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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.

Breach of Obamacare Site Spilled Sensitive Data

More than two weeks after announcing that the Obamacare website, HealthCare.gov, had been hacked, the Department of Health and Human Services has revealed that the breach exposed a wealth of information, including partial Social Security numbers and immigration status.

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Federal Health Care Website Up and Running After Slow Start

The federal website where consumers can get health insurance under the Affordable Care Act was up and running Thursday after a slow start as sign-up season for 2019 opened days before the midterm elections.

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Obama’s Health Insurance Overhaul a Winner in Midterms

The personality looming over the 2018 midterms was President Donald Trump. The issue was health care, the top concern for voters as they decided how to cast their ballots.

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McConnell Says Drug Prices Are on the Agenda, Obamacare Is Off

Congress’s health-care priorities are likely to focus on drug prices as Obamacare repeal becomes a non-starter for a split legislature, Senate Majority Leader Mitch McConnell said Wednesday.

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Hello? It’s I, Robot, And Have I Got An Insurance Plan For You!

“Anna” will not stop calling. She really, really wants to sell you health insurance. What a lot of consumers really, really want is to smack Anna upside her robocalling head.

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Billions In Questionable Medi-Cal Payments

California’s Medicaid program made at least $4 billion in questionable payments to health insurers and medical providers over a four-year period because as many as 453,000 people were ineligible for the public benefits, according to a state audit released Tuesday.

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Congressional Report Says Insulin Market Benefits Drugmakers and Insurers, Not Patients

“Perverse” incentives in the insulin supply chain lead to artificially high prices, as well as limited competition in the markets, according to a bipartisan report released Thursday by two lawmakers.

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Cigna Boosts 2018 Forecast After Third Quarter Earnings Beat

U.S. health insurer Cigna Corp (CI.N), which is in the process of acquiring Express Scripts Holding Co (ESRX.O), significantly bumped up its 2018 adjusted profit forecast, and its shares rose more than 3 percent on Thursday.

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Healthcare Waste is Costing Billions – and Clients Aren’t Doing Anything About It

Providing the workforce with healthcare coverage is expensive, but a new survey of 126 employers suggests a large chunk of that cost is being wasted by the healthcare industry on treatments patients don’t need.

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8 Results We’re Watching on Election Day with big Healthcare Implications

Healthcare has been a central theme of the 2018 election, arguably more so than any other election in recent history. 

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