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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.

Azar Taps Former CVS Executive to Help Lower Drug Prices

Health and Human Services Secretary Alex Azar is tapping a former CVS Caremark executive to lead the agency’s efforts to lower drug prices.

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Aetna to Pass Discounts it Gets From Drug Companies Directly to Consumers

Health insurer Aetna will begin passing discounts it gets on prescription drugs directly to some consumers at the point of sale, the company announced Tuesday. 

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CVS-Aetna Wants to be in Your Neighborhood Because Zip Codes Powerfully Shape People’s Health

Aetna chief executive Mark Bertolini heads one of the biggest health insurers in the country and is on the cusp of a $69 billion megadeal to merge his company with pharmacy giant CVS. He says the future of health care is going to depend, mostly, on the time people spend outside the grasp of the traditional medical system.

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Brand-Name Drug Prices Grew 10 Times Faster than Inflation Over Last 5 Years

As policymakers gear up to address rising drug costs, a new report highlights just how much prices have gone up in recent years. 

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Meet the Private Man At Center Of Very Public Single-Payer Debate

Dale Fountain is an intensely private man. He won’t say where he works. One of his oldest friends can’t say for sure where he lives. His sister knows he was once married but she isn’t in the loop these days — they haven’t spoken in two years.

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House Holds Hearing on AHPs

The House Education and Workforce HELP Subcommittee held a hearing on Tuesday in response to the Trump Administration’s proposed rule on Association Health Plans.

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States Face Challenge in Curbing Premiums After Stabilization Package Fails

After opposing Republican efforts to expand federal abortion funding prohibitions to Affordable Care Act cost-sharing reduction payments and other measures, Senate Democrats opposed the GOP-led stabilization package with its funding for CSRs and a $30 billion reinsurance pool. Without Democratic support, the measure was dropped this week from the $1.3 trillion omnibus spending bill, the last must-pass legislation of the year. To insurers' dismay, it isn't likely to come back.

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Health-Insurance Premiums Loom as Election Issue

Health-insurance premiums are likely to jump right before the November elections, a result of Congress’s omission of federal money to shore up insurance exchanges from its new spending package.

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Trump Says Proposals Targeting High Drug Prices Coming Soon

The administration will unveil a slate of proposals soon to address high prescription drug costs in the U.S., President Trump announced Monday. 

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Republicans Release New Plan to Lower Health Premiums, Stabilize Obamacare Markets

Sen. Lamar Alexander and other congressional Republicans are pressing forward with their latest plan to stabilize Obamacare health insurance markets and help provide coverage for patients with high medical costs.

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