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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.

Mylan’s Generic EpiPen – A price Break Or Marketing Maneuver?

Following weeks of criticism over dramatic price increases on its EpiPen, Mylan said Monday it will offer a generic version of the life-saving allergy treatment.

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Here’s Why Drug Prices Rise Even When There’s Plenty of Competition

At least eight pharmaceutical companies sell a decades-old drug that treats gallstones, but the competition has done little to keep its price down.

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Taxpayers Foot 70 Percent of California’s Health Care Tab

This year, taxpayers will cover about 70 percent of what is spent on health care in California, according to a new analysis released Wednesday by the UCLA Center for Health Policy Research.

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Measure to Prevent ‘Surprise’ Medical Bills Heads to Gov. Brown

Surprise medical bills happen when patients seek care from a facility within their health insurance network but then unknowingly receive services from an out-of-network provider, such as an anesthesiologist, who's not covered by their insurance.

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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.

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‘Simple Choice Plans’ To Debut In 2017 Marketplace Enrollment

Despite much hand-wringing about health insurers exiting the marketplaces where people buy individual coverage, in many areas consumers will likely still have a choice of plans when the 2017 open enrollment starts in November.

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Insurers Move to Limit Options in Health-Care Exchange Plans

Under intense pressure to curb costs that have led to losses on the Affordable Care Act exchanges, insurers are accelerating their move toward plans that offer limited choices of doctors and hospitals.

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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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