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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.

Biden Outlines $1.9 Trillion Spending Package to Combat Virus and Downturn

President-elect Joseph R. Biden Jr. on Thursday proposed a $1.9 trillion rescue package to combat the economic downturn and the Covid-19 crisis, outlining the type of sweeping aid that Democrats have demanded for months and signaling the shift in the federal government’s pandemic response as Mr. Biden prepares to take office. The package includes more ...

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Retired Doctors And More Syringes: Biden Lays Out Plan To Get America Vaccinated

U.S. President-elect Joe Biden on Friday said he would order increased production of syringes and other supplies to ramp up vaccinations against COVID-19 and improve upon the Trump administration rollout that he called a “dismal failure.” Under Biden’s plan, federal disaster-relief workers would set up thousands of vaccination centers, where retired doctors would administer shots ...

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CMS Finalizes Drug Transparency, Pharmacy Quality Rules

CMS on Friday finalized a rule it estimates will save the federal government $75.4 million over the next decade in Medicare Advantage and Part D payments, with the agency crediting cost-savings to several measures enacted to curb prescription drug spending. Under the new rule, CMS expanded drug and medication therapy management programs that require Medicare ...

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Covid Trials for Kids Get Started With First Results by Mid-2021

William Brown has yet to set foot in a classroom during his freshman year of high school — kept at home, like many students, by the pandemic. Days before Christmas, he took a step that could help him and other youngsters return to school sooner. With his parents’ encouragement, the 15-year-old signed up for a ...

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Dems Take The Senate: What Does It Mean For Health Care?

Victories by Democrats Raphael Warnock and John Ossoff in Georgia’s Senate runoffs Tuesday have changed the dynamics for health-care legislation. However, experts believe that small changes are more likely than major structural overhauls, according to the New York Times.

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How COVID-19 Is Changing The Way HR Professionals Think About Employee Benefits

COVID-19 is changing the way human resources professionals view employee benefits, a new survey shows. Artemis Health, a data analytics company, polled 300 benefits leaders at firms with more than 5,000 employees and found that 78% reported employee health and

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With Virus Surging, Biden To Speed Release Of COVID Vaccines

With COVID-19 surging and vaccinations off to a slow start, President-elect Joe Biden will rapidly release most available vaccine doses to protect more people, his office said Friday, a reversal of Trump administration policies. “The president-elect believes we must accelerate distribution of the vaccine while continuing to ensure the Americans who need it most get ...

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‘Very Risky’ To Delay Second Dose Of COVID-19 Vaccine, Says Former FDA Director

Questions surrounding the deployment and quantity of available COVID-19 vaccine doses linger as inoculations continue, with vaccine reticence and concerns about dose availability dominating the conversation. For the current approved vaccines, two separate shots are required, and some European countries have opted to delay the administration of the second dose in a bid to cultivate ...

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AHA Asks HHS For Leniency In Enforcing Transparency Rules

The American Hospital Association is urging the U.S. Department of Health and Human Services to exercise enforcement discretion regarding hospital price transparency rules. “Hospitals’ ability to comply with the rule at this time is particularly challenged by an increase in the volume of COVID-19 patients and the need to distribute multiple vaccines,” Richard Pollack, AHA ...

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COVID-19 Still A Big Uncertainty For Insurers In 2021

Given the continuation of the pandemic, health insurers are steeling themselves for a possible bumpy ride. Industry analysts said they expect 2021 to be a volatile year for insurers, although nothing can compare to the dramatic peaks and valleys in profits publicly traded companies reported in the first half of 2020. Moody’s Investors Service forecasts ...

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