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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.

Need Pricey Drugs From An Obamacare Plan? You’ll Shoulder More Of The Cost

Substantially more health plans on the federal insurance marketplaces require consumers next year to pay a hefty portion of the cost of the most expensive drugs, changes that analysts say are intended to deter persistently ill patients from choosing their policies.

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Health-Insurance Commission Cuts Make It Harder for Nevada Consumers to Get Expert Help

Las Vegas resident Connie Densmore, a financial adviser and tax preparer, is used to dealing with technical terms and jargon.

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Americans Send Trump a Loud Message: Change that Health Care Law

President-elect Donald Trump is eager to change the nation’s health care law – and most Americans are eager for some changes, a new Gallup Poll released Monday found.

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Testimony Shows Anthem and Cigna at Odds Over Proposed Merger

Newly unsealed court testimony shows health insurers Anthem Inc. andCigna Corp. have significant disagreements about their proposed merger, offering fresh details about a rift that is highly unusual for two companies seeking to press ahead with such a deal.

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Planned Medicaid Overhaul Could Put GOP Governors in an Awkward Spot

Republicans set on rapidly dismantling the Affordable Care Act are also pushing an overhaul of Medicaid, whose expansion under the 2010 law has covered millions of low-income Americans—many in states run by GOP governors.

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Back To The Future: Insurance Pools For High-Risk Patients Could Be Revived

It wasn’t so long ago that health insurance horror stories fueled discussions around the family dinner table and the national debate over health care reform.

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Paul Ryan’s Plan to Change Medicare Looks A Lot Like Obamacare

President-elect Donald Trump and House Speaker Paul Ryan agree that repealing the Affordable Care Act and replacing it with some other health insurance system is a top priority.

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Rebates to Pharmacy Benefit Managers Are a Hidden Contributor to High Drug Prices

In the furor over high drug prices, both Congress and the media have largely focused on the role played by drug companies such as Turing Pharmaceuticals, Valeant, and Mylan. Another contributor — pharmacy benefit managers and the rebates they get from drug companies — is only now getting the attention it deserves.

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Elizabeth Warren Rips 21st Century Cures Bill and Vows to Fight It

Senator Elizabeth Warren on Monday railed against legislation that would ease standards for new drugs and medical devices, saying the bill had been “hijacked” by the pharmaceutical industry.

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New Quotit Mobile App Helps Brokers Find Right ACA Plans for Consumers

Quotit Corporation, the leading national provider of Internet sales and marketing solutions for the health insurance and employee benefits industry, has launched a new mobile quoting app, QuotitGO. QuotitGO gives brokers the ability to quote insurance options for consumers on the go, including real-time subsidy calculations, an important distinction between QuotitGO and other apps as over 85% of Americans qualified for subsidies in 2015 when enrolling in ACA marketplace plans.

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