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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.

Hospital Bills for Uninsured COVID Patients Are Covered, but No One Tells Them

When Darius Settles died from COVID-19 on the Fourth of July, his family and the city of Nashville, Tennessee, were shocked. Even the mayor noted the passing of a 30-year-old without any underlying conditions — one of the city’s youngest fatalities at that point.

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Medicare And Medicaid To Cover Early COVID Vaccine

The Trump administration this week will announce a plan to cover the out-of-pocket costs of Covid-19 vaccines for millions of Americans who receive Medicare or Medicaid, said four people with knowledge of the pending announcement.

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Senate Confirms Barrett To Supreme Court In Time For ACA Arguments

The Senate confirmed Judge Amy Coney Barrett to the Supreme Court on Monday evening, in time for oral arguments on an Affordable Care Act case on Nov. 10.

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Variable-Hour Employee Benefits Eligibility Under COVID-19

The scheduling modifications employers have made in response to COVID may have unintentional consequences for the employees’ group health plan eligibility for both the remainder of the current year.

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FDA Approves First COVID-19 Drug: Antiviral Remdesivir

U.S. regulators on Thursday approved the first drug to treat COVID-19: remdesivir, an antiviral medicine given to hospitalized patients through an IV.

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PwC: Mental Health, Telehealth Sectors Spur Robust Deal Activity Despite COVID-19

Even though the COVID-19 pandemic continues to roil the healthcare landscape financially, mergers and acquisitions remain robust thanks to heavy interest in the mental health and telehealth sectors, one expert says.

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Verily’s COVID Testing Program Halted in San Francisco and Oakland

Amid fanfare in March, California officials celebrated the launch of a multimillion-dollar contract with Verily — Google’s health-focused sister company — that they said would vastly expand COVID testing among the state’s impoverished and underserved communities.

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Trump Admin Updates Reporting Requirements, Grows Eligibility For Provider Relief Funds

The Trump administration has updated its reporting requirements for COVID-19 provider relief funds following pushback.

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Telemedicine or In-Person Visit? Pros and Cons

As COVID-19 took hold in March, U.S. doctors limited in-person appointments — and many patients avoided them — for fear of infection. The result was a huge increase in the volume of remote medical and behavioral health visits.

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Insurers Taking ‘Wait And See’ Approach To COVID-19 In 2021 ACA Exchange Rates: Experts

Most insurers on the Affordable Care Act’s (ACA's) insurance exchanges aren’t factoring COVID-19 into their 2021 rates or believe the pandemic will have a negligible effect, according to several experts.

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