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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.

Covered California Extends IFP Enrollment Deadline Through July

According to Covered California, consumers who meet eligibility requirements have more time to sign up for health coverage during the pandemic, the enrollment deadline was extended to July 31.

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California Lawmakers Block Health Care Cuts

Gov. Gavin Newsom and Democratic state lawmakers agreed Monday on a state budget plan that would avoid the deep cuts to essential health care services that the governor had initially proposed.

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Citing COVID, Sutter Pushes To Revisit Landmark Antitrust Settlement

The nonprofit health care giant was accused of using its market dominance in Northern California to illegally drive up prices.

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Treasury and SBA Agree to Disclose Details About Many Small Business Loan Recipients

The U.S. Small Business Administration and Treasury Department announced Friday that they would release a data set showing which businesses received many taxpayer-funded Paycheck Protection Program loans, walking back an earlier stance that all of the business names would remain hidden because the Trump administration considered them proprietary.

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Appeals Court Says Trump Administration Can’t Force Drugmakers to Disclose Prices

A federal appeals court ruled against the Trump administration on Wednesday, finding that it does not have the legal authority to mandate that drug manufacturers display the prices of their medicines in television advertisements.

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Pandemic Forced Insurers To Pay For In-Home Treatments. Will They Disappear?

After seven days as an inpatient for complications related to heart problems, Glenn Shanoski was initially hesitant when doctors suggested in early April that he could cut his hospital stay short and recover at home — with high-tech 24-hour monitoring and daily visits from medical teams.

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Moody’s: US Healthcare System Rebounds From COVID-19 in May, But a Bumpy Road Lies Ahead

Large sections of the healthcare sector all but shut down during the spring as the coronavirus led to nationwide shelter-in-place orders. However, as states and municipalities slowly reopen, so are the doors for hospitals, ambulatory surgical centers, clinics and other integral components of healthcare delivery.

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Bipartisan Bills Aim To Prevent Price Gouging For Taxpayer-Funded COVID-19 Drugs

Two new bipartisan bills aim to prevent price gouging for taxpayer-funded treatments and vaccines for coronavirus disease 2019 (COVID-19).

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How Unemployment Will Impact the Way We Access Health Insurance

The economic impact of job losses relating to COVID-19 will create a dramatic shift in how individuals access health insurance.

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Insurers Should Prepare For ‘Volatile’ Individual Market Due To COVID-19 Pandemic: Study

The individual market next year is likely to be volatile due to the COVID-19 pandemic as new enrollees could cause adverse selection, a new report said.

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