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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.

Workers’ Desire Grows For Wage Increases Over Health Benefits

More wages, less health insurance. In a recent survey, one in five people with employer-based coverage said they would opt for fewer health benefits if they could get a bump in their wages. That’s double the percentage who said they would make that choice in 2012.

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Anthem-Cigna Merger Proposal Takes A Grilling

State insurance commissioner Dave Jones continued to make his skepticism clear regarding Anthem Inc.’s proposed $54.2 billion acquisition of Cigna Corp. during a hearing here on Tuesday.

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Newest Policyholders Under Health Law Are Sicker and Costlier to Insurers

People newly insured under the Affordable Care Act were sicker, used more medical care and had higher medical costs than those who already had coverage, the Blue Cross and Blue Shield Association said Tuesday in a new study of its policyholders.

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Anthem Launches A Large Group Plan With Dignity Health

Anthem Blue Cross announced Thursday it will collaborate with Dignity Healthto offer a new insurance plan designed to lower costs through an integrated care management system.

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Federal Regulators Issue Medicare Advantage Rates for 2017

Federal regulators said Monday that payments to insurers that offer private Medicare plans to older Americans would rise slightly, but somewhat less than the government indicated earlier this year.

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Medi-Cal Expands To Immigrant Children. Here’s How It Works

In a few months, California will begin providing full Medi-Cal coverage to all low-income children — regardless of their immigration status.

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Obamacare Premiums Could Spike Next Year

Companies selling individual health plans on Obamacare’s insurance marketplaces must grapple with the impending expiration of two of the law’s key early-stage programs, likely foretelling premium increases in 2017, as PricewaterhouseCoopers points out in a new regulatory brief.

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3 Key Technology Trends for the Insurance Industry in 2016

Insurance agents and brokers are experiencing a major shift in what their customers and clients have come to expect.

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Insurers Cut Commissions to Restrict When and What Plans People Buy

Insurers increasingly are dropping agents' commissions to discourage the sale of the Affordable Care Act plans they're losing the most money on, especially when the consumers are more likely to be sick, according to health care industry officials and experts.

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Zenefits Lost Two-Thirds of Its Value

The valuation of once high-flying technology leader Zenefits is less than $2 billion now, or 65 percent less than its May 2015 high point, following another write down by mutual fund giant Fidelity Investments.

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