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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.

More Than 1.3M Americans Ration Life-Saving Insulin Due To Cost. That's 'Very Worrisome' To Doctors.

More than 1.3 million American adults with diabetes skipped doses, delayed buying or otherwise rationed doses of insulin due to escalating cost of the life-saving medication, a new study found. A study published Monday in the Annals of Internal Medicine estimated 16.5% of adults with diabetes who are dependent on insulin did not take full doses as prescribed due ...

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Biden Administration Finalizes Obamacare 'Family Glitch' Fix

The Biden administration on Tuesday finalized a rule it said would fix the so-called family glitch in the Affordable Care Act that priced many people out of health insurance and would help over a million Americans.

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Americans Have Largely Avoided Health Care Inflation So Far – But That’s About To Change

Although Americans have been paying a lot more at the pump and the supermarket this year, they have largely been spared from price hikes for their job-based health insurance and doctor visits. But that’s about to change.

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The Great Unwinding: The Opportunity For Brokers

The COVID-19 public health emergency is expected to end early in 2023, which means that next year will be marked by millions of Americans having to be determined eligible to continue to receive Medicaid benefits. According to an analysis by the Kaiser Family Foundation, an estimated 5.3 million to 14.2 million Americans could lose their Medicaid coverage ...

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Patients Can Now Access All Their Health Records Digitally

Under federal rules taking effect Thursday, health care organizations must give patients unfettered access to their full health records in digital format.

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Wasteful Administrative Spending Costs US Healthcare Up To $570B A Year, Research Finds

Administrative spending makes up 15% to 30% of all U.S. medical spending—multiple times as much as other comparable countries—and “at least half” of that spending “does not contribute to health outcomes in any discernable way,” according to estimates cited in a new Health Affairs research brief. So-called wasteful administrative spending is estimated to comprise 7.5% to ...

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Why Health-Care Open Enrollment Season May Cost You More This Year

Don’t be surprised if you spend more time this year picking health-care benefits during open enrollment season. Between rising inflation, policy-specific changes and employees wanting more health-care services, many people won’t be clicking the exact same boxes as last year. Last year during open enrollment — generally in the October and November timeframe — people ...

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Mark Cuban Cost Plus Drug Company Announces First Health Plan Partner, Capital Blue Cross

Mark Cuban Cost Plus Drug Company nabbed its first health plan partner, Capital Blue Cross. Beginning this month, the Pennsylvania-based plan and Mark Cuban’s drug company (MCCPDC) will begin to let members and community organizations know about their collaboration and how they can access low-cost drugs, according to a press release. In 2023, Capital Blue Cross members ...

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Voters Support Newsom’s Mental Health Plan and Back Mandatory Kindergarten, Poll Shows

California voters strongly support Gov. Gavin Newsom’s plan to set up a new court system for people struggling with a combination of severe mental illness, homelessness and substance use, but split with the governor on requiring children to attend kindergarten, a new poll shows.

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Telemedicine Was Made Easy During COVID-19. Not Any More

Telemedicine exploded in popularity after COVID-19 hit, but limits are returning for care delivered across state lines.

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