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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.

Wyden: HHS’ Current Cybersecurity Approach Is ‘Woefully Inadequate’

In the wake of the cyberattack on Change Healthcare, a key senator is urging federal regulators to take immediate steps to require major healthcare companies to beef up their cybersecurity. Sen. Ron Wyden, D-Oregon, sent a letter to the Department of Health and Human Services (HHS) on Wednesday saying the agency should immediately issue new ...

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House Lawmakers Weigh Suggestions to Fix 340B Drug Discount Program

Legislators from both sides of the aisle appear to agree that the controversial 340B drug discount program needs refinement rather than upheaval and broadly welcomed suggestions for greater transparency and preserved access to care during a Tuesday oversight hearing.

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California Becomes Latest State To Try Capping Health Care Spending

California’s Office of Health Care Affordability faces a herculean task in its plan to slow runaway health care spending. California is the ninth state to set annual health spending targets.

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Lawsuits Are Flying Over Generic-Drug Disputes

Five of the suits were filed by Esperion Therapeutics, which seeks to stop competitors from selling generic versions of the company's cholesterol drug Nexletol.

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Most Hospitals Not In Compliance With Federal Price Transparency Rules

After three years, only a third of 2,000 U.S. hospitals reviewed were in compliance with the Hospital Price Transparency Rule of 2021, says a new PRA report, which puts some of the blame on feds for not enforcing the rule.

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Single-Payer Healthcare Meets Its Fate Again In The Face Of California’s Massive Budget Deficit

The latest attempt to bring a single-payer healthcare system to California failed in the state Legislature on Thursday, undercut by its steep price tag as lawmakers struggle with a mounting budget shortfall.

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HHS Unveils New $50M Program To Protect Hospitals From Cyberattacks

Following the Change Healthcare and Ascension breaches, this new HHS program will solicit proposals from companies that can create tools to ensure internet-connected hospital equipment is kept safe and functional.

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Legal Battle Over Health Costs Could Change Workplace Benefits

An emerging legal battle over workplace health insurance could empower employees to fight back against high costs and put new pressure on their employers. Why it matters: Workers fed up with rising health care costs, which also eat into their wages, are filing lawsuits aiming to hold employers accountable for cutting what they say are bad deals with firms ...

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Justice Department ‘Upping Its Game’ On Healthcare Antitrust Enforcement With New Task Force

The U.S. Department of Justice (DOJ) announced Thursday it has established a new task force to take on healthcare monopolies and collusion. The task force, called HCMC for short, will guide the division’s enforcement strategy and policy approach in healthcare, including by facilitating policy advocacy, investigations and, where warranted, civil and criminal enforcement in healthcare ...

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Biden Races Clock On Health Regulations With Eye On Potential Trump Return

President Biden’s administration is working overtime to ensure his health care priorities are protected from a potential second Trump White House. In recent weeks, regulatory agencies have been racing against the clock to finalize some of their most consequential policies.

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