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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.

New Phase of CMS Audits to Include BAA’s: Brokers Need to Watch for Emailed Notices

As a part of its continued efforts to assess compliance with the HIPAA Privacy, Security and Breach Notification Rules, the HHS Office for Civil Rights (OCR) has begun its next phase of audits of covered entities and their business associates.

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A court case that could hurt Obamacare’s health

Just when you thought Obamacare was past legal challenges.

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Drug-Company Payments Mirror Doctors’ Brand-Name Prescribing

Doctors have long disputed the accusation that the payments they receive from pharmaceutical companies have any relationship to how they prescribe drugs.

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Kaiser Permanente’s New Medical School Will Be In Pasadena

Kaiser Permanente is moving forward with its ambitious plan to open a medical school that's more in tune with new technologies and local communities.

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2015 US Drug Spending Up 5 Percent, Half 2014’s Rise

Spending on prescription drugs for insured Americans rose about 5 percent last year, driven by both greater medication use and higher prices, mainly for very expensive drugs termed specialty medicines.

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Group Health Approves Acquisition by Kaiser Permanente

Rejecting critics and community concern, voting members of Seattle’s Group Health Cooperative have overwhelmingly agreed to join with the California health-care giant Kaiser Permanente.

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Voter Anger Over Surging Prescription Drug Costs Has Generated A Campaign Issue

Cathy Kerns expected to spend her retirement savings as her friends do: on cruises or other “golden years” indulgences.

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Three Changes Consumers Can Expect In Next Year’s Obamacare Coverage

Health insurance isn’t simple. Neither are government regulations. Put the two together and things can get confusing fast.

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High Deductibles Clash With Care Coordination And Primary Care

High deductibles add to consumers' financial stress and dissuade some patients from getting needed medical care.

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$1.2 Billion In Loans to ACA Health Insurance Co-Ops May Be A Loss, Report Warns

The failures of a dozen non­profit health insurance plans created by the Affordable Care Act could cost the government up to $1.2 billion, according to a harsh new congressional report that concludes federal officials ignored early warnings about the plans’ fragility and moved in too late as problems arose.

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