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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.

Insurers Profit from Medicare Advantage’s Incentive to Add Coding that Boosts Reimbursement

Health insurers have perfected a way to wring billions more in revenue from the Medicare program by combing patient medical charts for additional diagnosis codes to submit to the federal government for payment. 

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GOP Senators Introduce Bill to Preserve ObamaCare’s Pre-Existing Conditions Protections

Ten GOP senators this week introduced legislation that they say would protect ObamaCare provisions for people with pre-existing conditions.

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With More Than $20B on the Line, Insurers Push for Another Health Insurance Tax Delay

Health insurers and a coalition of business associations are ramping up efforts to repeal the health insurance tax, a provision of the Affordable Care Act that will cost insurers $14.3 billion in 2018.

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CDC: Uninsured Rates Hold Steady After One Year Of Trump

The uninsured rate in the first three months of 2018 held steady compared to the same time frame last year, according to new numbers released Wednesday by the Centers for Disease Control and Prevention (CDC). 

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Washington’s Fall Agenda: Pre-Existing Conditions Fight Takes Center Stage in Midterms

Health care is one of the issues taking center stage in this November’s midterm elections as Democrats press Republicans on preserving protections for pre-existing conditions under ObamaCare. But there is also plenty of unfinished work for Congress and the administration this fall, from passing opioid legislation to tackling drug costs.

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Google, Amazon, Microsoft and others have a long road ahead in healthcare

As tech giants start to forge paths into healthcare, they stand to put pressure on established healthcare IT firms to open up their systems and adopt data standards.

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Senate Passes Measure to Require Disclosure of Drug Prices in TV Ads

The Senate on Thursday passed a measure to provide funding to require drug advertisements to disclose the price of the drug after a last-minute push.

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Cigna, Express Scripts Shareholders Approve $67B Deal

Shareholders with both Cigna and Express Scripts voted to approve the insurer’s $67 billion acquisition of the PBM, the companies announced on Friday.

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GOP Senators Introduce Bill to Preserve ObamaCare’s Pre-Existing Conditions Protections

Ten GOP senators this week introduced legislation that they say would protect ObamaCare provisions for people with pre-existing conditions.

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States Suing Over Association Health Plans Seek Quick Win

A group of states challenging the federal government's expansion of Association Health Plans (AHP) has asked a federal judge to hand them an immediate legal victory.

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