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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.

Health Spending Forecast: No Drastic Rise, but Slowdown Seems Over

New projections by federal government actuaries suggest that the nation’s five-year run of tiny increases in health care spending is coming to an end.

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How a Hugely Overpriced Hepatitis Drug Helped Drive Up U.S. Health Spending

There's one especially eye-catching number in a new report by Medicare actuaries about U.S. healthcare spending: 12.6%.

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Bigger May Be Better for Health Insurers, but Doubts Remain for Consumers

Deals among the nation’s largest health insurers in recent weeks have been almost head-spinning. But whatever the details, if the combinations are finalized, the result will be an industry dominated by three colossal insurers.

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Two-Thirds of State’s Uninsured Before Health Law Are Now Covered

Two-thirds of Californians who were uninsured before the Affordable Care Act went into effect now have health coverage, according to a study released Thursday.

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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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