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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.

IRS Eases Repayment Rules For Excess Health Premium Subsidies

Consumers who received too much in federal tax credits when buying insurance on the health law's marketplaces last year got a reprieve of sorts from the Internal Revenue Service this week.

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Historic Overhaul Seeks to Change How U.S. Pays the Doctor Bill

The Obama administration will make historic changes to how the U.S. pays its annual $3 trillion health-care bill, aiming to curtail a costly habit of paying doctors and hospitals without regard to quality or effectiveness.

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Health Insurers May Be Finding New Ways to Discriminate Against Patients

One of the greatest promises of the Affordable Care Act is that if you are sick or get sick, health insurers can no longer charge you more or avoid covering you altogether.

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Sutter Health, Blue Shield Contract Conflict Ends

At least 280,000 Sutter Health patients could stop worrying Friday that they'd have to find a new health care provider partway through this year.

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U.S. to Collect Genetic Data to Hone Care

Saying that "the possibilities are boundless," President Obama on Friday announced a major biomedical research initiative, including plans to collect genetic data on one million Americans so scientists could develop drugs and treatments tailored to the characteristics of individual patients.

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Obamacare Enrollment hits 7.1 million so far 2015 coverage

The Obama administration said on Wednesday that more than 7.1 million people have signed up for 2015 healthcare coverage through the federal government's insurance marketplace as of last Friday.

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1,700 Hospitals Win Quality Bonuses From Medicare, But Most Will Never Collect

Medicare is giving bonuses to a majority of hospitals that it graded on quality, but many of those rewards will be wiped out by penalties the government has issued for other shortcomings, federal data show.

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California Pharmacists Report Progress in Move to Broaden Scope of Practice

Pharmacists are about to finish one phase and start another in the march toward broadening their scope of practice in California to include more primary care services.

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GOP Vows to Repeal and Replace ObamaCare

Republicans vowed to repeal and replace ObamaCare following President Obama's State of the Union address, a speech that repeatedly touted the successes of the healthcare law.

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Proposed Insurance Enrollment Period Changes Worries Some

A proposal to shift the Affordable Care Act's annual enrollment period could both help and hurt consumers, according to state insurance regulators and industry officials.

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