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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.

What a GOP-Controlled Congress Could Mean for the Affordable Care Act

In a matter of weeks, the midterm election will determine the balance of legislative power between Democrats and Republicans.

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More Plans Setting Spending Limits For Some Medical Services

Aiming to contain health care costs, a growing number of employers and insurers are adopting a strategy that limits how much they'll pay for certain medical services such as knee replacements, lab tests and complex imaging.

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Next Open Enrollment for A.C.A. Approaches, but Few Notice

This year, the big challenge for officials behind the Affordable Care Act may not be making the website work but getting customers to come shop in the first place.

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Small Business Health Care Tax Credits May Be Reduced For Tax-Exempt Employers

The Internal Revenue Service said that the sequestration process could have an impact on the amount that certain small tax-exempt employers receive on the refundable portion of the Small Business Health Care Tax Credit.

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Administration Signals Doubts About Calculator Permitting Plans Without Hospital Benefits

Insurance consultants were shocked recently to learn that Obama administration rules allow large companies to offer 2015 worker health plans that don't include hospital benefits.

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U.S. Says Consumers Must Renew Health Insurance Policies

The Obama administration began notifying consumers on Wednesday that they should return to the federal health insurance marketplace to renew coverage for next year.

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Consumers Whose Income Drops Below Poverty Get Break On Subsidy Payback

Right about now, some low-income people who just barely qualified for subsidies on the health insurance marketplace are starting to worry: What if my income for the year ends up below the poverty level?

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What CDC Can Do to Fight Ebola

The Ebola epidemic in Africa and fears of it spreading in the U.S. have turned the nation's attention to the federal government's front-line public health agency: The Centers for Disease Control and Prevention (CDC).

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Covered California Spends $13.4 Million To Fix Obamacare Service Woes

California's health insurance exchange hired two outside firms for $13.4 million to address long wait times for consumers calling about their Obamacare coverage.

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Health Plans, Providers Increasingly Partner on Narrow Network Plans

Insurers and providers increasingly are entering into partnerships to offer health plans with narrow provider networks, Modern Healthcare reports.

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