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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.

As Employees Catch Up on Their Delayed Health Care Needs, Claims Could Surge

At the height of the pandemic, employee health care claims dropped steeply when people avoided visiting doctors' offices. Now as coronavirus vaccinations are widely available, Americans are expected to seek long-delayed care.

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U.S. Urges Pause On Use Of Johnson & Johnson COVID-19 Vaccine After Rare Blood Clotting Cases

Federal authorities on Tuesday recommended that states stop using Johnson & Johnson’s Covid-19 vaccine while an investigation is conducted into six serious cases of clotting problems — one of which was fatal — that were reported among women who received the vaccine. The blood clots are similar to those reported by several European countries after use ...

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Biden Ran On A Health Insurance Public Option, But It’s Not Clear If He Will Include It In His Recovery...

While President Joe Biden tries to steer his mammoth new infrastructure plan through Congress, his administration is planning the next phase of its economic recovery efforts. As the White House prepares to unveil a second proposal focused on education, paid leave and health care, it has given few hints about whether it will include a core Biden ...

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Why Experts Say The Information Blocking Ban Will Be Game Changing For Patients

Starting next week, a new regulation goes into effect that will give patients easier access to their digital health records through their smartphones. But while health IT experts have been calling for interoperability for years, they say this particular rule could finally be a major step in achieving a meaningful level of data sharing far beyond what’s ...

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Red Hot Health Investor Interest in Digital Innovation

In the first quarter of 2021, investors doubled down on digital health, pouring $6.7 billion into the sector and making it the most-funded quarter to date, according to investment firm Rock Health. This year is clearly on track to pass the record-breaking amount of capital raised in 2020 as first-quarter funding approached nearly half of the $14 billion raised through ...

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Biden Pushes For Home Health Medicaid Coverage, $400 Billion In Funding

The Biden administration is calling on Congress to expand access to home and community-based care services covered by Medicaid as part of a multi-billion dollar investment in the “care economy.” The proposal, part of a larger jobs and infrastructure plan unveiled by the White House Wednesday, asks Congress to put $400 billion toward expanding access ...

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Ongoing Trial Shows Pfizer Covid-19 Vaccine Remains Highly Effective After Six Months

The ongoing Phase 3 clinical trial of Pfizer/BioNTech’s coronavirus vaccine confirms its protection remains high for at least six months after the second dose, the companies said Thursday. Protection likely lasts even longer than that, vaccine experts say, but they say having data showing good protection six months after people were vaccinated is good news. ...

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Billions in New Obamacare Subsidies Are Now Available on Healthcare.gov

Federal officials have reprogrammed Healthcare.gov, making new benefits available to tens of millions of Americans, weeks after Congress authorized spending billions on additional health law subsidies.

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Nearly 1 In 5 Americans Skipped Care Due To Cost Last Year

Emergency department visits are still down around 30% at Providence’s St. Joseph Hospital, and those who are coming in are sicker. Fewer people have gone to the Orange, Calif.-based hospital over the past year for endoscopies, colonoscopies and other preventative gastrointestinal procedures that can catch early signs of cancer. Symptom severity has increased by about ...

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Biden To Push Infrastructure Before Health And Family Care

President Joe Biden will separate his sprawling plan to upgrade the nation’s infrastructure into two separate pieces that he will unveil weeks apart, White House press secretary Jen Psaki said on Sunday.

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