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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.

Number of Americans Using $100,000 in Medicines Triples –Express Scripts

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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ACA Grant Should Help Nevada’s Homeless and Veterans

Thousands of people in Nevada, including the homeless, are expected to benefit from $1.2 million in Affordable Care Act (ACA) funding to expand nonprofit community health centers.

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States Scramble for “Plan B” Ahead of Court Ruling on Obamacare

With less than one month to go until the Supreme Court issues a ruling in King v. Burwell -- the case that could dismantle Obamacare -- some states are preparing contingency plans to avert a disaster if the court strikes down access to federally subsidized health care for their residents.

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Aetna’s Rate Hike Excessive for Small Employers, Regulator Says

For the third time since 2013, California's managed-care regulator has criticized health insurance giant Aetna Inc. for imposing an excessive rate hike on small employers.

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U.S. Closes Insurance Loopholes on Preventive Care

The Obama administration Monday closed a series of insurance loopholes on coverage of preventive care.

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Why Millions Still Shun the Exchanges to Buy Individual Health Plans

Kelly Fristoe operates his financial planning company in Wichita Falls, Texas, an oil-producing town about 140 miles northwest of Dallas, near the Oklahoma border.

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HR Startup Zenefits Raises $500 Million At $4.5 Billion Valuation

Zenefits was already the hottest startup of 2014. Now it’s making a case to grab the same title in 2015.

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White House Moves to Fix 2 Key Consumer Complaints About Health Care Law

The White House is moving to address two of the most common consumer complaints about the sale of health insurance under the Affordable Care Act.

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Health Insurance Deadline Passes for Most, but There Are Exceptions

THE last chance to sign up for health insurance this year under the Affordable Care Act passed on Thursday, when an extended deadline for enrollment expired.

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Obamacare Program Generates “Substantial” Medicare Savings

An Obamacare program designed to hold down Medicare costs and improve patient outcomes generated more than $384 million in savings in its first two years of operation, Health and Human Services Secretary Sylvia Burwell said Monday.

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