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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.

Feds Say 7.5M Paid An Average Penalty Of $200 For Not Having Health Insurance

About 7.5 million Americans paid an average penalty of $200 for not having health insurance in 2014 — the first year most Americans were required to have coverage under the Affordable Care Act, the Internal Revenue Service said Tuesday.

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New Obamacare Fight Takes Aim at ‘Cadillac’ Tax

The Supreme Court fights over the Affordable Care Act may be over for now. But before you get too comfortable, there’s still plenty of fighting left to do.

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Obamacare Was Supposed To Kill Medicare Advantage. It Only Made It Stronger

Marilyn Tavenner is about to make an unprecedented move: From head of Medicare, to the nation’s top lobbyist for private insurers — in just six months.

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Why Expanded Health Care Access for the Undocumented Is Unlikely, Despite Benefits

Without another pool of potential enrollees, the Affordable Care Act likely will face enrollment stagnation -- and that could threaten the country's steadily falling uninsured rate.

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Head of Obama’s Health Care Rollout to Lobby for Insurers

Marilyn B. Tavenner, the former Obama administration official in charge of the rollout of HealthCare.gov, was chosen on Wednesday to be the top lobbyist for the nation’s health insurance industry.

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Medi-Cal Enrollment Growth Could Strain California’s Budget

More than a dozen other states that expanded their Medicaid programs under the ACA also have seen enrollment surpass expectations.

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Just How Narrow Are Obamacare’s ‘Narrow Networks’?

The average Obamacare health plan's provider network includes 34 percent fewer health care providers than the typical commercial plan, according to an analysis by Avalere, a Washington, D.C.-based health care consultancy.

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More Health Plan Choices at Work. What’s The Catch?

Until recently, John Henry Foster, an equipment distribution firm based in Eagan, Minn., offered its employees only a couple of health plans to choose from. That’s common in companies across America.

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Spotlight Falls on ObamaCare Fraud

A watchdog report on fictitious people signing up for ObamaCare has put renewed attention on the potential for fraud and abuse in the system.

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Cost of Covering New People Under ACA Significantly Higher than Expected

The cost of covering people who qualified for Medicaid as part of the federal health law was significantly higher than expected in 2014, federal actuaries said Friday.

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