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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.

Former Zenefits CEO Surrenders Insurance License Following Department Enforcement Action

Today, Insurance Commissioner Dave Jones announced the conclusion of an enforcement action against Parker Conrad for his alleged role in licensing compliance violations that occurred at Zenefits during his tenure as CEO. Following the filing of an Accusation, Conrad entered into a settlement with the department resulting in the surrender of his insurance license.

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Trump Administration Defends Plan to Lower Prescription Drug Prices

The Trump administration hit back on Monday against critics of President Trump’s plan to reduce prescription drug prices, saying his ideas would be far more effective than remedies championed by Democrats.

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HHS Releases Plans for Further Deregulation, with Focus on Financial Risk, Non-ACA Plans

The Trump administration's spring 2018 unified agenda, released on Wednesday, offered a preview into various agencies' regulatory and deregulatory plans for the near future. Policy changes outlined by the Department of Health and Human Services (HHS) include reduced paperwork burdens for hospitals, greater flexibility for non-ACA-compliant plans, and additional tactics to fight the opioid epidemic, all of which have been previously addressed by the Trump administration. 

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More Than $635 Million Saved on Prescriptions by Users of California Rx Card and Nevada Drug Card

The California Rx Card and Nevada Drug Card prescription drug assistance programs have saved residents of the two states more than $635 million since the discount cards were launched in 2007 and 2008, through December 31, 2017.

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Trump Health Chief Defends Short-Term Insurance Plans

President Trump’s goal of expanding short-term health plans will not harm the insurance marketplace, Health and Human Services (HHS) Secretary Alex Azar said Thursday.

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ACA Stabilization Bill Is Dead, Says Republican Sponsor, As Insurers Propose Major Premium Hikes

Sen. Lamar Alexander, R-Tennessee, has said he’s abandoning efforts to push a bipartisan bill meant to stabilize the Affordable Care Act (ACA) exchanges, putting the blame on Democrats’ resistance to making changes to the law. With no congressional action likely this far into an election year, exchange insurers are requesting some eye-popping hikes for 2019 premiums.

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Consumers Brace For Premium Hikes While Lawmakers Grasp At Remedies

As some insurers angle for hefty premium hikes and concerns grow that more Americans will wind up uninsured, the federal health law is likely — once again — to play big in both parties’ strategies for the contentious 2018 election.

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ACA stabilization bill is dead, says Republican sponsor, as insurers propose major premium hikes

Sen. Lamar Alexander, R-Tennessee, has said he’s abandoning efforts to push a bipartisan bill meant to stabilize the Affordable Care Act (ACA) exchanges, putting the blame on Democrats’ resistance to making changes to the law.

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Poll finds 4M lost health insurance in last two years

About 4 million Americans lost health insurance in the last two years, according to a new survey from the Commonwealth Fund, which attributed the decline to actions taken by the Trump administration.

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FDA chief Gottlieb to pharma: Those rebates you love to hate may soon count as kickbacks

In a speech this week, Gottlieb suggested that the federal government should “re-examine” how rebates are treated under federal antikickback laws. Right now, those rebates don’t count as kickbacks.

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