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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.

No Primary Care Doc? We’ll Get You One

Health insurers are gearing up to comply with a new Covered California rule that will require them next year to ensure that all enrollees have a primary care provider.

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Justice Dept. Will Seek to Block 2 Health Insurance Mergers

The Justice Department is preparing lawsuits to block two giant health insurance deals, according to a person briefed on the matter, continuing a spate of antitrust actions in a whirlwind year for mergers and acquisitions.

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UnitedHealth’s Profit Surges, Yet Affordable Care Act Drags

UnitedHealth's second-quarter earnings jumped 11 percent to trump expectations even though the nation's largest health insurer took a bigger hit than expected from coverage linked to the Affordable Care Act.

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DOL Wants Small Health Plan Sponsors to File Annual 5500 Returns

The U.S. Department of Labor wants to use major changes to the Form 5500 benefit plan annual return program to get more information about U.S. group health plans.

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Nevada Wants More Feedback On Health Insurance Rate Hikes

Health insurance costs for about 240,000 Nevadans who buy individual or small-group plans are expected to rise next year, and state officials want consumers to offer feedback before the proposed rates are locked in in coming weeks.

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National Health Spending to Surpass $10,000 a Person in 2016

National health spending will average more than $10,000 a person this year for the first time, the Obama administration said Wednesday, a milestone that heralds somewhat faster growth in health spending after several years of exceptionally low growth.

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HHS Report Says Obamacare Plans Are Cheaper Than They Look

Obamacare health plans have been getting a bad rap this year. Critics say the premiums are too high, the out-of-pocket costs are out of control, and the requirements and red tape are too thick.

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GOP House Leaders Tout Health, Poverty Solutions

Republican House leaders say their congressional agenda will soothe national anxiety by improving healthcare and poverty.

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Obama on Obamacare’s Flaws: An Assessment

President Obama has published an essay on Obamacare in The Journal of the American Medical Association.

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IRS Releases Proposed ACA Coverage Affordability Calculation Regs

On July 8, the Internal Revenue Service released proposed regulations implementing some of the rules previously announced in IRS Notice 2015-87. The proposed regulations will apply for taxable years beginning after December 31.

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