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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.

Trump’s Health Chief Warns Hospital Execs About Health Care Costs: ‘Change is Coming’

Speaking at the Federation of American Hospitals convention in D.C.,Health and Human Services (HHS) Secretary Alex Azar laid out a series of actions the administration will take that are aimed at lowering health care costs, and warned that it wouldn’t be deterred by powerful special interests.

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Big Pharma’s Lobbyists Are Losing Despite Their ‘pass the buck’ Campaigns

As policymakers and the administration focus on high drug prices, the brand drugmaker lobby has responded by unleashing millions of dollars in an attempt to shift blame.

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How A Push to Cut Costs and Boost Profits at Surgery Centers Led to a Trail of Death

The surgery went fine. Her doctors left for the day. Four hours later, Paulina Tam started gasping for air.

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Congress Races The Clock In Quest To Bring Stability To Individual Insurance Market

Congress is running out of time if members want to come up with legislation to stabilize the individual insurance market.

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Buried In The Budget Bill Are Belated Gifts For Some Health Care Providers

When President Donald Trump signed the last-minute budget deal into law earlier this month, the news coverage emphasized how the bill boosted military funding, provided tens of billions in disaster aid and raised the debt ceiling.

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CVS, Aetna Say Their Merger Won’t Be Anticompetitive, But Some Consumer Advocates Are Skeptical

General counsel for CVS and Aetna vowed at a congressional hearing Tuesday that the companies' merger plans would not lead to increased costs or to restrictions on service offerings—but experts aren't so sure. 

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Democrats Considering A New Strategy To Expand Health Coverage As Frustrations Build With Obamacare

After spending most of 2017 defending the Affordable Care Act from GOP attacks, a growing number of Democrats believe the law's reliance on private insurance markets won't be enough and the party should focus instead on expanding popular government programs like Medicare and Medicaid.

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Health Underwriters Press Lawmakers to Stabilize the Market

The role of the health insurance broker is reinforced daily by their clients, members of the National Association of Health Underwriters (NAHU) were told at the opening of their 2018 Capitol Conference today.

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Wellness Programs Aren’t Generating Medicare Savings

Seniors in wellness programs targeting obesity, falling and chronic conditions are not sparking healthcare spending decreases, according to a federal analysis released Friday.

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Why Top-Earning Medicare Users Will Pay More Next Year

A new tier of high-income Medicare recipients next year will have to pay a greater percentage of their medical costs, the latest move to shift more of the federal program’s tab onto the wealthiest beneficiaries.

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