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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.

Obamacare Is Helping Millions Get Needed Healthcare, New Survey Finds

More than 60% of working-age Americans who signed up for Medicaid or a private health plan through the Affordable Care Act are getting healthcare they couldn’t previously get, a new nationwide survey indicates.

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IRS Offers Employers PPACA Penalty Estimator

The Internal Revenue Service (IRS)is trying to help employers that have been snoozing understand the coming wave of Patient Protection and Affordable Care Act (PPACA) group health mandate penalty bills.

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Fresno Man Charged With Embezzling $6 Million From Health Care Funds

A Fresno man is surrendering himself to the U.S. Marshals after a 20-count indictment was returned against him by a federal grand jury, acting U.S. Attorney Phillip A. Talbert said.

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California Legislature Approves Bill Allowing Families To Buy Plans Through State Exchange

Illegal immigrants would be allowed to purchase health insurance for themselves and their families through California's state-run marketplace under legislation that passed both houses of the Legislature this week with bipartisan support.

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When Adult Children Get Sick, It May Be Hard For Parents To Get Information

When Sean Meyers was in a car accident on a November evening three years ago, he was flown by air ambulance to the emergency department at Inova Fairfax Hospital, in Northern Virginia.

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Insurers Seek Big Premium Boosts

Big health plans stung by losses in the first few years of the U.S. health law’s implementation are seeking hefty premium increases for individual plans sold through insurance exchanges in more than a dozen states.

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Impact of ‘Millionaire Tax’ To Fund Mental Health Care Still Hard To Gauge

An 11-year-old statewide effort to expand mental health services with a tax on high incomes is helping many people, but there’s not enough hard data to measure the overall impact of the billions of dollars raised so far, members of an independent state watchdog agency said Thursday.

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Revised CMS Guidance on Waiting Periods

Subject: Frequently Asked Questions on Health Insurance Market Reforms and Marketplace Standards

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I.R.S. Ruling Is Obstacle to ACO’s

A ruling by the Internal Revenue Service creates a significant obstacle to a new type of health care network that the Obama administration has promoted as a way to provide better care at lower cost, industry lawyers and providers say.

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In a Secret Meeting, Revelations on the Battle Over Health Care

On Jan. 13, 2014, a team of Internal Revenue Service financial managers piled into government vans and headed to the Old Executive Office Building for what would turn out to be a very unusual meeting.

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