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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.

Dem Leaders, Progressives Struggle Over ‘Medicare for All’

Democratic leaders in the House are offering warnings about the high cost of "Medicare for all," underscoring concerns in the party about moving forward with the single-payer health care proposal.

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Child Enrollment in Public Health Programs Fell by 600K Last Year

The number of kids enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) — two government health plans for the poor — fell by nearly 600,000 in the first 11 months of 2018, a precipitous drop that has puzzled and alarmed many health policy analysts, while several states say it reflects the good news of an improving economy.

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Study: High-Deductible Health Plans Aren’t Making Members Better Healthcare Consumers

Though high-deductible health plans (HDHPs) have proliferated, members who have them often don’t act as empowered, discerning consumers, which can lead to delays in care, according to new research. 

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How Much Difference Will Eli Lilly’s Half-Price Insulin Make?

When Erin Gilmer filled her insulin prescription at a Denver-area Walgreens in January, she paid $8.50. U.S. taxpayers paid another $280.51.

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Nevada Bill Would Protect Health Care Benefits

Two bills introduced in a Senate health committee meeting Wednesday in the Legislature would protect health care benefits in Nevada.

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Bill Would End Pharmacist ‘Gag Clauses,’ Allow Cheaper Drugs Disclosure

Pharmacy benefit managers — businesses that act as middlemen between drug manufacturers and pharmacies — wouldn’t be able to bar pharmacists from telling consumers about lower-cost drugs if a new bill passes.

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Aon Will Not Pursue Merger with Willis Towers Watson

Aon Plc said it’s no longer pursuing a combination with rival insurance brokerage Willis Towers Watson Plc, a day after confirming that it was considering a tie-up.

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CMS Wants Advice on Facilitating Insurance Sales Across State Lines

The CMS is asking the public for advice on how it could make it easier for health insurers to sell coverage across state lines. The agency issued a request for information on Wednesday for recommendations on eliminating barriers and enhancing insurers’ ability to sell individual insurance coverage from state-to-state. The request, which the CMS said is meant to promote competition and choice for consumers, follows President Donald Trump’s October 2017 executive order on the issue.

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Amazon-Berkshire-JPMorgan Chase Alliance Reveals Name for Healthcare Company

The joint healthcare venture between Amazon, JPMorgan Chase and Berkshire Hathaway finally has a name — Haven — and a new mission: to simplify health benefits for their employees.

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Azar: Kidney Dialysis Needs to Move to Patient Homes

HHS Secretary Alex Azar on Monday told a crowd of kidney disease patients and advocates the Trump administration is overhauling Medicare's payment system to move the bulk of dialysis treatments from clinics to the home.

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