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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.

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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California’s Insurance Exchange Gears Up For Round Two

California's insurance exchange began mailing renewal notices this week to more than 1.1 million people already enrolled in health plans, officials announced Thursday.

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Five Things We Need To Know Before Obamacare Enrollment Starts Again

The Obama administration seems pretty confident that HealthCare.gov can avoid punch-line status again when Obamacare enrollment reopens next month.

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Cautious Optimism Pervades Launch of Nevada Health Link 2.0

We're more than a month out from the Nov. 15 launch of Nevada Health Link 2.0. Still, given the first go-round's disastrous results, it's worth looking in now on how advance prep work is going for the new rollout.

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Modest Premium Hikes, Higher Consumer Costs Likely For Job-Based Plans

Fall is enrollment season for many people who get insurance through their workplace.

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Study Finds Savings Low For Employers Capping Their Payments for Treatments

In an effort to slow health care spending, more employers are looking at capping what they pay for certain procedures — like joint replacements — and requiring insured workers who choose hospitals or medical facilities that exceed the cap to pay the difference themselves.

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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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