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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.

Grassley, Wyden Reach Deal to Lower Drug Prices

Senate Finance Committee Chairman Chuck Grassley (R-Iowa) and Sen. Ron Wyden (D-Ore.) announced a bipartisan deal Tuesday on legislation to lower drug prices. 

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2020 Dems Grapple With How to Pay for ‘Medicare for All’

Democratic presidential candidates trying to appeal to progressive voters with a call for "Medicare for All" are wrestling with the thorny question of how to pay for such a dramatic overhaul of the U.S. health care system.

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Trump Administration Moves to Shift Patients’ Chronic Illness Costs to Insurers

Millions of Americans in high-deductible health plans may find it easier to access insulin, inhalers and other treatments for chronic health problems under guidance released Wednesday by the Trump administration.

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Health Insurers May Cover Statins, SSRIs, Inhalers and More at 100% Under Trump HDHP-HAS Notice

In a win for the health savings account industry and consumers with certain chronic illnesses, the Trump Treasury Department has broadened the list of preventative care items that may be covered at 100% under a high-deductible health plan before the deductible kicks in. But whether insurers will absorb the new costs or pass them on to employers and consumers in premium increases is a big unknown.

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More State Spending on Health Care May Be Eroding Americans’ Health

The rising cost of health care has become one of the largest sources of stresson American household budgets in the 21st century. More than one-quarterof Americans report problems paying medical bills in the past year, and many are sacrificing spending on basic necessities like food and clothing to pay medical bills. It’s no wonder that nearly 70% of Americans want lawmakers to make reducing health care costs a top priority.

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1 in 5 Employers May Face the ACA’s ‘Cadillac’ Tax On High-Cost Health Plans

Nearly a quarter of employers will be hit by the Affordable Care Act’s (ACA's) 40% excise tax on high-cost healthcare plans if it is implemented in 2022, according to a new analysis.

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Benefit Plan Options: More is Better?

Workers tend to stick around longer if their employer offers a wide array of benefits. But the key is to provide the right kinds of benefits depending on the age make-up of the workforce, according to the Paycor report, “The HR Playbook: Reduce Turnover With Employee Benefits.”

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Trump’s Efforts to Rein In Drug Prices Face Setbacks

President Trump’s plan to lower prescription drug prices hit two major obstacles this week. He killed a proposal on Wednesday that would have reduced out-of-pocket costs for older consumers out of concern that it would raise premiums heading into his re-election campaign. And a federal judge threw out a new requirement that drug companies disclose their prices in television ads.

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Drug Companies Say You’d Just Be ‘Confused’ If They Included Prices in TV Ads

Two things became apparent this week after a federal judge blocked President Trump’s requirement that drug prices be disclosed in TV commercials — a move intended to shame pharmaceutical companies into being friendlier to patients.

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Republicans Make U-Turn on Health Care

Senate Republicans are reversing course and now taking a hard look at health care legislation to replace the 2010 Affordable Care Act in case the courts strike down former President Obama’s signature achievement.

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