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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.

Hospitals Lift Curtain On Prices, Revealing Giant Swings In Pricing By Procedure

The price to replace a hip or knee in the U.S. can vary dramatically, even within a single hospital, new data show. At a Sutter hospital in San Francisco, a procedure can range from $22,865 to $101,571.

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The Boom in Out-of-State Telehealth Threatens In-State Providers

When the Hazelden Betty Ford Foundation began offering telehealth services in Montana in early February, the nation’s largest nonprofit addiction treatment provider promised quality care for far-flung residents without their even having to leave home.

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Senate Advances Becerra Nomination For HHS Secretary

A divided Senate on Thursday advanced Xavier Becerra's nomination to lead the Department of Health and Human Services after Maine Republican Susan Collins joined all of the chamber's Democrats in backing a confirmation vote.

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Amazon Expands Employee Health Care Centers To Five States

Amazon employees and their families in five states now have access to virtual and in-person care through a collaboration with Crossover Health.

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How Covid Has Changed Our Movement, as Revealed by Your Cellphone

For all of our grousing about covid fatigue, a few novel trends are clear one year into the pandemic. In the early weeks of 2021, Californians are staying home way more than we did in our pre-pandemic life. Even so, we’re heading out to shop, dine and work far more now than in March 2020, ...

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What’s In The $1.9 Trillion COVID Bill Biden Just Signed? You Might Be Surprised.

President Joe Biden signed the massive Covid-19 stimulus bill into law Thursday, touting provisions that will put money into the pockets of millions of Americans. But the bill is more than stimulus payments and jobless benefits. It also includes a litany of programs: health insurance subsidies, a cash-for-kids allowance to slash child poverty, state and ...

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Face Mask Standard In Workplaces Misses President’s Deadline

The White House’s self-imposed deadline to impose a nationwide face mask standard in workplaces won’t be met, since deliberations are still underway. President Biden on January 21 directed the Labor Department’s Occupational Safety and Health Administration to determine by Monday, March 15, if such a standard is needed. An emergency temporary standard on face masks in ...

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CMS Boosts Reimbursement For Administering COVID-19 Vaccinations

The Biden administration on Monday increased how much Medicare pays providers to administer COVID-19 vaccinations to encourage them to vaccinate more people, hire additional staff and do more patient outreach and education. CMS boosted the average payment for COVID-19 immunizations from $28 to $40 for single-dose vaccines and $45 to $80 for two-dose vaccines. But ...

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Pandemic Aid Package Includes Relief From High Premiums

As President Joe Biden’s pandemic relief package steams through Congress, Democrats have hitched a ride for a top health care priority: strengthening the Affordable Care Act with some of the most significant changes to insurance affordability in more than a decade.

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Fauci Says Vaccine Supply Will Be “Dramatically Increased” In Weeks Ahead

Dr. Anthony Fauci, chief medical adviser to President Biden, said Sunday that the number of vaccine doses available will sharply rise in the coming weeks following federal approval of a third coronavirus vaccine. “We need to gradually pull back [on restrictions] as we get more people vaccinated, and that is happening every single day, more ...

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