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Compliance & Regulations

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.

Important Licensing CE Change For California Agents – Fraud-Prevention Ethics Training

Agents are still required to earn at least three hours of Ethics CE training to renew a license, but under the new requirements, one of those hours must now focus entirely on fraud prevention. The CDI has developed its own one-hour CE course to satisfy this requirement. Taking the CDI course is the only way to earn this hour of CE.

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Dos And Don’ts Of Employer Contributions To HSAs

As more employers, transition to High Deductible Health Plans (HDHPs) and Health Savings Accounts (HSAs) to control rising health care costs, they should familiarize themselves with the IRS rules governing HSAs. Failure to understand the rules governing HSAs can have tax and legal implications for employees and employers alike.

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Employer Advocacy Group Urges Congress To Improve Employee Health Care And Retirement

Individuals are not the only ones making resolutions for 2023. The ERISA Industry Committee (ERIC) spelled out its objectives in a recent letter to congressional leaders.

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As PHE Winds Down, Virtual Prescribing Of Controlled Substances Is In Limbo

The coming end of the COVID-19 public health emergency and pandemic-era telehealth flexibilities could rattle an already besieged behavioral health system and force providers to make ethical decisions. The public health emergency, which President Biden will end May 11, allowed clinicians to prescribe controlled substance medications via telehealth without an office visit. The 2008 Ryan ...

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CMS Seeks To Make Quality Measures More ‘Universal’ In Rollout Of New Program

Top Medicare and Medicaid officials want to create a “universal foundation” of quality measures aligned across all programs in a bid to ease reporting burdens and confusion. Officials with the Centers for Medicare & Medicaid Services called for aligning quality measures across more than 20 agency programs in a letter in The New England Journal of ...

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Decisions by CVS and Optum Panicked Thousands of Their Sickest Patients

The fear started when a few patients saw their nurses and dietitians posting job searches on LinkedIn. Word spread to Facebook groups, and patients started calling Coram CVS, a major U.S. supplier of the compounded IV nutrients on which they rely for survival. To their dismay, CVS Health confirmed the rumors on June 1: It ...

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CVS Nearing $10.5 Bln Deal For Primary-Care Provider Oak Street Health

CVS Health Corp (CVS.N) is close to an agreement to buy primary care center operator Oak Street Health Inc (OSH.N) for about $10.5 billion including debt, the Wall Street Journal reported on Monday, citing people familiar with the matter. The companies are discussing a price of about $39 a share, the newspaper said. The deal, if it goes through, could be ...

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As Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff

States are preparing to remove millions of people from Medicaid as protections put in place early in the covid-19 pandemic expire. The upheaval, which begins in April, will put millions of low-income Americans at risk of losing health coverage, threatening their access to care and potentially exposing them to large medical bills.

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Insurers Slam CMS’ Proposed Limit On Nonstandardized ACA Plans Sold On Healthcare.Gov

Several insurers say the Biden administration’s proposal to limit nonstandard plan options on the Affordable Care Act’s (ACA's) next year will stifle innovation and consumer options.

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4 In 5 Workers Say They’re Unlikely To Apply For A Job Without Salary Range

Dive Brief: The trend of workers demanding salary transparency shows no signs of slowing down. According to a recent survey from ResumeLab, 80% of respondents said they likely wouldn’t apply for a job if salary range information was lacking, 77% said it should be illegal to not include a salary in job postings and 80% said ...

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