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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.

Patients, Doctors Like Telehealth. Here’s What Should Come Next.

Patients and physicians like telehealth and want it to continue after the pandemic comes to an end, according to one of the largest studies to examine the mode of practice during COVID-19. But there’s work to be done to make the most of the technology going forward. The AMA collaborated with the COVID-19 Healthcare Coalition—comprised of ...

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Pandemic Accelerating Employers’ Interest In Voluntary Benefits: WTW Survey

The pandemic has accelerated employers’ interest in offering voluntary benefits such as hospital indemnity coverage to workers, a new survey shows. New data from Willis Towers Watson show 94% of employers believe additional voluntary benefits will be key at their organizations over the next three years. By comparison, just 36% of employers said the same in 2018. ...

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Using Analytics To Help Make Data-Driven Marketing Decisions

Don’t Be Stubborn – Use The Tools I’ll never forget it. One of the funniest moments in recent toddler history. It was December of 2020, and we were playing an intense game of family holiday trivia. The question— what was gifted on the 7th day of Christmas?  As my two young sons tried to sing the ...

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Masks Are Still Required In Planes, Trains And Buses Despite The Loosened CDC Guidelines

Fully vaccinated people traveling in buses, trains and airplanes must continue to wear a mask, the Centers for Disease Control and Prevention said Thursday, even as it said they could go without one in most other indoor settings. CDC Director Rochelle Walensky said the agency is continuing to review its travel policies, but she did ...

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America’s Unmasking Brings Liberation But Also Trepidation As Huge Questions Loom

Americans stripped off their masks Thursday as the US Centers for Disease Control and Prevention made the sudden announcement that vaccinated people no longer need to wear them indoors or outdoors. It was a great moment of liberation after a year of intense stress and fear, but also one of trepidation for many as the policy created a whole ...

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Bipartisan Bill Would Revamp Medicare Advantage Prior Authorization

Congress is eying changes to Medicare Advantage that would crack down on prior authorization tactics insurers use to rein in healthcare costs but can affect how providers care for patients. Rep. Susan DelBene (D-Wash.), Mike Kelly (R-Pa.), Ami Bera (D-Calif.) and Larry Bucshon (R-Ind.) reintroduced a bill Thursday that aims to quicken the prior authorization ...

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HHS Warns Drugmakers That Won’t Give 340B Discounts To Contract Pharmacies

HHS’ Health Resources and Services Administration on Monday sent letters to six drugmakers, warning them that they could face steep fines if they don’t discount drug prices for pharmacies that contract with 340B providers. Pharmaceutical companies started aggressively cracking down on 340B drug discounts through contract pharmacies and demanding more data from healthcare providers last ...

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Lawmakers Hear Bill For Public Health Insurance Option

Physicians, hospitals, insurers and business groups led opposition in a Senate committee Tuesday to a proposal that would create a public health insurance option in Nevada, warning of impacts to the quality, affordability and availability of health care in the state – exactly what advocates say the measure will improve.

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People Vaccinated Against Covid-19 Can Go Without Masks Indoors And Outdoors, CDC Says

People fully vaccinated against Covid-19 do not need to wear masks or practice social distancing indoors or outdoors, except under certain circumstances, the director of the US Centers for Disease Control and Prevention announced Thursday.

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Biden: Workers Can’t Turn Down Job And Get Benefits

President Biden announced Monday that his administration would affirm that workers cannot turn down a "suitable" job they are offered and continue to take federal unemployment benefits.

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