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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.

CVS Nearing $10.5 Bln Deal For Primary-Care Provider Oak Street Health

CVS Health Corp (CVS.N) is close to an agreement to buy primary care center operator Oak Street Health Inc (OSH.N) for about $10.5 billion including debt, the Wall Street Journal reported on Monday, citing people familiar with the matter. The companies are discussing a price of about $39 a share, the newspaper said. The deal, if it goes through, could be ...

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As Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff

States are preparing to remove millions of people from Medicaid as protections put in place early in the covid-19 pandemic expire. The upheaval, which begins in April, will put millions of low-income Americans at risk of losing health coverage, threatening their access to care and potentially exposing them to large medical bills.

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Insurers Slam CMS’ Proposed Limit On Nonstandardized ACA Plans Sold On Healthcare.Gov

Several insurers say the Biden administration’s proposal to limit nonstandard plan options on the Affordable Care Act’s (ACA's) HealthCare.gov next year will stifle innovation and consumer options.

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4 In 5 Workers Say They’re Unlikely To Apply For A Job Without Salary Range

Dive Brief: The trend of workers demanding salary transparency shows no signs of slowing down. According to a recent survey from ResumeLab, 80% of respondents said they likely wouldn’t apply for a job if salary range information was lacking, 77% said it should be illegal to not include a salary in job postings and 80% said ...

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Insurance Lobby Blasts Medicare Advantage Audit Rule

Dive Brief: The AHIP insurance lobby blasted the Biden administration for finalizing a rule that seeks to claw back millions of dollars from health insurers through Medicare Advantage audits that will apply retroactively to payments beginning in 2018. AHIP called the final rule “unlawful” and “fatally flawed” in a Monday statement following the rule’s release. The lobby ...

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Insurer Price Transparency Rule: What Has Been Disclosed?

To improve the accessibility of price information for commercial health care consumers and other stakeholders, the departments of Health and Human Services, Labor, and Treasury implemented the Transparency in Coverage Final Rule (hereafter, the Insurer Price Transparency Rule) in October 2020. The rule has two key provisions for all insurers offering individual and group commercial health insurance ...

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CVS Health Goes Live With Virtual Care Service With A Focus On Primary Care, Mental Health

As part of its new virtual primary care service, CVS Health is expanding telehealth-based mental health care to include appointments with licensed therapists and psychiatrists. The retail drugstore giant announced its virtual care offering last May to give consumers access to primary care, on-demand care, chronic condition management and mental health services. CVS executives say the virtual primary care offering is ...

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These Benefits Will Disappear When Biden Ends The Covid National And Public Health Emergencies In May

President Joe Biden intends to end the Covid-19 national and public health emergencies on May 11, the White House said Monday. That means that many Americans could have to start paying for Covid-19 testing and treatment after the declarations cease.

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McCarthy: ‘We won’t touch Medicare or Social Security’

Speaker Kevin McCarthy (R-Calif.) said on Thursday that House Republicans will not target Medicare or Social Security in their negotiations over the debt ceiling.

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It’s ‘Telehealth vs. No Care’: Doctors Say Congress Risks Leaving Patients Vulnerable

The $1.7 trillion spending package Congress passed in December included a two-year extension of key telehealth provisions, such as coverage for Medicare beneficiaries to have phone or video medical appointments at home. But it also signaled political reluctance to make the payment changes permanent, requiring federal regulators to study how Medicare enrollees use telehealth.

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