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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.

Health Plans Offering Virtual Care On The Rise

Telehealth, also known as virtual health care, offers patients the opportunity to see a doctor from almost anywhere if the patient and doctor have access to an online connection. It can be done on a laptop or desktop computer, tablet, or smartphone. Small business group health insurance plans have offered covered employees and family members ...

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Virtual Care Is Here To Stay, But Employers Think It Needs To Evolve To Reach Its Full Potential, Survey Finds

Virtual health is here to stay following a massive increase in use during the pandemic, but employers believe that it needs to evolve, a new survey shows. Nearly three-quarters (74%) of the 135 large employers surveyed this summer by the Business Group on Health said virtual care will have a major impact on care delivery in the ...

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HDHPs Driving Higher Employee Medical Costs

A new study by the Employee Benefit Research Institute (EBRI) found that workers with employer-sponsored health insurance are paying an increasing share of their health care costs. This is driven, primarily, by the growth of the High Deductible Health Plans (HDHPs).

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Drug Makers Launching New Medicine At Record-High Prices In 2022

The median annual price of 13 new drugs approved this year by the U.S. Food and Drug Administration for chronic conditions is $257,000, according to a new analysis from Reuters. Additionally, seven other recently launched drugs are priced at more than $200,000 per year.

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Hospitals Rebounding From Pandemic Press For More Federal Help

Some of the biggest hospital chains are seeing business rebound to pre-pandemic levels, but the industry as a whole is pressing for more federal relief before year’s end, citing inflation, labor and supply cost pressures. Why it matters: Hospitals are the biggest driver of U.S. health care spending, and the pandemic has tested Washington’s willingness to take on ...

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CMS To Devote Nearly $100M To ACA Navigators For 2023 Open Enrollment

The Biden administration is investing $98.9 million in grant funding to 59 returning Navigator organizations that assist consumers in picking an Affordable Care Act (ACA) exchange plan.

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U.S. Employer Healthcare Costs Projected To Increase 6.5% In 2023

Average costs for U.S. employers that pay for their employees' healthcare will increase 6.5% to more than $13,800 per employee in 2023, largely due to economic inflation pressures, according to professional services firm Aon.

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UnitedHealth, Amazon Are Among Bidders For Signify

Signify Health soared the most since its shares started trading last year as UnitedHealth Group, Amazon, CVS Health and Option Care Health competed to acquire the home health technology and services provider, according to people familiar with the matter. UnitedHealth has submitted the highest bid in excess of $30 a share, while Amazon’s offer is ...

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Biden Admin Releases Final Surprise Billing Rule That Updates Dispute Resolution Process After Legal Setbacks

The Biden administration released Friday a final rule that updates the arbitration process providers and insurers can use to settle out-of-network billing disputes after the federal government suffered several legal setbacks to the No Surprises Act. The final rules, released by the departments of Health and Human Services (HHS), the Treasury and Labor (DOL), implement the No ...

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Biden Bill To Help Millions Escape Higher Health Care Costs

Millions of people in the United States will be spared from big increases in health care costs next year after President Joe Biden signed legislation extending generous subsidies for those who buy plans through federal and state marketplaces. The sweeping climate, tax and health care bill sets aside $70 billion over the next three years ...

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