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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.

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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Obama Health Law Missed 2015 Enrollment Target

Last year's final enrollment numbers under President Barack Obama's health care law fell just short of a target the administration had set, the government reported Friday.

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Medicare Plans Score Higher Ratings And Millions In Bonuses

Vantage Health Plan executives saw an opportunity when they realized few of their female Medicare members were being screened for osteoporosis after they broke bones.

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Death Spirals Loom for Health Insurers

Obamacare enrollment is already millions of people below original forecasts, and we could see two sorts of death spirals in the insurance exchanges of the Affordable Care Act because of premium inflexibility mandated by law and partisan unwillingness to make the necessary compromises to fix it.

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Obama Says Enrollment in Affordable Care Act Reaches 20 Million

President Obama said on Thursday that enrollment in health coverage under the Affordable Care Act had reached a new high, 20 million, and he called the law an overwhelming success in this city and around the nation despite Republicans’ implacable opposition.

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