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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.

How The Farm Bill Could Erode Part Of The ACA

Some Republican lawmakers continue to try to work around the federal health law’s requirements. That strategy can crop up in surprising places. Like the farm bill.

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HHS secretary: Trump drug pricing plan will go ‘much further’ than budget proposal

Health and Human Services Secretary Alex Azar said the administration is working on a plan to tackle high drug prices that would go “much further” than the proposals in President Trump’s budget.

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Humana, Aetna, UnitedHealthcare all cashing in on Silver Tsunami

Finance execs at the big payers all say the Medicare Advantage market will only get bigger, and more lucrative.

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Health insurers seek big rate hikes for 2019

Health insurers are seeking lofty rate hikes for 2019 individual coverage as they grapple with new obstacles in the Affordable Care Act marketplace, including the zeroed-out mandate penalty and the potential influx of skimpy insurance policies.

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Humana, Aetna, UnitedHealthcare All Cashing in on Silver Tsunami

Aetna, Humana and UnitedHealthcare all reported positive financial results this quarter and executives cited the same reason: swelling numbers of Medicare Advantage enrollees, otherwise known as the Silver Tsunami. 

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HHS Secretary: Trump Drug Pricing Plan Will Go ‘Much Further’ Than Budget Proposal

Health and Human Services Secretary Alex Azar said the administration is working on a plan to tackle high drug prices that would go “much further” than the proposals in President Trump’s budget.

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Health Insurers Seek Big Individual Rate Hikes For 2019

Health insurers are seeking lofty rate hikes for 2019 individual coverage as they grapple with new obstacles in the Affordable Care Act marketplace, including the zeroed-out mandate penalty and the potential influx of skimpy insurance policies.

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How The Farm Bill Could Erode Part Of The ACA

Some Republican lawmakers continue to try to work around the federal health law’s requirements. That strategy can crop up in surprising places. Like the farm bill.

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Medicare Beneficiaries Feel The Pinch When They Can’t Use Drug Coupons

The coupons typically offer patients with commercial insurance a break on their copayment for brand-name drugs, often reducing their out-of-pocket costs to what they would pay for inexpensive generic drugs.

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FDA Chief Gottlieb to Pharma: Those Rebates You Love to Hate May Soon Count as Kickbacks

FDA Commissioner Scott Gottlieb, M.D., hasn’t been shy about allying with President Donald Trump on the subject of high drug prices. Even though pricing is not the FDA's purview, Gottlieb has vowed to do his part to bring down drug costs by speeding up approvals of generics, for example, and cracking down on companies that try to stifle generic competitors.

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