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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.

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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Pandemic, Aging Population Lead To Historic High Health Coverage Rates

The COVID-19 pandemic combined with the Affordable Care Act resulted in a historic high percentage of Americans having health coverage. What’s behind this historic high? Two experts from Manatt Health looked at trends in access to care through Medicare, Medicaid and the commercial health insurance market at a webinar on Thursday. Between 2011 and 2021, ...

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CDC To Stop Reporting Daily COVID-19 Cases, Moving To Weekly Reports

The Centers for Disease Control and Prevention (CDC) will stop reporting daily COVID-19 cases later this month and switch to weekly reports after more than two years of near constant daily updates. In an update regarding its coronavirus data and surveillance, the CDC said it was transitioning from daily to weekly reports to allow for more ...

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Poll By Gallup And West Health Shows 75% Of Americans Grade The Affordability Of US Healthcare As A D Or...

Three-quarters of Americans give U.S. healthcare affordability a D or F rating, according to a new poll from Gallup and West Health. More than 5,000 Americans were asked to grade the U.S. healthcare system overall and regarding affordability, equity, accessibility and quality. Overall, 44% of Americans gave the entire system a poor or failing grade. ...

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New California Legislation Affects Health Care

California Governor Gavin Newsom signed a package of new laws in late September that significantly affect health care and access to abortive care in the Golden State. These changes impact most Californians, especially those covered by fully insured group health plans, individual plans, or Medi-Cal.

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Employers, Prepare For Wage Transparency Laws

Across the country, multiple states and cities have passed or are currently considering legislation which would require employers to offer prospective workers more information about their compensation.

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New ALS Treatment Sparks Yet Another Drug Pricing Debate

The FDA's expedited approval of a new ALS treatment priced at $158,000 a year, has touched off another debate over balancing regulation with patient access.

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