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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.

Report: Doctors Not Seeing a Surge in New Patients Under ACA

Physician practices have not been overwhelmed with patients since the Affordable Care Act's individual mandate took effect in 2012, according to a report by athenahealth, a cloud-based health IT vendor, and the Robert Wood Johnson Foundation, Modern Healthcare reports.

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Many People Entitled To Hefty Subsidies Still Opt Against Coverage

The good news: Three-quarters of people who were eligible for the most generous financial subsidies on the federal health insurance exchange this year signed up for coverage, according to a new analysis by Avalere Health.

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Feds Push to Inform Public About ObamaCare Tax Breaks

The federal government is taking extra steps to help the millions of people who qualify for ObamaCare tax breaks this year but may not know it.

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UnitedHealth Bulks Up for Prescription Drug Cost Battle

The nation's largest health insurer, UnitedHealth, will muscle up for its fight against rising prescription drug costs by spending more than $12 billion to buy pharmacy benefits manager Catamaran Corp.

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Congress to Weigh a Plan to Protect Medicare fees and Children’s Insurance

WASHINGTON — Lobbyists will descend on Congress this week as lawmakers near a bipartisan agreement to finance health care for the oldest and youngest Americans, by revamping the payment of doctors under Medicare and by extending the Children’s Health Insurance Program. The agreement, negotiated by Speaker John A. Boehner and the House Democratic leader,Nancy Pelosi, would ...

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Tax-Time Tribulations: Health Law Complicates Filing Season For Many

This tax season, for the first time since the health law passed five years ago, consumers are facing its financial consequences. Whether they owe a penalty for not having health insurance or have to reconcile how much they got in premium tax credits against their incomes, many people have to contend with new tax forms ...

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HHS: Hospitals Saved Billions Under ObamaCare

A massive expansion of insurance programs like Medicaid and a drop in emergency room visits saved hospitals at least $7.4 billion over the last year, the Obama administration announced Monday. With millions more people covered under ObamaCare last year, hospitals faced fewer bills from patients who lacked insurance and were unable to pay. Hospitals also ...

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Half of U.S. Households Eligible for a Tax Subsidy Under the Health Law Would Owe a Repayment, While 45 Percent...

Half of U.S. households eligible for a 2014 tax subsidy under the Affordable Care Act would owe a repayment to the government, while 45 percent would receive a refund, according to estimates from a new analysis by the Kaiser Family Foundation. The analysis – which is a simulation based on historical patterns of income volatility ...

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Uninsured Drop by 11M Since Passage of Obama’s Law

The number of uninsured U.S. residents fell by more than 11 million since President Barack Obama signed the health care overhaul five years ago, according to a pair of reports Tuesday from the federal Centers for Disease Control and Prevention. Although that still would leave about 37 million people uninsured, it’s the lowest level measured ...

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3 Stocks Benefiting From Jaw-Dropping Growth in Specialty Drug Spending

Express Scripts‘ (NASDAQ: ESRX  ) data crunchers have released their report on drug-spending trends over the past year, and the results are nothing if not jaw-dropping. According to the pharmacy benefit manager, Americans spent 30.9% more on specialty drug prescription medicine in 2014 than they did a year ago. Among the drug developers benefiting most from ...

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