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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.

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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As ‘Medicare for All’ Debate Gains Steam, Many Americans Are On The Fence: Survey

Though support or opposition for “Medicare for All” is dominating the 2020 primary headlines, a large group of Americans is more ambivalent about the proposal, a new survey shows. 

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Medicare to Cover Expensive Cancer Cell Therapies

The U.S. 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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CMS Tees Up Medicare Plan Finder Update

The Centers for Medicare & Medicaid Services (CMS) is planning to launch updates to its Medicare Plan Finder (MPF) this month after a report from a government watchdog flagged significant usability concerns with the tool. 

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Trump Administration ‘Open For Business’ On Drug Imports From Canada

A year after calling proposals allowing Americans to import cheaper drugs from Canada a “gimmick,” Health and Human Services Secretary Alex Azar said the federal government is “open for business” on such a strategy.

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Will Canada Fight Back?

Canada’s main pharmaceutical lobby group has urged the government not to wait for drug shortages before responding to U.S. plans to import Canadian drugs, according to documents seen by Reuters.

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White House Weighs September Rollout of Health Plan

The Trump administration is considering releasing its long-promised health-care plan in the fall as part of a campaign strategy to offer an alternative to Democratic candidates who back Medicare for All, according to people familiar with the discussions.

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Hospitals, Insurers Signal Major Fight Over CMS Price Transparency Proposal

Hospitals and insurers are signaling a major fight with the Trump administration over a proposed rule to reveal negotiated prices for items and services.

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Health Insurers Experience July Heatwave

UnitedHealth Group, Anthem and several other insurers outpaced the broader market in what has been an otherwise choppy year for the industry. The industry is also holding up surprisingly well during the most recent round of corporate earnings. It is showing solid profit growth while companies within the broader S&P 500 are expected to report an overall contraction.

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In A Messy Democratic Presidential Debate, Facts About Medicare For All Get Tossed About

It’s been a month since Democratic presidential hopefuls last took to the debate stage, but Tuesday night in Detroit 10 candidates again faced off for the first of this two-night event.

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