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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.

Why the GOP Presidential Candidates Can’t Reform Health Care

In the last few days, Scott Walker and Marco Rubio released health care plans, and other Republican candidates are sure to follow soon.

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With Mergers, Concerns Grown About Private Medicare

As some of the nation’s largest health insurers plan to merge, a new report raises fresh concern over the lack of competition in the private Medicare market.

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Tardy Tax Filers Risk Loss of Health Care Subsidies

Sign-up season for President Barack Obama’s health care law doesn’t start for another couple of months, but the next few days are crucial for hundreds of thousands of customers at risk of losing financial aid when they renew coverage for 2016.

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2 Million Exchange Enrollees Miss Out On Cost-Sharing Assistance

More than 2 million people with coverage on the health insurance exchanges may be missing out on subsidies that could lower their deductibles, copayments and maximum out-of-pocket spending limits, according to a new analysis by Avalere Health.

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California’s Obamacare Exchange Criticized for not Fixing Enrollment, Tax Errors

In response to blistering criticism from a consumer group, California's Obamacare exchange vowed to fix longstanding enrollment and tax-related errors that have blocked consumers from getting coverage for months and left some with unforeseen bills.

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Analysis Estimates 1 in 4 Employers Offering Health Benefits Could Be Affected by the ‘Cadillac Tax’ in 2018 if Current...

New projections from the Kaiser Family Foundation estimate that one in four employers (26%) offering health benefits could be subject to the Affordable Care Act’s tax on high-cost health plans, also known as the “Cadillac plan” tax, in 2018 unless they make changes to their plans.

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Small Group Deadlines Are Fast Approaching

A provision in the federal health reform law requires carriers to accept all small business customers, even if they don’t meet minimum participation or contribution requirements, during an annual open enrollment period from November 15 through December 31.

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Republicans’ Obamacare ‘Repeal and Replace’ Dilemma Joins Presidential Contest

For Republican leaders, one loaded phrase represents the difference between the party they are and the party they wish to be: “repeal and replace.”

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HealthCare.gov Saw Almost 950,000 Sign Up After Open Enrollment

Almost 950,000 new customers selected health coverage on HealthCare.gov outside of the open-enrollment period after they became eligible due to changes such as losing their employer-provided insurance or having a baby, according to a government report on the federal health insurance exchange.

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Senate Republicans Seek Gameplan From CMS for Recouping State-Based Exchange Funding

Congressional Republicans are again asking the CMS to come up with a game plan for recouping money given to states for establishing health insurance exchanges that later failed.

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