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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.

Anthem-Cigna Breakup Could Prompt Chase for Smaller Acquisitions

As doubts continue to swirl around Anthem’s acquisition of Cigna, a potential breakup would leave both insurers looking to acquire smaller plans, according to Bloomberg.

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Reportedly, Aetna Launches Medicare Advantage Asset Sale

Aetna Inc has launched an auction to sell a portfolio of Medicare Advantage assets as it seeks antitrust approval for its $37 billion acquisition of U.S. health insurance peer Humana Inc, according to people familiar with the matter.

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Drug Coupons May Save You Money, But They’re Keeping Prices High. Here’s How.

A few months back, after returning from a family vacation that involved lots of pool time, my 9-year-old son complained that his ear hurt. A Sunday morning trip to urgent care brought a diagnosis of swimmer’s ear — an infection of the outer ear canal — and a prescription for ear drops.

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If You Want To Spend A Bundle On Your Bundle Of Joy, Go To Northern California

Everyone knows that real estate is no bargain in Northern California. It turns out that giving birth ain’t cheap either.

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About 1.6M Drop-Outs From Health Law Coverage This Year

About 1.6 million people who signed up for coverage this year under President Barack Obama's health care law dropped out by the end of March, according to administration figures released late Thursday.

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U.S. Doctors, Hospitals Paid Billions By Drug, Device Makers: Government

Doctors and hospitals in the United States received $7.52 billion in payments and ownership and investment interests from the makers of drugs and medical devices in 2015, according to data released by a government health agency.

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HHS to Pay $7.8 Billion to Obamacare Insurers

Insurers losing money from Obamacare plans will get a collective $7.8 billion to make up for their losses through the law's reinsurance program, the Obama administration announced Thursday.

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Prescription Drug Costs ‘Number One Driving Factor’ For Rising Health Insurance Premiums

Continued increases in prescription drug costs are "the number one driving factor” for increasing health insurance premiums, according to testimony from Wyoming Insurance Commissioner Tom Glause, who was appointed by Gov. Matt Mead (R), at a subcommittee hearing on small business health care costs held by the Senate Committee on Health, Education, Labor and Pensions.

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The Next Big Debate in Health Care

With 91% of the population now covered by some form of health insurance, and the coverage rate higher in some states, the next big debate in health policy could be about the adequacy of coverage. That particularly means rising payments for deductibles and their impact on family budgets and access to care.

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Even With Private Insurance, Out-of-Pocket Costs for Hospital Visits Shot Up 37%

If you have private health insurance, the good news is you may be helping your employer keep its health care spending down. The bad news is it's coming out of your pocket.

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