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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.

CMS Unveils 21 Next Generation ACO Participants

On Monday, CMS announced that 21 organizations -- including three in California -- initially will participate in its Next Generation Accountable Care Organization Model, MedPage Today reports (Frieden, MedPage Today, 1/11).

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Incentive Worth $550 Fails To Motivate Obese Workers To Lose Weight

Promising workers lower health insurance premiums for losing weight did nothing to help them take off the pounds, a recent study found. At the end of a year, obese workers had lost less than 1.5 pounds on average, statistically no different than the minute average gain of a tenth of a pound for workers who weren’t offered a financial incentive to lose weight.

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State Attorneys General Joining Probe of Health Insurer Mergers

About 15 state attorneys general have joined the Justice Department's probe of two big insurance mergers, according to people familiar with the matter, increasing the scrutiny on proposed deals that would reduce the number of nationwide health insurers to three from five.

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Tax Filing Issues Could Jeopardize Health Law Aid For Many

About 1.4 million households that got financial help for health insurance under President Barack Obama's law failed to properly account for it on their tax returns last year, putting their subsidies at risk if they want to keep coverage.

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Insurers Say Costs Are Climbing As More Enroll Past Health Act Deadline

Eager to maximize coverage under the Affordable Care Act, the Obama administration has allowed large numbers of people to sign up for insurance after the deadlines in the last two years, destabilizing insurance markets and driving up premiums, health insurance companies say.

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More Than 11.3 Million Americans Signed Up For Obamacare, HHS Says

More than 11.3 million people have signed up for health coverage under the Affordable Care Act in all 50 states and the District of Columbia, according to data released Thursday that provides the first national snapshot of enrollment for 2016.

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Young Adult Health Insurance Sign-Ups Disappoint

The Obama administration so far is making little progress in getting more young adults to sign up for health policies on the federal insurance exchange, according to figures released Thursday.

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ObamaCare Not Shifting Workers to Part-Time Jobs

ObamaCare has not caused employers to shift workers into part-time work, according to a new study.

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Health-Law Tax-Credit Payments to Insurers Questioned

The Obama administration wasn’t able to ensure that all tax-credit payments made to insurers under the health law in 2014 were on behalf of consumers who had paid their premiums, according to a federal oversight agency.

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Survey: US Progress on Health Insurance Stalled in 2015

Seeking a strong showing in President Barack Obama's last year in office, the administration said Thursday 11.3 million people have enrolled for health law coverage with three weeks still left in the sign-up season.

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