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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.

Could California Shape The Fate Of The Affordable Care Act In November?

In the state that’s leading the opposition to many of President Donald Trump’s health policies, California voters will face a stark choice on the November ballot: keep up the resistance or fall in line.

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Administration Challenges ACA’s Preexisting Conditions Protection In Court

The Trump administration is refusing to defend key parts of the Affordable Care Act, essentially arguing that federal courts should find the health law’s protection for people with preexisting conditions unconstitutional.

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Word & Brown Awarded New Large Group Contract by Kaiser Permanente

Following the announcement last fall by Kaiser Permanente naming Word & Brown General Agency a general agent for California small group business, Kaiser Permanente has now awarded a large group contract to Word & Brown for Fresno and San Diego.

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GOP Embraces Single-Payer Healthcare Attack in California

Republicans are seizing on Democratic demands for a single-payer health-care system as an attack line in California, arguing that candidates backing the issue spearheaded by Sen. Bernie Sanders (I-Vt.) are out of step with their districts.

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Pelosi: ‘Medicare for All’ Should Be ‘evaluated’ if Dems Win House

House Democratic Leader Nancy Pelosi (Calif.) said Thursday that "Medicare for All" proposals should be “evaluated” if Democrats win back the House this year, adding “it’s all on the table."

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Anthem Blue Cross Lawsuit Accuses Sebastopol Hospital of Fraudulent Billing

Health insurance giant Anthem Blue Cross has filed suit against Sonoma West Medical Center, accusing the Sebastopol hospital of conspiring with an out-of-state medical laboratory in a billing scheme that Anthem claims defrauded it and its members of $16 million.

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Fed Up With Rising Costs, Big U.S. Firms Dig Into Healthcare

At its Silicon Valley headquarters, network gear maker Cisco Systems Inc is going to unusual lengths to take control of the relentless increase in its U.S. healthcare costs.

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HHS Chief Calls for Shifts to State-Based Health Coverage Grants

The administration of President Donald Trump is still hoping to replace the current Affordable Care Act commercial health insurance subsidies with grants for states.

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Trump officials Meet With Drug Companies to Push for Voluntary Price Cuts

Department of Health and Human Services (HHS) officials have been meeting with pharmaceutical companies to seek voluntary cuts in drug prices, according to sources familiar with the meetings.

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Insurers Downplay Mandate Repeal’s Effect, But Still Raise Premiums

Even health insurers that don't expect many of their plan members to drop insurance coverage after the individual mandate penalty is zeroed out may still have to raise individual market premiums in 2019. That's because their payments from the ACA's risk-adjustment program will change thanks to the mandate loss.

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