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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.

Exchange RX Utilization Starting To Tell A Story

When the new health insurance exchanges opened for business one year ago, whether they would succeed was a matter of fervent debate.

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Poll: Californians Support Health Coverage For Undocumented Immigrants

A majority of the state’s voters support extending current health insurance programs to all low-income Californians, including undocumented immigrants, according to a new statewide poll released today.

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Wal-Mart Adds In-Store Program to Help Customers Compare Insurance Offerings

Wal-Mart announced Monday that it will dive deeper into the health-care market, unveiling an initiative to allow customers to compare and enroll in health insurance plans in thousands of its stores.

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Health Insurers Spending Millions to Beat Pro-Consumer Ballot Measures

The latest campaign spending figures on California's two big healthcare ballot initiatives are just in, courtesy of the watchdog group MapLight, and they're mind-boggling.

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HHS is Hiding Health Insurance Rate Hikes, Former Official Charges

The Department of Health and Human Services is improperly hiding health insurers' requested rate increases from the public -- in violation of the Affordable Care Act, according to a new lawsuit from a former administration health official.

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Anthem’s New Partnership With Seven Hospitals Builds on an Old Idea in California

A new payer-provider partnership in Southern California called Vivity has been billed as a first-of-its-kind in the nation.

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Obamacare Enrollment: Second Year An Even Tougher Challenge

As states gear up for round two of Obamacare enrollment next month, they have their sights set on people like Miles Alva.

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Obamacare Signups Return With More Plans But Concerns About Software, Cost, Care Options

The ObamaCare exchanges that opened for business last fall to disastrous consequence are expected to be largely improved with better technology and more insurance plans when they re-open next month, but critics are still raising concerns about consumer costs and choices.

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Covered California Users Grateful but Keenly Aware of Shortcomings

Alain Datcher knows there's a sad truth about the newly minted Medi-Cal card he carries in his wallet. It opens a few doors, but only takes him so far.

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Regulators Clear Covered California Rates, Hold Off On Narrow Networks

California regulators won't challenge the next round of health insurance rate increases in the state exchange, but insurers' narrow networks of doctors and hospitals are drawing tougher scrutiny.

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