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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.

HHS Unveils $840M Initiative to Reform Doctors’ Offices

Federal health officials unveiled a new initiative Thursday aimed at improving care and cost-effectiveness in individual medical practices.

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Feds Outline Plan to Pay States for Basic Health Program in 2016

The federal government will continue to fund an optional health insurance program for the working poor in 2016 with the methodology it used for 2015, according to a proposed notice from the CMS (PDF).

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CDC Issues New Ebola Guidelines for Categorizing at-Risk Travelers

On Monday, CDC issued new guidelines for how states should address travelers from the nations most affected by the Ebola outbreak, NBC News reports (Fox, NBC News, 10/27).

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Some Doctors Wary of Taking Insurance Exchange Patients

Now that many people finally have health insurance through the Affordable Care Act exchanges, some are running into a new problem: They can't find a doctor who will take them as patients.

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What a GOP-Controlled Congress Could Mean for the Affordable Care Act

In a matter of weeks, the midterm election will determine the balance of legislative power between Democrats and Republicans.

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More Plans Setting Spending Limits For Some Medical Services

Aiming to contain health care costs, a growing number of employers and insurers are adopting a strategy that limits how much they'll pay for certain medical services such as knee replacements, lab tests and complex imaging.

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Next Open Enrollment for A.C.A. Approaches, but Few Notice

This year, the big challenge for officials behind the Affordable Care Act may not be making the website work but getting customers to come shop in the first place.

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Small Business Health Care Tax Credits May Be Reduced For Tax-Exempt Employers

The Internal Revenue Service said that the sequestration process could have an impact on the amount that certain small tax-exempt employers receive on the refundable portion of the Small Business Health Care Tax Credit.

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Administration Signals Doubts About Calculator Permitting Plans Without Hospital Benefits

Insurance consultants were shocked recently to learn that Obama administration rules allow large companies to offer 2015 worker health plans that don't include hospital benefits.

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U.S. Says Consumers Must Renew Health Insurance Policies

The Obama administration began notifying consumers on Wednesday that they should return to the federal health insurance marketplace to renew coverage for next year.

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