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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.

Pfizer To Supply US With Additional 100M Doses Of Vaccine

Pfizer said Wednesday it will supply the U.S. government with an additional 100 million doses of its COVID-19 vaccine under a new agreement between the pharmaceutical giant and the Trump administration. Pfizer and its German partner BioNTech said that will bring their total current commitment to 200 million doses for the U.S. That should be ...

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Senate Passes Bill To Repeal Insurers’ Federal Antitrust Enforcement Immunity

The Senate voted in the wee hours of Tuesday morning to repeal insurers’ federal antitrust enforcement immunity, sending the bill to the president’s desk. The Competitive Health Insurance Reform Act would amend the 1945 McCarran-Ferguson Act, which gave insurers federal immunity from antitrust enforcement and delegated primary authority to regulate consolidation in the insurance industry. ...

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Stimulus Bill Includes Small Business PPP Loans and Forgiveness Rule Changes

Congress at last passed a second stimulus bill this week — as of this writing, it is still awaiting President Trump's signature — and it includes a second round of PPP loans for affected small businesses as well as loan-forgiveness rule changes that are favorable to PPP borrowers.

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Surprise Medical Billing Fix Included On COVID Relief Bill

A long-discussed surprise medical billing fix will be part of the congressional budget deal that includes $900 billion in new COVID-19 relief.

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Fauci Tells Kids Not To Worry, He Gave Santa Claus The Covid-19 Vaccine

Worried children can rest easy after the nation’s leading infectious disease expert assured them on Saturday that Santa Claus has gotten a Covid-19 vaccine.

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Healthcare Spending Growth Holds Steady In 2019, Despite Jump In Hospital Spending

Even though Americans got more hospital care and prescription drugs in 2019, elimination of a tax on insurers kept the healthcare spending growth rate effectively flat year-over-year.

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Survey: COVID-19 Pandemic Influencing Consumer Healthcare Behavior

The pandemic is not only influencing what kind of health insurance many Americans have, but how they are using healthcare services. 48% say the pandemic has changed the way they use healthcare, with an additional

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Trump’s $200 Medicare Drug Cards Expected to Be Mailed Jan. 1

The Trump administration expects to begin sending $200 prescription drug discount cards to seniors by Jan. 1, a campaign promise to seniors that President Donald Trump was unable to fulfill before losing re-election, a person familiar with the matter said. A White House official described the time line for distributing the cards to Medicare beneficiaries, ...

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Insurers, Providers Prepare For COVID-19 Vaccine Administration Costs

While the federal government is covering the cost of the COVID-19 vaccine for consumers during the public health emergency, some insurers may be left to foot the bill for providers’ time administering the shot. Although several insurers have said their members won’t be charged for the vaccine or its administration, some providers expect to shoulder ...

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‘The Health System Of The Future Will Be Consumer-Centric, Wellness-Oriented And Digitally Connected’

In the year 2020, the COVID-19 pandemic left many businesses in an unprecedented state of uncertainty. Healthcare companies across the care continuum had to face new unknown challenges, pushing them to rapidly learn, adapt and transform the way they deliver healthcare. As a result, the concept of “anytime anywhere care” has become mainstream, changing the rate at which we ...

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