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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.

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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Despite Paying, Some Californians Are Asking Where’s My Health Insurance

It wasn’t until a doctor ordered medical tests for Adriana Vitale that she discovered her Covered California coverage had disappeared. “I was shocked. I was crying. I was depressed,” said Vitale, 61, of Downey.

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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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Officials Emphasize Drug Treatment, Mental Health in Medicaid Push

In its latest effort to get more states to states to expand their Medicaid programs, health officials are emphasizing its role in paying for treatment of opioid abuse and mental health issues.

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Pharmaceutical Company Has Hiked Price On Aid-In-Dying Drug

When California’s aid-in-dying law takes effect this June, terminally ill patients who decide to end their lives could be faced with a hefty bill for the lethal medication. It retails for more than $3,000.

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Report Offers a Mixed View of Health Care Law Costs

More people will be enrolled in Medicaid than predicted a year ago, fewer will be covered through the new public insurance marketplaces and the overall cost of insurance coverage under the Affordable Care Act will be higher than expected last year, the Congressional Budget Office said Thursday.

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