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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.

Amazon’s Haven Healthcare Venture To Shut Down

The Haven healthcare venture created by Amazon, Warren Buffett’s Berkshire Hathaway and JPMorgan Chase is shutting down. The end of the venture, which launched with great fanfare three years ago in a press release from the three business titans, never really got off the ground with steady leadership and included several executives who came and left after short stints.

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Hospital Prices Just Got a Lot More Transparent. What Does This Mean for You?

Hospitals face the new year with new requirements to post price information they have long sought to obscure: the actual prices negotiated with insurers and the discounts they offer their cash-paying customers.

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Medicare For All May Die In 2021

A closely divided Congress and a moderate Democrat in Joe Biden in the White House doesn’t bode well for a government-run single payer version of Medicare for All to emerge in 2021 despite the coming end of Donald Trump’s presidency.

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FDA Says People Need Both Doses Of Coronavirus Vaccines

Anyone who receives the Moderna or Pfizer vaccine must get two full doses, two top US Food and Drug Administration officials said Monday. They also dismissed other ideas for stretching the vaccine supply and said people who are speculating about the possibility of making do with just one dose or cutting doses in half are ...

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Seniors Face Crushing Drug Costs as Congress Stalls on Capping Medicare Out-Of-Pockets

Sharon Clark is able to get her life-sustaining cancer drug, Pomalyst — priced at more than $18,000 for a 28-day supply — only because of the generosity of patient assistance foundations. Clark, 57, a former insurance agent who lives in Bixby, Oklahoma, had to stop working in 2015 and go on Social Security disability and ...

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Payers Expect Biden to Expand Affordable Care Act in 2021

The American Benefits Council (ABC) issued a release outlining what payers should expect legislatively post-election including COVID-19 relief and stimulus legislation, Affordable Care Act expansion, and other efforts to ensure Americans have access to the coverage they need. “Without the support of a fully Democratic Congress, President-elect Biden’s broad health plan will be largely stalled,” the release ...

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From COVID-19 To Retail Health: Fierce Healthcare’s Biggest Stories Of 2020

2020 was a year dominated by the fallout from a generational global pandemic. So perhaps it's no surprise that COVID-19 headlines also governed much of our coverage over the course of this year, as we shared the latest on how the coronavirus pandemic was impacting you.

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What To Expect In 2021 And Beyond? IDC Offers 10 Healthcare Predictions

In the recent "IDC FutureScape: Worldwide Health Industry 2021 Predictions" report, experts at IDC Health Insights offer their thoughts about the issues healthcare and life science organizations will contend with over the next year and beyond.

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HHS Proposes Changes To HIPAA That Would Empower Patients And Providers

Under the proposed rule, providers would be able to disclose patient data if they believe it's in the patient's best interest.

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Private Insurers Getting Smaller Share Of Health Expenditure Pie

Increases in spending on hospital care, physician services and prescription drugs squeezed U.S. commercial health insurers in 2019, according to new federal government health spending data.

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