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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.

Biotech Industry Pleased Califf Finally Confirmed As FDA Commissioner

The biotechnology industry is pleased the Senate finally confirmed Dr. Robert Califf as commissioner of the Food and Drug Administration.

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Health Insurance Tax Penalty Not Set In Stone

Under the Affordable Care Act, if you don't buy health insurance, you automatically face a hefty penalty, right?

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Insurer Warnings Cast Doubt On ACA Exchange Future

Political uncertainty isn't the only threat to the Affordable Care Act's future. Cracks also are spreading through a major pillar supporting the law.

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AARP: Price Hikes Doubled Average Drug Price Over 7 years

The average cost for a year's supply of a prescription drug doubled in just seven years to more than $11,000 — about three-quarters of the average annual Social Security benefit.

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Aetna CEO Answers Burwell’s Call, Vows Support For Exchanges Amid Losses

The head of Aetna Inc., the nation’s third-largest health insurer, said he supports insurance exchanges, even though he questioned their sustainability earlier this month and lost money in the marketplaces last year.

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Probe: HealthCare.gov ‘Passive’ on Heading Off Fraud

With billions in taxpayer dollars at stake, the Obama administration has taken a "passive" approach to identifying potential fraud involving the president's health care law, nonpartisan congressional investigators say in a report released Wednesday.

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Obamacare ‘Gaming’ Update: Feds, California Tighten Up On Documentation for Special Enrollments

The notion that mobs of Americans are actively plotting to cheat the Affordable Care Act by waiting until they get sick and then finding an excuse to sign up for health insurance is cherished by two groups: anti-Obamacare conservatives and insurance companies.

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Zenefits to Lay Off 17% of Work Force

Zenefits, a San Francisco health insurance start-up facing regulatory scrutiny, plans to lay off 250 people starting Friday, David Sacks, the chief executive, says.

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State Legislature Passes New MCO Tax, Rescues Over $1 Billion for Medi-Cal

The California legislature Monday approved a new health care tax, capping a months-long quest to safeguard over $1 billion in annual Medi-Cal funding the federal government had threatened to take away.

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Federal Regulators Propose Increase to Medicare Advantage Rates

Federal regulators proposed what they said was a slight rise in payments for insurers that offer private Medicare plans, a closely watched figure as this coverage becomes increasingly central to the companies’ business.

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