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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.

How Obamacare Increased Insurance Coverage in Nevada and Other States

President Barack Obama signed the Patient Protection and Affordable Care Act (ACA) on March 23, 2010, and open enrollment for all Americans began on October 1, 2013.

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Navigators beat agents in fight for young PPACA exchange plan buyers

Licensed insurance agents and brokers have had a hard time competing with official public exchange websites, call centers and nonprofit helpers, but they seem to be outselling the insurers' own websites and call centers.

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Hospitals in California, Other States Face Medicare Readmission Penalties

A majority of hospitals in California and other states that in CMS' Hospital Readmissions Reduction Program will be penalized in fiscal year 2016 for having too many patients return within one month of discharge, Modern Healthcare reports.

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Insurer Anthem Hikes 2015 Forecast, 2Q Earnings Climb

Anthem has pumped up its 2015 forecast again after earnings jumped more than 17 percent in its most recent quarter, helped by a surge in government money.

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Health Law’s Nonprofit Insurance Co-ops Awash in Red Ink

Fed up with the insurance industry, Democrats used the health care overhaul to create nonprofit co-ops that would compete with the corporations.

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Obama Administration Urges States to Cut Health Insurers’ Requests for Big Rate Increases

Hoping to avoid another political uproar over the Affordable Care Act, the Obama administration is trying to persuade states to cut back big rate increases requested by many health insurance companies for 2016.

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Health Spending Forecast: No Drastic Rise, but Slowdown Seems Over

New projections by federal government actuaries suggest that the nation’s five-year run of tiny increases in health care spending is coming to an end.

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How a Hugely Overpriced Hepatitis Drug Helped Drive Up U.S. Health Spending

There's one especially eye-catching number in a new report by Medicare actuaries about U.S. healthcare spending: 12.6%.

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Bigger May Be Better for Health Insurers, but Doubts Remain for Consumers

Deals among the nation’s largest health insurers in recent weeks have been almost head-spinning. But whatever the details, if the combinations are finalized, the result will be an industry dominated by three colossal insurers.

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Two-Thirds of State’s Uninsured Before Health Law Are Now Covered

Two-thirds of Californians who were uninsured before the Affordable Care Act went into effect now have health coverage, according to a study released Thursday.

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