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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.

In Combating Surprise Bills, Lawmakers Miss Sky-High Air Ambulance Costs

In April 2018, 9-year-old Christian Bolling was hiking with his parents and sister in Virginia’s Blue Ridge Mountains, near their home in Roanoke. While climbing some boulders, he lost his footing and fell down a rocky 20-foot drop, fracturing both bones in his lower left leg, his wrist, both sides of his nose and his skull.

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Sutter Secretly Sharing Patients’ Private Info With Google, Others, Sacramento Lawsuit Alleges

In a class-action complaint filed this week in Sacramento Superior Court, two plaintiffs allege that Sutter Health is secretly sharing their medical information with Facebook, Google, Twitter and other third parties, impinging on their privacy and opening them up to targeted internet advertising.

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First Major ‘Medicare for All’ Hearing Sharpens Attacks on Both Sides

Supporters of “Medicare for All” notched a victory Wednesday when one of Congress’s most powerful committees debated the progressive proposal, but the venue also gave Republicans an opportunity to paint proponents as socialists.

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AMA Calls for State Regulation to Rein in Pharmacy Benefit Managers

It’s time to rein in pharmacy benefit managers, according to the American Medical Association, which adopted a policy at its annual meeting Monday calling for patient protections on the lightly regulated industry.

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Walgreens’ CMO on the Retailer’s Expanding Healthcare Role, Microsoft Partnership

Pharmacy and retail giant Walgreens has been aggressively working to establish itself as a force in the growing market for digital healthcare and web-driven patient care as it looks to outmaneuver rivals like CVS Health and Amazon.

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Senate Health Panel to Move Forward on Package to Lower Health Costs Next Week

The Senate Health Committee is planning a hearing next week on a wide-ranging bipartisan package to lower health care costs, followed by a markup the week after.

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Warren Buffett Says US Health Care Must be Revamped or It Will Be Left to the Government – Which Will...

Complacency will make fixing the nation’s health-care system a daunting task, according to Warren Buffett, whose Berkshire Hathaway recently joined with J.P. Morgan Chase and Amazon to develop a new model for their 1 million employees.

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Social Security Error Jeopardizes Medicare Coverage For 250,000 Seniors

At least a quarter of a million Medicare beneficiaries may receive bills for as many as five months of premiums they thought they already paid. But they shouldn’t toss the letter in the garbage. It’s not a scam or a mistake.

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CVS Plans to Turn 1,500 Stores into HealthHUBs

After piloting its HealthHUB format in a collection of its Houston stores, CVS Health announced during its investor day Tuesday that it's planning for 1,500 retail locations to follow suit in the next two years.

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About that CVS-Aetna Merger…

Late November Judge Richard Leon rose to the bench in his Washington, D.C., courtroom for what was expected to be a routine hearing as the Justice Department sought final approval of a settlement clearing CVS Health Corp.’s acquisition of Aetna Inc.

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