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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.

GAO: More Oversight Needed Over Medicare Advantage Provider Networks

The federal government needs to increase its oversight over private Medicare health plans to make sure seniors have adequate access to doctors and hospitals, according to a report released this week by congressional auditors.

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Obamacare Could Shift Many Hundreds of Millions in Claims to Worker’s Comp Insurers, Especially in California

"Hundreds of millions of dollars" in insurance claims nationally, and possibly far more, could shift from health insurers to workers' comp carriers due to Obamacare, according to a new study.

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How Scrapping the Cadillac Tax Will Drive Up Health Care Costs

From Hillary Clinton and Bernie Sanders on the Democratic side to key Republican lawmakers in Washington, including Sen. Dean Heller of Nevada, there is a growing bipartisan push to repeal the so-called “Cadillac Tax”...

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Insurers Find Out-Of-Network Bills As Much As 1,400 Percent Higher

It’s common knowledge that consumers have to pay more money if they choose doctors or hospitals outside of their insurance plan’s network.

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60 Percent Oppose Obamacare Cadillac Tax

The public opposes ObamaCare’s “Cadillac Tax” on high-cost health insurance plans by a wide margin, according to a new poll.

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California Could Be Model for Extending Health Coverage to Undocumented

Compared with other states, California is ahead in terms of expanding health care coverage to undocumented immigrants, and some experts say it could spur other states to follow suit, the Los Angeles Times reports.

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Chronically Ill Pay More in Obamacare Plans Than Employer Coverage

Chronically ill people enrolled in individual health plans sold on the Affordable Care Act insurance exchanges pay on average twice as much...

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Congress and Obama Administration Seek Ways to Limit Increase in Medicare Premiums

Congress and the Obama administration are frantically seeking ways to hold down Medicare premiums that could rise by roughly 50 percent for some beneficiaries next year, according to lawmakers and Medicare officials.

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ObamaCare Premiums Rising 4.4 Percent in 14 cities

Premiums on ObamaCare plans in 14 major cities are set to increase by an average of 4.4 percent in 2016, according to a new analysis.

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CMS Awards $685 Million to Aid Providers in Transformation Efforts

The CMS Innovation Center is awarding $685 million to more than three dozen physician groups, health systems and other organizations for training, education and investment in information technology, care coordination and quality-improvement efforts. The funds were awarded under the Transforming Clinical Practice Initiative, which was first announced last year as a four-year effort that federal ...

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