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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.

Fact Checker: The White House Claim That ‘Most’ People On Obamacare Pay $75 or Less

A number of readers asked about this tweet, which was a summary of comments made by Earnest during a White House press briefing. The tweet included a video of Earnest’s remarks, in which he said: “What is clear is that the vast majority of people all across the country will have access to a plan that costs $75 a month or less.”

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Fewer Than A Third of Medicare ACOs Received Bonuses Last Year

The mixed results for Medicare accountable care organizations continued last year with fewer than one-third of them qualifying for bonus payments, the CMS said Thursday.

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HHS Says 2017 ACA Plans Will Still Be Affordable Despite Insurer Exits

The Obama administration is fighting the notion that recent bad news for the Affordable Care Act marketplaces, including multiple insurers pulling out and reports of skyrocketing premium rates, will sink the exchanges.

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5 Things to Know About Health-Care Spending in the U.S.

Despite a slowdown in the growth rate of overall national health expenditures, Americans are seeing more of their paychecks go to health-care costs. The increase is largely thanks to cost-shifting through higher deductibles in plans offered by employers, which cover the majority of workers and their families. The trend has hit middle-income households the hardest. Here are five things to know about trends in U.S. health-care spending.

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Analysis Predicts 10.1 Million Will Be Enrolled in Exchanges at End of 2016

A new analysis predicts there will be 10.1 million people enrolled in exchange plans by the end of 2016, less than half of the number originally predicted by the Congressional Budget Office in 2010.

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How Expanding Medicaid Can Lower Insurance Premiums for All

The Obama administration for years has been pleading with states to expand their Medicaid programs and offer health coverage to low-income people. Now it has a further argument in its favor: Expansion of Medicaid could lower insurance prices for everyone else.

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Mylan Tries Again to Quell Pricing Outrage by Offering Generic EpiPen

In its latest move to quell outrage over its price increases, the maker of the EpiPen has resorted to an unusual tactic — introducing a generic version of its own product.

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Drug Companies Spend Millions to Keep Charging High Prices

Pharmaceutical heavyweight Mylan, the latest poster child for drug-industry greed, finally stuck up for itself Thursday. It argued that “the system,” not avarice, was to blame for the company jacking up the price of EpiPens, a common (and life-saving) allergy remedy, by over 400%.

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Six Years Into Obama’s Health Care Law, Who Are the Uninsured?

Roughly 20 million more Americans have health insurance now than when President Obama’s health care law was passed in 2010.

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People With Obamacare Plans Filled More Prescriptions, But Had Lower Costs

The 2010 health law was meant to expand insurance coverage so that Americans could get medical care they would otherwise go without — and not spend a fortune doing so. Though it’s still early, new evidence suggests this scenario is playing out.

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