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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.

An Estimated 52 Million Adults Have Pre-Existing Conditions That Would Make Them Uninsurable Pre-Obamacare

A new Kaiser Family Foundation analysis finds that 52 million adults under 65 – or 27 percent of that population — have pre-existing health conditions that would likely make them uninsurable if they applied for health coverage under medical underwriting practices that existed in most states before insurance regulation changes made by the Affordable Care Act.

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Under Trump, Congress Likely to Pull Plug On Medical Device Tax

When Donald Trump takes over as president on Jan. 20, one of the first business tax breaks he delivers is likely to go to the U.S. medical device industry and companies like Mark Throdahl's.

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Trump’s Vow to Control Drug Costs Alerts Another Industry

President-elect Donald Trump promised to drive down the cost of medicines, defying investors who saw a boon in his election last month and injecting himself again into a contentious economic debate.

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Hospitals Warn Trump, Congress of Massive Losses With Affordable Care Act Repeal

The nation’s hospital industry warned President-elect Donald Trump and congressional leaders on Tuesday that repealing the Affordable Care Act could cost hospitals $165 billion by the middle of the next decade and trigger “an unprecedented public health crisis.”

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U.S. Insurer Lobby Group Seeks Delay in 2018 Obamacare Deadline

The largest lobbying group for health insurers has asked U.S. lawmakers weighing the fate of Obamacare to push back the due date for 2018 individual insurance submissions to regulators in hopes of obtaining greater clarity on the program's future later on.

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Enrollment is Brisk as Congress Mulls Repeal of Obamacare

As the Republican-led Congress and the President-elect Donald J. Trump call for the repeal of the federal health care law known as Obamacare, insurance exchanges in Maryland and around the country continue to sign people up for coverage at a pace that could make it a banner year.

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Republicans Face Dilemma on Timing of Health-Law Replacement

Republicans united in their desire to overturn the Affordable Care Act are divided over whether to replace it before or after the 2018 elections, a choice that holds political peril either way.

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McConnell Will Not Give Timeline for Obamacare Replacement

U.S. Senate Majority Leader Mitch McConnell said on Monday the Senate will move to repeal President Barack Obama's healthcare law shortly after Jan. 1, but declined to give a timeline for a plan to replace it.

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Insurers’ Flawed Directories Leave Patients Scrambling For In-Network Doctors

Penny Gentieu did not intend to phone 308 physicians in six different insurance plans when she started shopping for 2017 health coverage.

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More Low-Income Parents Turning to Medicaid, CHIP for Their Children Instead of Their Own Employer Health Insurance

An increasing number of low-income parents are not obtaining health insurance for their children through their employer, even as they obtain coverage for themselves, and are instead turning to the Children's Health Insurance Program (CHIP) and Medicaid to insure their children. These are findings in a new study from PolicyLab at Children's Hospital of Philadelphia (CHOP), published today in the December issue of Health Affairs.

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