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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.

Insurance Firms Reach Settlement With U.S. Department Of Labor

The US Department of Labor has announced separate settlements with Unum Life Insurance Co. of America and the Lincoln National Life Insurance Co. that relate to their practices on evidence of insurability.

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Have You Noticed New Drug Ads? FDA Issues New ‘Transparency’ Rules For TV, Radio

Prescription drug ads will soon look different as new federal transparency rules take effect, requiring commercials to clearly spell out potential side effects, essentially ending those rapid-fire disclaimers at the end of many commercials.

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Wyden: HHS’ Current Cybersecurity Approach Is ‘Woefully Inadequate’

In the wake of the cyberattack on Change Healthcare, a key senator is urging federal regulators to take immediate steps to require major healthcare companies to beef up their cybersecurity. Sen. Ron Wyden, D-Oregon, sent a letter to the Department of Health and Human Services (HHS) on Wednesday saying the agency should immediately issue new ...

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House Lawmakers Weigh Suggestions to Fix 340B Drug Discount Program

Legislators from both sides of the aisle appear to agree that the controversial 340B drug discount program needs refinement rather than upheaval and broadly welcomed suggestions for greater transparency and preserved access to care during a Tuesday oversight hearing.

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California Becomes Latest State To Try Capping Health Care Spending

California’s Office of Health Care Affordability faces a herculean task in its plan to slow runaway health care spending. California is the ninth state to set annual health spending targets.

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Lawsuits Are Flying Over Generic-Drug Disputes

Five of the suits were filed by Esperion Therapeutics, which seeks to stop competitors from selling generic versions of the company's cholesterol drug Nexletol.

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Most Hospitals Not In Compliance With Federal Price Transparency Rules

After three years, only a third of 2,000 U.S. hospitals reviewed were in compliance with the Hospital Price Transparency Rule of 2021, says a new PRA report, which puts some of the blame on feds for not enforcing the rule.

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Single-Payer Healthcare Meets Its Fate Again In The Face Of California’s Massive Budget Deficit

The latest attempt to bring a single-payer healthcare system to California failed in the state Legislature on Thursday, undercut by its steep price tag as lawmakers struggle with a mounting budget shortfall.

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HHS Unveils New $50M Program To Protect Hospitals From Cyberattacks

Following the Change Healthcare and Ascension breaches, this new HHS program will solicit proposals from companies that can create tools to ensure internet-connected hospital equipment is kept safe and functional.

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Legal Battle Over Health Costs Could Change Workplace Benefits

An emerging legal battle over workplace health insurance could empower employees to fight back against high costs and put new pressure on their employers. Why it matters: Workers fed up with rising health care costs, which also eat into their wages, are filing lawsuits aiming to hold employers accountable for cutting what they say are bad deals with firms ...

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