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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.

Insurers Are Steering Some Patients Away

Under the Affordable Care Act, insurers can no longer deny people coverage based on their health status. But nobody said anything about charging sick people more for their drugs.

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Many Eligible for ObamaCare Subsidies Not Claiming Them

Most of those eligible for health insurance subsidies under the Affordable Care Act are failing to claim them, according to a new study.

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Medicare Announces ‘Part B’ Premiums for Outpatient Care

Most Medicare beneficiaries will keep paying the same monthly premium for outpatient care next year, the Obama administration said Tuesday.

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Companies Continue Chipping Away at Health Insurance Benefits

Companies’ health care costs in 2015 rose at the lowest rate in at least 20 years, a report out Thursday shows, but workers' share of costs continue to skyrocket.

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Health Plans Getting More Expensive, Narrower for 2016

The picture of health insurance sold on the exchanges for 2016 is becoming clearer: Premiums are rising at a faster pace than the previous year, and insurers are gradually ditching broader networks.

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Health Exchange Hopes to Move Past Troubles in 3rd Go-Round

It's survived an IT meltdown and attempts to kill it in the Legislature. It's now facing the loss of two insurance carriers and an effort to constitutionally ban it.

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Failure of Half of U.S. Health Insurance Co-ops Sparks New GOP Criticism

Several Republicans Thursday heaped blame on the Obama administration for the failure of more than half of the cooperatives set up under the health law to infuse competition into the insurance market. The collapse of 12 out of 23 operating co-ops is providing a fresh opportunity for the GOP to criticize the Affordable Care Act ...

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Uninsured Rate At New Low Under Obamacare

The uninsured rate has fallen to a new low of 9 percent, marking 16.3 million more people with health insurance since ObamaCare’s coverage expansion took effect in 2013, according to data released Thursday. The survey from the Centers for Disease Control and Prevention (CDC) finds that the uninsured rate was 9 percent in the first six months ...

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Regulators Urge Broader Health Networks

The nation’s insurance commissioners are recommending sweeping new standards to address complaints from consumers about limited access to doctors and hospitals in health plans sold under the Affordable Care Act. Limited networks of health care providers are a feature of many insurance policies offered in the public marketplaces, or exchanges, where people with low incomes ...

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Marketplace Plans Covering Out-Of-Network Care Harder To Find

Health plans that offer coverage of doctors and hospitals outside the plan’s network are getting harder to find on the insurance marketplaces, according to two analyses published this week. Two-thirds of the 131 carriers that offered silver-level preferred provider organization plans in 2015 will either drop them entirely or offer fewer of them in January, ...

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