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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.

Merger of Cigna and Express Scripts Gets Approval From Justice Dept.

Federal officials on Monday gave the go-ahead to the proposed merger between Cigna, one of the nation’s largest health insurers, and Express Scripts, a major pharmacy benefit manager.

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House GOP Blocks Trump – Supported Drug Pricing Provision from Spending Bill

House Republicans on Thursday blocked a drug pricing amendment supported by President Trump from inclusion in a health-care spending bill.

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Paper Jam: California’s Medicaid Program Hits ‘Print’ When The Feds Need Info

In the shadow of Silicon Valley, the hub of the world’s digital revolution, California officials still submit their records to the feds justifying billions in Medicaid spending the old-fashioned way: on paper.

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New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients’ Choices

Starting next year, Medicare Advantage plans will be able to add restrictions on expensive, injectable drugs administered by doctors to treat cancer, rheumatoid arthritis, macular degeneration and other serious diseases.

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California Grapples With Growing Physician Shortage For Low-Income Patients

When Paul Lyons opened a primary-care practice in the Palm Springs area for low-income patients, the need was clear.

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More Than Half of Consumers Don’t Understand Basic Aspects of the Healthcare System, Survey Finds

Improving consumers’ healthcare literacy could save the U.S. healthcare system billions of dollars per year, according to a new analysis from Accenture.

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Heller hits back at opponent in new ad, trying to blunt health care attacks

Sen. Dean Heller (R-Nev.) is hitting back on criticisms his opponent, Rep. Jacky Rosen (D-Nev.), has made on his health-care record, trying to blunt a major line of attack against him ahead of November's midterms. 

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Trump Officials Make it Easier to Avoid ObamaCare Mandate Penalty

The Trump administration is making it easier for individuals to opt out of ObamaCare’s individual mandate.

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House GOP to Vote on Suspending Employer Mandate This Week

The House Republicans' proposed suspension of the Affordable Care Act's employer mandate is on track for a vote this week. But it's unlikely the legislation, projected to add more than $58 billion to the deficit, will move through the Senate this year.

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Nevada Drops Plan for Extra Medicaid Paperwork for Mental Health Care

Nevada Medicaid will reverse its decision to require prior authorization for mental health services after providers and patients raised concerns that the policy change could delay treatment.

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