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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.

Data Shows Drop in Coverage Among People Ineligible for ObamaCare Subsidies

Health insurance enrollment declined among people who do not qualify for financial help under ObamaCare as premiums rose to make coverage less affordable, new federal data shows. 

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Health Care Fight Among 2020 Democrats Shifts to Taxes

Taxes are playing a leading role in the health care debate that’s dividing the field of 2020 Democratic presidential candidates. Centrist candidates are criticizing their opponents on the left who support the single-payer proposal known as “Medicare for All” by arguing that it is too expensive and would require tax hikes for the middle class.

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Kaiser’s Net Income Continues to Soar On Investment Gains

Not-for-profit Kaiser Permanente's net income jumped 214% in the second quarter of 2019 year-over-year, hitting $2 billion in the quarter that ended June 30, and continuing what has so far been a strong year for the Oakland, Calif.-based health system.

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Canadians are Hopping Mad About Trump’s Drug Importation Plan. Some of them are Trying to Stop It.

Canadians are furious about the Trump administration’s plan to import their prescription drugs. And some of them are determined to stop the proposal in its tracks. 

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Charity Care Spending By Hospitals Plunges

California hospitals are providing significantly less free and discounted care to low-income patients since the Affordable Care Act took effect.

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UnitedHealth Study: Hospital Inpatient Spending from Commercial Plans Tops $200B in 2018

The annual cost of hospital inpatient spending from commercially insured individuals was more than $200 billion last year, according to an insurer study attacking the hospital industry.

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To Save Money, American Patients And Surgeons Meet In Cancun

Donna Ferguson awoke in the resort city of Cancun before sunrise on a sweltering Saturday in July. She wasn’t headed to the beach. Instead, she walked down a short hallway from her Sheraton hotel and into Galenia Hospital.

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Medicare to Cover Expensive Cancer Cell Therapies

Centers for Medicare and Medicaid Services (CMS) on Wednesday said it has finalized a decision to cover expensive cancer cell therapies sold by Gilead Sciences Inc and Novartis AG.

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After Backing Out Two Years Ago, Anthem Prepares to Return to Health Insurance Exchange

The health insurance company Anthem is making preparations to once again offer plans on the state exchange, a reversal of its decision to exit it two years ago over volatility in the individual health insurance marketplace.

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Financial Performance of Medicare Advantage, Individual, and Group Health Insurance Markets

Medicare-for-All proposals have sparked discussion about the role of private health insurance in the U.S. health care system. Some of the current Medicare-for-All proposals would essentially eliminate private insurance.

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