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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.

Amazon, Buffett, JPMorgan Pick Gawande to Lead Health Firm

Three corporate giants seeking to attack rising health care costs have turned to a Harvard professor who has written books about the system's many flaws.

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Fraud Fears Rise as Feds Expand Access to Association Health Plans

Regulators and insurance experts worry the Trump administration's new rule expanding association health plans for small businesses and self-employed people will lead to a spike in insurance fraud and insolvencies that plagued consumers and healthcare providers in the past.

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New Trump AHP Rule Rolls Back Protections of the Affordable Care Act

The Trump administration issued a sweeping new rule on Tuesday to make it easier for small businesses to band together and set up health insurance plans that skirt many requirements of the Affordable Care Act, offering lower costs but also fewer benefits.

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Calif. Exchange Chief Sees No Rate Impact From Latest Trump Challenge To ACA

Covered California’s premiums are expected to rise significantly next year, but the head of the state’s insurance exchange said the Trump administration’s legal bid to dismantle protections for people with preexisting medical conditions will likely not contribute to the increases.

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Worker Protections Seen at Risk in Pre-X Shift

The Trump administration’s latest move against “Obamacare” could jeopardize legal protections on pre-existing medical conditions for millions of people with employer coverage, particularly workers in small businesses, say law and insurance experts.

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Bipartisan Group of Governors Denounces Trump Move On Pre-Existing Conditions

A bipartisan group of governors on Monday called on the Trump administration to reverse its decision to argue in court that ObamaCare’s pre-existing condition protections should be overturned.

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Actuaries Identify Drivers of 2019 Health Insurance Premium Changes

The American Academy of Actuaries has identified increasing health care costs and the effects of public policy changes as among the major drivers of 2019 premium rate changes for individual insurance coverage that is subject to Affordable Care Act (ACA) rules.

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Court Rules Insurers Not Entitled to ObamaCare Payments

A federal appeals court on Thursday ruled that insurers are not entitled to collect billions of dollars they claim the federal government owes as part of an ObamaCare program.

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Most Under-35s Ok With Insurers Digital Spying If It Cuts Prices

The majority of people between 18 and 34 would be willing to let insurance companies dig through their digital data from social media to health devices if it meant lowering their premiums, a survey shows.

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Illness Shouldn’t Divide Us, Blue Cross CEO Says

As chief executive of Blue Cross Blue Shield of Massachusetts, Andrew Dreyfus is worried that Congress this summer may try to weaken Obamacare’s requirements for covering preexisting conditions. That’s why he’s in Washington for two days of meetings starting Tuesday.

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