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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.

Affordable Care Act Battle Returns to Court and Capitol Hill

The battle between congressional Republicans and the White House over the Affordable Care Act is again escalating—in court and on Capitol Hill.

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Surprise Medical Bill Fuel Fight Between Providers, Insurers

The growth of insurance plans built around small networks of health-care providers is fueling new fights over surprise medical bills, when patients inadvertently get care from out-of-network doctors.

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Big Insurers Defend $34 Billion Merger

Aetna Inc. and Humana Inc. face resistance from the Justice Department to their proposed $34 billion merger and an uphill battle persuading antitrust enforcers the deal won’t harm competition, according to people familiar with the matter.

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IRS Proposed Rules Address Premium Tax Credits, Benchmark Premiums, And Pediatric Dental Plans

The Affordable Care Act (ACA) requires individuals who do not qualify for an exception to have minimum essential coverage or pay a tax.

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Clinton Rolls Out Sanders-Like Healthcare Plan

Hillary Clinton formally adopted a more progressive stance on healthcare in a proposal released Saturday, as part of an effort to appease Bernie Sanders and his supporters.

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Obama Renews Call For A Public Option In Health Law

President Barack Obama Monday called on Congress to revisit the controversial idea of providing a government-run insurance plan as part of the offerings under the Affordable Care Act.

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Brand-Name Drugs’ High Copays Soak Medicare Part D Patients

A new study takes a fresh measure of generic drugs’ price advantages, revealing how much more Medicare Part D patients shelled out in copayments for two popular brand-name drugs in 2013.

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House G.O.P Returns Focus to Obamacare’s Spending Authority

The Obama administration knowingly spent billions in health care dollars without proper congressional authority and went to “great lengths” to impede congressional scrutiny of the money, Republicans on two major House committees said in a report that will be made public on Thursday.

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Court Strikes Down Obama Health Care Rule on Insurance Standards

A federal appeals court has ruled that consumers must be allowed to buy certain types of health insurance that do not meet the stringent standards of the Affordable Care Act, deciding that the administration had gone beyond the terms of federal law.

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Insurers’ Spending on Costly Meds Soared From 2003-14

The latest study of medicine prices finds U.S. insurers' spending on expensive prescription drugs nearly quadrupled from 2003 through 2014, when the number of such prescriptions filled tripled.

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