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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.

CEOs at Aetna, Anthem Help to Reshape Health-Insurance Industry

The leaders of the top five health insurers periodically get together to discuss policy issues, Aetna Inc. Chief Executive Mark T. Bertolini told investors in a private meeting earlier this month. The group had a nickname, he joked: the G5.

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IRS issues ‘first taste’ of Cadillac tax implementation

When 2018 rolls around, who will be responsible for paying any “Cadillac” excise tax duties - the insurance carrier? Third-party administrator? The employer?

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Competition Improves Obamacare Choices In Rural Northern California

People who live in rural Northern California will see more choice and competition in the health insurance marketplace next year, giving consumers a better chance of finding a plan - and a doctor - that can meet their needs.

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Teva to Buy Allergan Generic Business for $40.5 Billion, Drops Mylan Bid

Israel's Teva Pharmaceutical Industries will pay $40.5 billion in cash and stock for Allergan's generic drugs business, solidifying Teva's position as the world's No. 1 maker of generics while freeing Allergan to focus on branded drugs, paying down debt and potential "transformational" acquisitions.

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Small-Business Owners Swarm DC to Oppose HRA Fines

Small-business owners are descending on Washington this week to lobby Congress to roll back an ObamaCare rule that could hit companies with thousands of dollars’ worth of penalties.

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Who Benefits Most From Repealing The Cadillac Tax?

Republicans and some Democrats in Congress are pressing to repeal the Affordable Care Act’s Cadillac tax—a 40 percent excise tax on high-cost employer-sponsored health insurance plans.

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Anthem Gets $26.5B Funding Commitment For Cigna Takeover

Anthem Inc.’s bid to become the largest health insurer in history is setting up one of the biggest debt offerings backing a takeover.

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Consumers’ Satisfaction With Coverage Linked To Out-Of-Pocket Expenses

How much money people have to fork over when they go to the doctor can make a big difference in how satisfied they are with their health plan, a recent study suggests.

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Legislator Vows to Seek More Healthcare Coverage for Immigrants

Healthcare advocates in California this year successfully pushed for medical coverage for kids who are in the country illegally. But they say they're not satisfied.

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Covered California To Add Two Insurers to Individual Marketplace

UnitedHealth had the opportunity to join Covered California in 2013 as the Affordable Care Act was rolled out. However, the insurer left the state's individual health insurance market and decided not to participate in most of the ACA exchanges across the country.

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