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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.

Cigna Says Acquisition by Anthem May Not Happen This Year

Cigna Corp.’s acquisition by health-insurance rival Anthem (NYSE:ANTM) may not be approved this year, Cigna (NYSE:CI) said Friday in a regulatory filing.

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Access to Health-Care Prices Doesn’t Lower Spending

If people know how much health care services cost, they’ll shop for the best prices and spend less — or so the theory goes. That’s why the Massachusetts law intended to lower costs included a requirement that doctors, hospitals, and insurers provide cost estimates.

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IRS Correctly Calculated ObamaCare Tax Credit on 93% of Returns

The Internal Revenue Service correctly determined the allowable amount of the ObamaCare-related premium tax credit on most tax returns, a report made public Tuesday found.

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The Blues Singer Who Created America’s Hated Drug-Pricing Model

To patrons of the Rum Boogie Cafe in Memphis, he’s Mick, a skilled guitarist with a bushy white beard who favors fedoras and sings soulful tunes about fishing and drinking. To Americans outraged by pharmaceutical prices, he just might be the guy to blame.

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PPACA Coverage Cops Are Calling Your Group Clients

Tele-detectives are calling employers now to see whether some public health insurance exchange users lied when they swore they lacked access to a minimum level of employer-sponsored coverage.

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Here’s How the Insurance Industry Can Own the Digital Age

Picture this scenario: A MetLife home and auto policyholder visits Amazon's site over a two-month period to purchase products for a newborn on the way including food and clothing, a baby crib, stroller and wireless monitor.

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Quotit Explains the New Special Enrollment Period (SEP) Rules

These rules will apply to the Federal Facilitated Marketplace states. Quotit anticipates an update from Covered California and will send out an announcement once we received more information.

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Medical Errors Are No. 3 Cause of Death in the U.S., After Heart Disease and Cancer

Heart disease, cancer ... and medical errors?

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When Covered California Goes Wrong, Insureds Get the Runaround

When it comes to signing up customers, Covered California has been a success. But when it comes to serving customers, the independent public agency — now in its third year of helping individuals and small businesses get federally subsidized or free health insurance — still has growing pains.

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7 of 10 Most Profitable US Hospitals Are Nonprofits

Seven of the 10 most profitable U.S. hospitals are nonprofits, according to new research, including one in Urbana, Illinois, where hospital tax exemptions are headed for a contentious court battle that soon could determine whether medical facilities are paying their fair share of taxes.

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