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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.

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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JPMorgan Chase Launches Morgan Health As Next Post-Haven Step

In the wake of Haven — the much-touted employer-sponsored health care joint venture that paired Amazon, JPMorgan Chase, and Berkshire Hathaway before disbanding in January — JPMorgan Chase has launched Morgan Health. The new business unit will focus on improving the quality, efficiency, and equity of employer-sponsored health care, the company says, and plans call for Morgan ...

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What’s At Stake For Employers In Congress’s Drug Pricing Fight

Employers and their workers have hundreds of billions of dollars at stake in the fight over House Democrats’ drug pricing bill, according to a new West Health Policy Center analysis. Why it matters: If anyone has the political clout to take on the drug industry, it’s employers. By the numbers: The House bill could reduce employer health spending by ...

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Insurers And Brokers Create New Advocacy Group Aimed At Spurring Use Of HRAs

A group of insurers and brokers has created a new advocacy group aimed at preserving health reimbursement arrangements that could be targeted by the Biden administration. The new HRA Council, launched Friday, will serve as a nonpartisan advocacy group aimed at raising awareness about individual and small employer HRAs, which allow employers to subsidize their ...

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Coverage Implications of Policies to Lower the Age of Medicare Eligibility

President Biden proposed lowering the age of Medicare eligibility to 60 during the presidential campaign and reiterated his support recently, with the goal of broadening coverage and making health coverage affordable for older adults.  Proposals to lower the age of Medicare, either to 60 or a younger age, may be considered by Congress.  One KFF analysis shows ...

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