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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.

CBO Reduces Projection for 2016 ACA Exchange Enrollment by 8M

CBO previously projected that about 15 million U.S. residents would receive subsidies this year, but it has revised that projection to about 11 million individual

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Enrollment Growth in Obamacare Health Insurance Slower Than Expected

The nonpartisan Congressional Budget Office has lowered its estimate of how many people will get coverage through the law in 2016.

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Consumers Cut Costs By Combining Limited Coverage Health plans, Despite Penalty Risks

In 2016, the penalty is $695 per adult and $347.50 per child, or 2.5 percent of household income, whichever is greater.

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A Lifesaving Flight, With A Price Tag of $56,000

Butte is an old mining town tucked in the southwest corner of Montana with a population of about 34,000. Locals enjoy many things you can’t find elsewhere — campgrounds a quick drive from downtown and gorgeous mountain ranges nearby. But in Butte, as in much of rural America, advanced medical care is absent. People in Butte ...

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Supreme Court Declines To Hear New ObamaCare Challenge

The Supreme Court on Tuesday declined to hear another challenge to ObamaCare.

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Congress Calls Martin Shkreli to Testify on Rapid Rises in Drug Prices

Whether on Twitter, in online streaming videos or in interviews with the news media, Mr. Shkreli, a New York businessman, has shown little reserve when it comes to discussing the pending federal securities fraud charges against him, or his rationale for increasing the price of a decades-old drugby more than 5,000 percent at a pharmaceutical company he ran until last month.

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The ACA: What’s Been Repealed, Delayed or Retained

As you’ve no doubt noticed, the federal government made sweeping legislative and regulatory changes to the Affordable Care Act during the fourth quarter of 2015. During the last two weeks of December, I felt like I was drinking from a six-inch fire hose.

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Nevada Health Link Records 77,411 Enrollees, Topping Previous Enrollment Period

Two days ahead of a key signup deadline, the federal government released new enrollment numbers for Nevada's health insurance exchange.

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Power To The Patients: How To Increase Consumerism In Healthcare

Consumerism in healthcare just can’t work. It can’t work because seriously ill patients are under incredible stress and can’t shop around for the best care. It can’t work because information on quality and cost isn’t easily accessible. It can’t work because healthcare spending is heavily concentrated–just 5% of the patients account for 50% of the cost. What’s the point in having a $6,000 deductible when you need a $500,000 surgery?

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ACA Improved Access to Coverage, Reduced Uncompensated Care

The Affordable Care Act has increased U.S. residents' access to health coverage and reduced hospitals' shares of uncompensated care, according to two research letters published Tuesday in theNew England Journal of Medicine, HealthDay/U.S. News & World Report reports.

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