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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.

Nearly 446,000 Patients Affected In April-Reported Breaches

Healthcare providers, insurers and their business associates reported 38 breaches affecting nearly 446,000 patients to the federal government last month.

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Reopening Dental Offices For Routine Care Amid Pandemic Touches A Nerve

Tom Peeling wanted his teeth cleaned and wasn’t going to let the coronavirus pandemic get in the way.

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Moderna Coronavirus Vaccine Trial Shows Promising Early Results

The company said a test in 8 healthy volunteers found its experimental vaccine was safe and provoked a strong immune response. It is on an accelerated timetable to begin larger human trials soon.

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Hospitals Face An Uncertain Financial Future

When it comes to keeping Wilmington Health afloat, every option is on the table. CEO Jeff James said he might eventually need to sell the North Carolina multispecialty practice’s properties and lease them back. Worst-case scenario: He might eventually need to sell the practice.

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The COVID-19 Pandemic Will Have a Long-Term Impact on Healthcare. Here are 4 Changes to Expect

Even after the immediate emergency of the current COVID-19 pandemic passes, the healthcare industry won't return to business as usual, experts say.

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Health Insurers Need to Restart Care Management: AHIP

The insurer group says precertification and preauthorization programs can improve the quality of care.

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PwC Survey: Majority Of Consumers Planning To Spend Less On Their Healthcare

A new survey found that a majority of consumers are expected to spend less on healthcare visits or prescription drugs due to the COVID-19 pandemic.

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Providers, Payers Try To Convince Supreme Court To Not Strike Down ACA

Provider and payer groups told the Supreme Court that invalidating the Affordable Care Act (ACA) would completely wreck a healthcare system already under stress by the COVID-19 pandemic.

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Coronavirus Drives Health Insurers Back To Obamacare

Health insurers fled the Affordable Care Act in the early years of the law, fearing that losses from covering too many sick people would eat away at their profits.

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False Negatives Raise More Questions About Virus Testing Accuracy

New research is raising more questions about tests used around the U.S. to diagnose Covid-19 patients, with some of the tests producing a surprisingly high rate of false negatives that incorrectly show a person isn’t infected.

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