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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.

McConnell Set To Unveil $1T Virus Aid Plan, Despite GOP Revolt

Senate Majority Leader Mitch McConnell is set to unveil a $1 trillion COVID-19 rescue package on Thursday, pushing past a Republican revolt over big spending and differences with the White House as the virus crisis worsens.

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US Signs Contract With Pfizer For COVID-19 Vaccine Doses

The Trump administration will pay Pfizer nearly $2 billion for a December delivery of 100 million doses of a COVID-19 vaccine the pharmaceutical company is developing, Health and Human Services Secretary Alex Azar announced Wednesday.

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White House Considers Drug Pricing Executive Order, Prompting GOP Pushback

The White House is considering one or more executive orders aimed at lowering drug prices that could come as soon as this week, prompting pushback from some GOP lawmakers and the powerful pharmaceutical industry.

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Another Problem on the Health Horizon: Medicare Is Running Out of Money

Everyone involved even tangentially in health care today is completely consumed by the coronavirus pandemic, as they should be. But the pandemic is accelerating a problem that used to be front and center in health circles: the impending insolvency of Medicare.

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Half Of U.S. Hospitals In The Red By Year’s End Without More Federal Support

U.S. hospitals' median operating margin could sink to -7% by the end of 2020 without additional federal government support to offset COVID-19 losses, a new report finds.

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Small-Business Owners Skipping PPP Loans Could Be Making A Big Mistake

The Aug. 8 deadline for applying for a Paycheck Protection Program loan is quickly approaching and there’s still about $130 billion remaining of the $660 billion authorized by Congress. If you’re one of the millions of small-business owners who haven’t applied, then you could be making a big mistake.

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BSC Received $1 Billion In ACA Risk-Adjustment Payment

Blue Cross and Blue Shield insurers once again racked up some of the largest risk-adjustment payments under an Affordable Care Act program meant to discourage individual and small-group insurers from cherry-picking healthy employees, CMS data show.

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4 Healthcare Sticking Points In Next COVID Bill

U.S. lawmakers are starting negotiations this week on a potential next round of coronavirus aid to bolster the sagging economy and shore up the nation's healthcare infrastructure as COVID-19 cases skyrocket.

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‘Surprise’ Billing Fix Likely Out Of Next COVID-19 Package As Fight Over Tests Plays Out

Congress looks unable to protect patients from "surprise" medical bills before the election, despite a push from key health committee chairs and the Trump administration to include a fix in a new coronavirus relief package.

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Unitedhealth Posts Most Profitable Quarter In Its History

UnitedHealth Group registered more than $6.6 billion in profits in the second quarter — by far the conglomerate's highest quarterly profit ever, according to an analysis of company financial data from FactSet.

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