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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.

New Health Law Premiums Available Online This Weekend

Premiums are expected to rise in many parts of the country as a new sign-up season under President Barack Obama’s health care law starts Nov. 1. But consumers have options if they shop around, and an upgraded government website will help them compare. Consumers can see their own premiums for 2016 starting Sunday night on ...

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Health Care Co-Op Closings Narrow Consumers’ Choices

The grim announcements keep coming, picking up pace in recent weeks. About a third, or eight, alternative health insurers created under President Obama’s health care law to spur competition that might have made coverage less expensive for consumers are shutting down. The three largest are among that number. Only 14 of the so-called cooperatives are ...

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Nearly 7 in 10 Oppose ObamaCare’s Cadillac Tax

Nearly seven in 10 people believe ObamaCare’s so-called Cadillac tax should be repealed or delayed, according to a poll released Wednesday. The poll, commissioned by business groups including the Chamber of Commerce, shows that opposition to the tax is growing. A separate poll last month found that 60 percent of people opposed the measure, which ...

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Amid Debate On Drug Prices, California Leads Way On Cost Control

A pharmaceutical firm’s recent decision to hike the cost of a prescription drug that treats foodborne illness from $18 to $750 per tablet outraged millions of Americans. The move prompted Democratic presidential candidate Hillary Clinton to accuse the Swiss-American company Turing of “price gouging.” The following day, Clinton unveiled her national plan to rein in ...

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36% of California’s Uninsured Don’t Know the Feds Can Help pay Their Premiums

Heading into Obamacare’s third open enrollment starting Nov. 1, uninsured Californians know more about the stick of federal tax penalties than the carrot of premium subsidies. Officials at the Covered California exchange say that’s a problem because consumers regularly cite high costs as the reason they don’t sign up. Survey data released Thursday show that ...

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How Navigators Plan To Insure the Remaining Uninsured

The Affordable Care Act’s third open enrollment period begins on Nov. 1. According to the latest HHS data, an estimated 10.5 million uninsured U.S. residents are eligible to sign up for health coverage via the exchanges. That remaining uninsured population, along with the millions of others looking to enroll or re-enroll in exchange coverage, are ...

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Bush ACA Replacement Plan Offers Tax Credits, More State Control

­ Jeb Bush’s Obamacare replacement plan offers tax credits, more state control – Modern Healthcare Modern Healthcare business news, research, data and events <iframe src=”//www.googletagmanager.com/ns.html?id=GTM-7TS2″ height=”0″ width=”0″ style=”display:none;visibility:hidden”></iframe> Republican presidential candidate and former Florida Gov. Jeb Bush laid out a familiar plan Tuesday for replacing the Affordable Care Act. His plan focuses on catastrophic coverage ...

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Obama Administration Set Low Bar for Health Law Enrollment in 2016

The Obama administration is again dramatically scaling back projected enrollment in health plans purchased through the Affordable Care Act, predicting that about 10 million people will have coverage through the health law’s marketplaces by the end of next year. That is only a small increase over 2015, when 9.1 million Americans are expected to have ...

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Medicaid Spending Soars – Mostly In Expansion States

Medicaid spending soared nearly 14 percent last year—its biggest annual increase in at least two decades—as a result of millions of newly eligible low-income enrollees signing up under the Affordable Care Act, according to a report released Thursday by the Kaiser Family Foundation. Total spending was highest in the 29 states that expanded Medicaid, the ...

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A Year of Change for Health Care in the Legislature

California made national news last week when Gov. Jerry Brown signed a bill allowing doctors to prescribe a lethal dose of drugs to patients who are terminally ill and want to die. But many quieter bills also will change health care in the state. The first half of the 2015-2016 legislative session ended last weekend ...

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