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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.

If Supreme Court Rules Against Obamacare, Few States Are Ready For The Fallout

Millions of Americans could soon lose health insurance when the Supreme Court decides the latest challenge to the Affordable Care Act this month, but states have made few concrete plans to deal with the potential fallout, and they may get little help from Washington, President Obama warned Monday. “If somebody does something that doesn’t make ...

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Obama Is Optimistic Justices Will Let Health Care Law Stand

WASHINGTON — A decision by the Supreme Court to strike down health care subsidies in federally run marketplaces would be a “contorted reading” of the Affordable Care Act that would disrupt coverage for millions of people, President Obama said on Monday. But at a news conference at the end of a two-day trip to Germany, ...

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California Legislative Update – Big Day for Health Care Bill Passage

Floor sessions on Tuesday in the state Senate and Assembly were fast-paced affairs. The deadline to pass bills out of their house of origin is June 5 so the legislation queue on Tuesday was pretty long and resulted in a rapid-fire pace. The Senate passed a high-profile measure to expand coverage to some undocumented immigrants. A ...

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Patient Finds Shopping for Low-Priced CT Scan Doesn’t Pay Off

Douglas White knew high-deductible insurance is supposed to make patients feel the pain of medical prices and turn them into smart shoppers. So he shopped. He called around for price quotes on the CT scan his doctor ordered. After all, his plan’s $2,000 deductible meant paying the full cost out of pocket. Using information from ...

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Obamacare’s Big Overhead Costs to Top $270B

That sure is a lot of paper clips. Obamacare is set to add more than a quarter-of-a-trillion—that’s trillion—dollars in extra insurance administrative costs to the U.S. health-care system, according to a new report out Wednesday. (Tweet this) The $273.6 billion in additional insurance overhead represents an average of of $1,375 per newly insured person, per ...

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Midsize Businesses Seek Relief From Federal Health Law

Employer groups and insurers are pushing to keep businesses with 51 to 100 workers exempt from a provision of the federal health law that they say could significantly increase their costs. For these midsize employers, the Affordable Care Act’s requirements for what health plans must cover—and how they are priced—are set to take effect on ...

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Many Health Insurers Go Big With Initial 2016 Rate Requests

Dozens of health insurers say higher-than-expected care costs and other expenses blindsided them this year, and they’re going to have to hike premiums for individual policies well-beyond 10 percent for 2016. The proposed double-digit hikes would apply to plans sold on the health insurance exchanges created under President Barack Obama’s law, as well as individual ...

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California Senate Approves Health Care for Undocumented Immigrants

A proposal to expand health care to Californians in the country illegally cleared the Senate on Tuesday, passing on a 28-11 vote and heading to the Assembly. Senate Bill 4 would allow undocumented immigrants to purchase health insurance on the state exchange, pending a federal waiver, and enroll eligible children under the age of 19 ...

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44% of Covered California Customers Report Difficulty Paying Premiums

A new survey shows that 44% of Covered California policyholders find it difficult paying their monthly premiums for Obamacare coverage. And a similar percentage of uninsured Californians say the high cost of coverage is the main reason they go without health insurance. The issue of just how much people can afford will loom large as ...

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Patient Finds Shopping for Low-Priced CT Scan Doesn’t Pay Off

Douglas White knew high-deductible insurance is supposed to make patients feel the pain of medical prices and turn them into smart shoppers. So he shopped.

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