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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.

Headline Risk Will Remain High for US Healthcare In 2020

Demand drivers for US healthcare will remain intact in 2020 with most companies managing profitability pressures but headline risk remains, says Fitch Ratings. Headline risk will be high due to the overhang of opioid litigation liabilities, Affordable Care Act (ACA) court decisions and election rhetoric. Business models may continue to evolve given the slowly changing payment landscape.

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Candidates Are Betting Big On Health. Is That What Voters Really Want?

The one thing we know about health care in the 2020 Democratic presidential primary race is that it’s a top issue for voters.

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Medical Device Failures Brought To Light Now Bolster Lawsuits And Research

Lorraine Bonner felt as though she was the only one. The surgical staples used to seal her colon after surgery had leaked, she has alleged in a lawsuit, spurring additional surgeries and a long, difficult recovery.

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Health Care Costs for California Workers Are Growing Far Faster Than Incomes

Californians who get health insurance through their jobs are having to spend a greater share of their paychecks on health care costs, according to a new analysis of employer-sponsored health plans to be released Thursday by the Commonwealth Fund, a nonprofit foundation that researches health industry trends.

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California’s Individual Mandate 2020: What You Need to Know

California is implementing its new state individual mandate in 2020. It requires all California residents to maintain Minimum Essential Coverage (MEC) – medical health insurance coverage – for themselves and their dependents beginning January 1, 2020. Californians who do not maintain this coverage, or otherwise meet exemption requirements, will be subject to a tax penalty that somewhat resembles the former penalty at the federal level.

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Trump Says He Will Allow States to Import Prescription Drugs to Lower Costs

U.S. President Donald Trump said on Friday he will soon release a plan to let Florida and other states import prescription medicines to combat high drug prices, and he blasted the Democrat-led House for not going far enough in a drug-pricing bill.

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Democrats Increasingly Vocal in Calling ‘Medicare for All’ a Political Liability

Prominent Democratic leaders are sounding increasingly vocal alarms to try to halt political momentum for “Medicare for all,” opting to risk alienating liberals and deepening the divide in the party rather than enter an election year with a sweeping health care proposal that many see as a liability for candidates up and down the ballot.

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The Army Built to Fight ‘Medicare for All’

The top health industry lobbies have joined forces to take down socialized medicine — or anything that looks like it. Will they succeed?

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Medi-Cal To Expand Eligibility To Young Undocumented Adults. But Will They Enroll?

Starting in January, young adults can sign up for California’s Medicaid program regardless of immigration status. But a fundamental question looms: Will they?

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Bipartisan California Lawmakers Seek to Avert Cuts to Hospitals’ Medicaid Payments

Concerned about the nation’s health care safety net, a bipartisan coalition of California’s congressional leaders urged the U.S. House leadership Tuesday not to cut off supplemental Medicaid payments to hospitals because doing so could jeopardize care for millions.

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