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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.

Aetna Exec Sees ACA Risk-Adjustment Death Spiral

The Affordable Care Act risk-adjustment program is working so poorly that it's pushing individuals and small groups that have alternatives out of the ACA-compliant coverage market, according to Mark Bertolini.

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Health Law Tax Penalty? I’ll Take It, Millions Say

The architects of the Affordable Care Act thought they had a blunt instrument to force people — even young and healthy ones — to buy insurance through the law’s online marketplaces: a tax penalty for those who remain uninsured.

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As Insurers Cut Brokers’ Commissions, Consumers May Have One Less Tool For Enrollment

With open enrollment set to begin today, some health insurance brokers are already fielding questions about coverage and whether existing plans will still be available next year. For an increasing number of brokers, there’s also another question: Will they get paid?

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Employer Groups Hope Congress Passes ACA Subsidy Clarification Bills

Employer groups are hopeful that Congress will use the lame-duck session to pass legislation to help prevent employees from incorrectly claiming health insurance subsidies in the Obamacare marketplaces.

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Feds Cap Short-Term Health Insurance Duration at 3 Months

New final federal regulations could make life more complicated for issuers and users of short-term health insurance by limiting the duration of short-term health insurance to periods of three months or less.

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Some Californians See Health Premiums Rise Sharply as Obamacare Enrollment Nears

Paula Schwartz of West Los Angeles says Obamacare has helped her afford medical coverage while she cares for her aging mother. But next year, her payments will jump $92 a month, or 57%.

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Key Moves By Covered California Helped Keep Premiums Down

The nation’s ever-controversial health care law suffered a black eye last week after the federal government announced that next year’s premiums for those who depend on the Affordable Care Act would increase by an average of 22 percent.

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Double-digit Premium Hikes Unlikely to Affect Most ACA Shoppers

Health insurance premiums for the benchmark exchange plans are set to rise 25% on average in 2017—an eye-popping figure that has fueled another wave of finger-pointing among Republicans seeking to dismantle the healthcare law.

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How To Enroll In Medicare And Avoid Costly Mistakes

Your 65th birthday is coming up. Soon, you think, the government will send you a packet explaining how to enroll in Medicare — its vast health program for 46 million seniors.

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ObamaCare Architect: ‘I Wish the Mandate Penalty Was Stronger’

A key adviser who helped design President Obama’s signature healthcare law is calling for stricter penalties for people who choose not to pay for health insurance.

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