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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.

Individual Enrollment Tops Small-Biz Health Coverage in California

The number of Californians with health coverage through small employers dropped below enrollment in the individual market for the first time, a new study shows.

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Multi-Carrier Private Exchange Eclipses California SHOP

Covered California's Small Employer Health Options Program (SHOP) is growing, but a private-sector competitor to the state-run HIX is growing even faster.

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Senate Panel Launches Probe Into ObamaCare Subsidies

A Senate panel announced an investigation Thursday into ObamaCare insurance subsidies, which Republicans claim have been improperly paid out without verification.

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GOP Lawmaker Presses House Leaders for ObamaCare Alternative

Another Republican lawmaker is warning House GOP leaders that they need to come up with a fully fledged plan in case the Supreme Court rules against ObamaCare next month.

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Number of Americans Using $100,000 in Medicines Triples

May 13 More than a half-million U.S. patients had medication costs in excess of $50,000 in 2014, an increase of 63 percent from the prior year, as doctors prescribed more expensive specialty drugs for diseases such as cancer and hepatitis C, according to an Express Scripts report released on Wednesday.

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States Lose $721B If SCOTUS Rules Against Obamacare

Next month, the Supreme Court will decide whether Obamacare enrollees in states that did not set up their own exchanges will continue to have access to federal subsidies.

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Health Law Tax Passed Along

There's more than a touch of absurdity in the way an industry fee in President Barack Obama's health care law is being passed along to state taxpayers.

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State Pressured To Explain Why it Revoked Blue Shield’s Not-for-Profit Exemption

A consumer advocacy organization has launched a campaign to get state officials to explain why they revoked Blue Shield of California's tax-exempt not-for-profit status last year.

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1 in 4 Adults Had Insurance But Still Couldn’t Afford Medical Care

More than 1 in 4 adults who bought insurance for themselves or their families last year had to skip needed medical care because they couldn't afford it, according to a study released Thursday by Families USA, a consumer health group.

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Radical Approach To Huge Hospital Bills: Set Your Own Price

In the late 1990s you could have taken what hospitals charged to administer inpatient chemotherapy and bought a Ford Escort econobox. Today average chemo charges (not even counting the price of the anti-cancer drugs) are enough to pay for a Lexus GX sport-utility vehicle, government data show.

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