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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.

Remote Work, Intermittent Leave Make FMLA Compliance ‘Much More Challenging’

In a webinar on Wednesday, Shea told attendees that remote work makes FMLA administration “much more challenging,” as FMLA-eligible remote employees may be inclined to check emails or perform other tasks that would otherwise be considered part of their job — even while they’re on FMLA leave.

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What The Inflation Reduction Act’s Reforms To Medicare Part D Mean For Prescription Drug Prices

Last year, President Joe Biden signed into law the Inflation Reduction Act (IRA), setting into motion a series of changes to the way that Medicare and its beneficiaries pay for prescription drugs. Much has been written about the act’s individual provisions, but little has been said about how they fit together as a whole. In fact, these seemingly standalone ...

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Seven Burning Questions Related To Commercial Prices For Health Care Services

Almost two decades ago, Gerard Anderson and colleagues published the seminal paper ‘It’s the Prices, Stupid’, identifying why health care spending in the US was so much higher than other developed countries.  Spoiler alert: it’s the prices. Twenty years on, this conclusion has continued to be affirmed over time and in greater detail. Yet, the many differences between national ...

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Dollar General Pilots Mobile Clinics As It Targets A Bigger Presence In Healthcare

Dollar General is expanding into healthcare services in what could be a competitive shot across the bow for drugstores and other retailers. The company is piloting mobile health clinics at three stores in Tennessee to provide customers with basic, preventive and urgent care services along with lab testing. The discount retailer teamed up with DocGo, a ...

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NFL Has Been Slow to Embrace Mental Health Support for Players

When Buffalo Bills safety Damar Hamlin suffered cardiac arrest and collapsed on the field in the middle of the “Monday Night Football” game in Cincinnati on Jan. 2, Carrie Hastings, half a continent away, understood what she needed to do — and right away. “I had a few guys that I sort of immediately knew ...

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DHS Announces Process Enhancements for Supporting Labor Enforcement Investigations

The U.S. Department of Homeland Security (DHS) has announced that noncitizen workers who are victims of, or witnesses to, the violation of labor rights, can now access a streamlined and expedited deferred action request process. Deferred action protects noncitizen workers from threats of immigration-related retaliation from the exploitive employers. Effective immediately, this process will improve ...

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Amazon Launches A Subscription Prescription Drug Service

Amazon is adding a prescription drug discount program to its growing health care business. The retail giant said Tuesday that it will launch RxPass, a subscription service for customers who have Prime memberships. Amazon said people will pay $5 a month to fill as many prescriptions as they need from a list of about 50 ...

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One Type Of Physical Activity Protects The Brain More Than Others, Study Finds

What if you could look at all the things you do daily — walking from room to room, preparing a presentation at your desk, running up and down stairs to deliver folded laundry or taking a jog around the block — and know which ones will best help or hurt your brain? A new study ...

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Pandemic Years Saw A Reduction In Medical Debt

Medical debt may still plague millions of American families, but the pandemic years brought a marked decline in the number of people struggling to cover their health costs, the Centers for Disease Control and Prevention reported today.

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NABIP CEO Janet Trautwein Will Step Down At The End Of 2023

The National Association of Benefits and Insurance Professionals (NABIP) announced today that its longtime CEO, Janet Trautwein, will step down at the end of 2023 to pursue other opportunities

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