertisers

Advertising on Google for health insurance providers just got more complicated. Starting on June 2, 2021, Google will only allow ads from government exchanges, first-party providers and licensed third-party brokers who complete the new third-party certification program.

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Democrats Lower Their Sights on Healthcare Changes

Many progressive Democrats and President Biden face the political reality that sweeping health care overhauls are unlikely to be successful in the short term, meaning their hopes could instead be based on building on recent changes to the Affordable Care Act and the cost of prescription drugs Lower medication. Almost 1.4 million uninsured people are ...

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