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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.

FDA Proposes New Rules For Which Foods Can Be Called ‘Healthy’

The Food and Drug Administration wants to update its rules for which foods can be branded “healthy.” The proposed label rule aims, in part, to address a question as old as medicine: What does it mean for a food to be healthy? It would update the “healthy” label guidelines from 1994 to match up-to-date nutrition ...

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Fed’s Latest Rate Hike: What It Means For Employee Retirement Plans

Financial advisors and investors are weighing the implications of the latest rate hike by the Federal Reserve last week. The Fed announced it will raise benchmark interest rates by three-quarters of a percentage point and indicated that more increases likely are ahead. The latest rate hike is the third consecutive .75% percentage point move and ...

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Is Covid ‘Under Control’ in the US? Experts Say Yes

President Joe Biden caused a stir in a “60 Minutes” interview on Sept. 18 when he declared that the covid-19 pandemic is over. “We still have a problem with COVID— we’re still doing a lot of work on it,” Biden said. “But the pandemic is over.”

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What’s Ahead For Telehealth Policy After The Pandemic

The American Telehealth Association is working with Congress and several federal agencies to shape the fate of policies and payments for telehealth services that experienced a rapid uptake during the COVID-19 pandemic.

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Texas Medical Association Lobs New Surprise Billing Lawsuit Taking Aim At Tweaked Rule

The Texas Medical Association issued a new lawsuit Thursday taking aim at a modified rule implementing a surprise medical bill ban, with the group charging the regulation still unfairly favors insurers.

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Health Care Spending For Mental Health Disorders Increases Between 2013 And 2020

Overall spending on mental health services increased from 6.8% to 8.2% between 2013 and 2020, according to a new study published by the Employee Benefit Research Institute (EBRI).

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Bringing Pharmacy Costs Into The Light: Transparency Is Key To Capping Costs

America’s prescription-drug prices are out of control. The problem is so large that it has begun attracting high-profile new market entrants, like the Mark Cuban Cost Plus Drug Company that launched earlier this year. Cuban seeks to fix the convoluted prescription-drug market by not taking insurance, and charging 15% over cost. But another path exists for health ...

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Transcarent Launching New Pharmacy Benefit Offering As Its Latest Healthcare Bet

Employer health startup Transcarent is making its next move with the launch of its new pharmacy program. Transcarent’s Pharmacy Care offering is designed to be fully transparent and integrate with its other platforms. The goal, executives said, is to break through the noise for members and make it easier for them to understand their pharmacy ...

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Amazon, Walmart And Hundreds Of Providers Lobby Senate For Extension Of Telehealth Policies

Big tech and retail giants like Amazon and Walmart joined hundreds of provider groups, hospitals and virtual care companies pressing Congress to take action on telehealth legislation this fall. More than 370 organizations sent a joint letter (PDF) to bipartisan leadership of the U.S. Senate to pass a two-year extension of important telehealth policies enacted at the start ...

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NAIC Takes Aim At Misleading Health Insurance Marketing

Consumers are bombarded with misleading advertising for Medicare Advantage and other health plans. Insurance regulators are taking action to identify and combat the improper marketing of these health plans.

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