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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.

Feds: More Than 300 Charged In Health Care Fraud

Doctors, nurses and pharmacists were among more than 300 charged with health care fraud schemes involving $900 million in false billings in what the Justice Department described Wednesday as the largest such enforcement action in U.S. history.

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Feds Will Use Tax Penalty Data to Find Uninsured Millennials

With time running out for the Obama administration to prove the success of the Affordable Care Act, officials are aggressively targeting a group that could help turn things around: young people.

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House Republicans Offer Proposals for Health Care Changes

House Republicans on Wednesday unveiled new proposals to repeal and replace President Barack Obama's health care law, as Speaker Paul Ryan seeks to showcase a GOP governing agenda amid the tumult of the presidential campaign.

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Online Tools to Shop for Doctors Snag on Health Care’s Complexity

Need a dermatologist? Today, online tools can show you which doctors are in your plan’s network as well as rank them by the likely cost of a visit.

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The Secret Washington Battle Determining Drug Prices

Part B drug payment policy. Boring. Obscure. But an ongoing battle over these policies will affect you — especially what you pay for drugs.

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Study Projects Sharper Increases In Obamacare Premiums for 2017

Next year’s premiums for health coverage under the Affordable Care Act could rise more than in past years in most markets and declines might be rare, according to a preliminary analysis of insurers’ plans.

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US Could Spend $2.6 Trillion Less On Health Than Original Obamacare Estimates

A trillion here, a trillion there, and pretty soon you're talking about real money.

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A Record Number of American Say They Can Indeed Afford Health Care

The annual cost of health care for a typical family of four with employer-sponsored insurance has skyrocketed over the past few years to over $25,000 in 2016—yet more Americans say they can afford the bills.

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Lawmakers Renew Push to Block Surprise Medical Bills

Even when patients make concerted efforts to see doctors covered by their insurance plans at in-network facilities, they run the risk of unknowingly being treated by other out-of-network providers during that visit. A new state bill would protect people from paying hefty surprise medical bills stemming from such out-of-network charges.

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Even $20 Meals Can Sway Doctors, Study Finds

Physician influence can be bought for as little as a $20 meal, UCSF researchers have found.

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