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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.

How Slow Uptake by ‘Young Invincibles’ is Driving the ACA’s Exchange Rates Higher

What a difference a bad year makes. Executives at UnitedHealth Group initially voiced optimism about their prospects on the Affordable Care Act's insurance exchanges. The nation's largest health insurer foresaw a big role for individual plans in its business model.

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Hefty Surprise Medical Calls Can Be a Burden for Families

When Sienna D'Andrea was just two months old, her mother Raquel got the shock of her life."The cardiologist said, 'Go home, pack your bags, your daughter needs surgery today.'"

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Obama Administration: Insurers Must Provide Services Regardless of Gender Identity

The Obama administration unveiled two broad initiatives Friday aimed at combating discrimination against transgender Americans in schools and health-care coverage, affirming the president’s goal of elevating transgender protections to one of the central civil rights issues of his presidency.

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Obama Administration Releases Rules on Wellness Programs

A federal agency on Monday released final rules on how employers can offer workers financial incentives of up to 30 percent of the cost of their cheapest health insurance plans to participate in wellness programs without violating federal laws protecting the confidentiality of medical information.

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Most Americans Want to Replace Obamacare With Single-payer – Including Many Republicans

The politics of Obamacare aren't all that complicated. Republicans have called for the Affordable Care Act to be "repealed and replaced" for years, with only sporadic attempts to articulate what the replacement would be.

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House Challenge to Health Law Could Raise Premiums, Administration Says

Victory for House Republicans in federal court last week could mean significantly higher health insurance premiums for millions of people if the decision is upheld on appeal, the Obama administration said Monday.

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Insurers’ Losses Deepened on ACA Plans in 2015

Many insurers have lost money on the Affordable Care Act plans they sell to consumers. A new analysis shows how much those losses deepened in 2015, the second year of the law’s signature exchanges.

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Insurers Quitting Health Law Exchanges May Still Sell Plans To Individuals

This week I answer readers’ questions about buying plans off the insurance marketplaces and more general questions about coverage.

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Obamacare Premiums In California May Rise 8 Percent Next Year, State Predicts

California’s health insurance exchange estimates that its Obamacare premiums may rise 8 percent on average next year, which would end two consecutive years of more modest 4 percent increases.

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Federal judge strikes down Obamacare payments

Federal district Judge Rosemary Collyer, a Republican appointee, ruled that the law does not provide for the funds insurers need to make health insurance policies under the program affordable.

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