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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.

Cost of Coverage Seen as Problem by Uninsured

Federal health officials have their work cut out for them to convince the uninsured that ObamaCare discounts can make medical coverage affordable.

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New Rules To Limit Narrow Networks

New regulations requiring California health care insurers to follow stricter guidelines for provider network adequacy, out-of-network notifications and accuracy of provider lists when dealing with the state Department of Insurance went into effect on Monday.

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Medicare Offers Relief to 400,000 Caught In Aetna Pharmacy Network Mix-Ups

More than 400,000 Medicare beneficiaries who may have been confused or misinformed about the pharmacy details of their 2015 Aetna prescription drug plans have until the end of this month to find participating pharmacies or switch plans, according to the Centers for Medicare & Medicaid Services.

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President Obama’s FY 2016 Budget Proposal To Fully Fund ACA

On Monday, President Obama unveiled a $4 trillion budget request for fiscal year 2016 that includes a number of health care initiatives, the AP/San Francisco Chronicle reports.

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Medicaid, CHIP Add 10.1 Million Since Insurance Marketplaces Opened

More than 10.1 million people have enrolled in Medicaid and the Children's Health Insurance Program in the first 14 months since marketplace enrollment began, the Obama administration reported Monday.

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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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