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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.

Putting Money Where Its Mouthpiece Is: Calif. Outspends U.S. To Market Obamacare

Californians are getting barraged with online pop-up ads, radio spots and television commercials, all aimed at persuading them to sign up for Affordable Care Act health plans during this year’s open-enrollment season.

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California and Association Health Plans

Just a few decades ago, small businesses in California often banded together to buy health insurance on the premise that a bigger pool of enrollees would get them a better deal. California’s dairy farmers did it; so did car dealers and accountants. But after a string of these “association health plans” went belly up, sometimes in the wake of fraud, state lawmakers passed sweeping changes in the 1990s that consigned them to near extinction.

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Lawmakers Making Progress in Talks on Children’s Health Care

Congressional negotiators are making progress towards a bipartisan deal to reauthorize children’s health insurance and several other important health-care programs, sources say.

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Groups Make Year-end Push to Delay ObamaCare Taxes

Industry groups are gearing up for a final push to repeal or delay taxes in ObamaCare before the end of the year.

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Workers’ Compensation Still Under Pressure from Drug Repackagers, Compounding Pharmacies

Though the number of physician dispensed prescriptions has declined considerably from just a few years ago, the workers’ compensation industry continues to battle a market seeking to maintain high prices by changing drug strength and formulations.

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Trump’s Call to Stop Obamacare Payments Leads to More Cheap Plans for Low-Income Customers

President Trump's decision to cut off Obamacare payments to insurers has driven up the number of zero-cost plans being sold to customers for 2018.

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Actuaries Warn of Insurer Losses, Exchange Exits if Individual Mandate is Killed

If Republicans use their tax bill to repeal the individual mandate, more insurers could end up fleeing the Affordable Care Act exchanges amid climbing financial losses, according to the American Academy of Actuaries.

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Five Health-Care Fights Facing Congress in December

Health-care issues are at the top of Congress’s hefty December to-do list. Republicans spent much of the year on a failed bid to repeal and replace ObamaCare. That’s left several programs and taxes hanging in the balance as the year draws to a close, in addition to the latest health-care drama thrust into the GOP tax-reform debate.

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Sign-Up Pace Slow in Third Week of 2018 Obamacare Enrollment

 The pace slowed in the third week of enrollment for 2018 Obamacare individual insurance as nearly 800,000 people signed up through the federal government website HealthCare.gov, down about 75,000 people from the previous week, a U.S. government agency reported on Wednesday.

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Republicans’ Latest Plan to Repeal Obamacare’s Insurance Requirement Could Wreak Havoc in Some Very Red States

The Senate Republican plan to use tax legislation to repeal the federal requirement that Americans have health coverage threatens to derail insurance markets in conservative, rural swaths of the country, according to a Los Angeles Times data analysis.

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