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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.

Individual Market Insurers Remain Profitable In Q1, But Long-Term Outlook Murky

Insurers on the individual market remained profitable in the first three months of 2020 despite the onset of the novel coronavirus pandemic, thanks in part to the declines in routine care and elective procedures, a new analysis finds. The analysis, released Monday from the Kaiser Family Foundation, finds gross profit margins are up in the ...

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Health Insurers Call On Congress To Provide New Funding For Coverage Amid Pandemic

Health insurance companies are calling on Congress to provide more funding to help people keep coverage, citing the more than 44 million who have filed for unemployment since the coronavirus crisis started.

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Employers Balk At Frequent COVID-19 Tests For Workers. Here’s Why

From nursing homes in New York and a landfill in Utah to Disney World and the Las Vegas Strip, employers are wrestling with workplace safety in the age of COVID-19 and making fraught calculations about how to safeguard their businesses and their employees.

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Guidance For Group Health Plans Implementing COVID-19 FFCRA and CARES Coverage Requirements

The Departments of Labor, Health and Human Services, and the Treasury jointly released additional frequently asked questions (“FAQs”) regarding implementation of the health coverage provisions of the Families First Coronavirus Response Act (“FFCRA”);

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HHS To Send $3 Billion To Help More Safety-Net Hospitals

HHS on Friday announced plans to send an additional $3 billion in provider COVID-19 relief grants to safety-net hospitals that were left out of a prior funding tranche, and will give $1 billion to an assortment of rural and smaller hospitals.

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Insurers Need Flexibility In Benefit Design To Continue Telehealth Past The Public Health Emergency

CMS Administrator Seema Verma: The Centers for Medicare and Medicaid Services needs help from Congress to make temporary flexibilities permanent.

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High Deductible Health Plans Aren’t To Blame For Rising Healthcare Costs

High Deductible Health Plans (HDHP) are causing some individuals to avoid seeking medical treatment because they cannot afford the out-of-pocket expenses, some experts suggest. The implication of this position is employers should only offer higher premium, traditional PPO style plans.

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Employee Benefits In 2021: Embrace The Transformation

The COVID-19 pandemic has been a wakeup call for employees, and we can expect to see that reflected come open enrollment.

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Telehealth Claims Lines Up 8,336% In April Due To COVID-19

Telehealth claims lines have seen massive spikes due to the COVID-19 pandemic, a new report shows.

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Latest Estimates Suggest Hospitals Will Lose $323.1B This Year

Hospitals are in danger of closing as a result of the financial losses they’ve suffered due to the ongoing COVID-19 pandemic, according to a new…

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