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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.

For Uber And Lyft, Medicare Could Be The Next Profitable Ride

New rules allowing health insurers to include more supplemental benefits in their Medicare Advantage plans may open the door to millions of ride-sharing trips via Uber or Lyft to the doctor’s office, clinic or pharmacy for millions of elderly Americans.

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California Seeks to Intervene to Defend Obamacare in Court

California on Monday jumped into the middle of a legal dispute over the future of the federal Affordable Care Act, seeking to preserve the law that is under assault in the courts by 20 other states.

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Investigation Into Sale of Short-Term Health Policies Leads to $5 Million Settlement with HCC Life Insurance Company

Today the California Department of Insurance (CDI) reached a $5 million settlement agreement with HCC Life Insurance Company stemming from a multistate market conduct examination of HCC Life's short-term health insurance business. As part of the $5 million multistate payment, California will receive just over $1 million.

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Trump Officials Create New Exemptions to ObamaCare Mandate

The Trump administration on Monday created new exemptions to ObamaCare’s individual mandate, part of a slew of changes unveiled in regulations for the law’s marketplaces next year.

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Voters Say Health Care Top Issue In Midterms

Voters rank health care as the top issue heading into this year’s midterm elections, according to a HuffPost/YouGov poll released Friday.

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A Rare Loss for U.S. Pharma Lobby Will Cost the Industry Billions

Deep in a budget deal Congress passed earlier this year -- just 118 words in Section 53116, a little before passages on prison reporting data and payment yields for seed cotton -- was a hit to pharmaceutical companies that will cost them billions, and could signal more losses to come. 

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Walmart Talking with Humana on Closer Ties; Acquisition Possible: Sources

U.S. retailer Walmart Inc is in early-stage talks with health insurer Humana Inc about developing closer ties, with the acquisition of Humana being discussed as one possibility, people familiar with the matter said on Thursday.

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CMS Gives Medicare Advantage Plans A Raise

The CMS finalized a rule Monday giving Medicare Advantage plans a 3.4% pay hike in 2019. That's well above the 1.84% bump the agency initially proposed and higher that the 2.95% increase for 2018.

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Americans Have Mixed Feelings About The ACA’s Future – But Like Their Plans

A poll by the Kaiser Family Foundation, released Tuesday, found that 61 percent of people enrolled in marketplace plans are satisfied with their insurance choices and that a majority say they are not paying more this year compared with last year’s premium costs.

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Calif. Bill Targets Profiteering In Addiction Treatment, Dialysis Industries

A California lawmaker is seeking to rein in addiction treatment centers and dialysis providers accused of profiteering off vulnerable patients by collecting millions of dollars in inflated medical claims.

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