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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.

Democrats Face Tough Messaging War on Prescription Drug Bill

Democrats want to go into their August recess telling their constituents they’re lowering what they pay for medicines — but many of their promised changes won’t be felt for years, and only by a fraction of the nation. Drug-pricing legislation is expected to get a vote in the Senate as soon as this week as ...

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CMS Finalizes 4.3% Bump For Hospital Inpatient Payments In 2023

The Biden administration finalized a 4.3% bump for inpatient payments for the federal fiscal year 2023, an increase compared to the 3.2% that was originally proposed back in April. The Centers for Medicare and Medicaid Services released on Monday the final Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System rule that ...

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Citing a Mental Health Crisis Among Young People, California Lawmakers Target Social Media

Karla Garcia said her son’s social media addiction started in fourth grade, when he got his own computer for virtual learning and logged on to YouTube. Now, two years later, the video-sharing site has replaced both schoolwork and the activities he used to love — like composing music or serenading his friends on the piano, ...

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Part D Premiums to Decline by 2% in 2023: CMS

The feds expect Medicare Part D premiums to decline by nearly 2% next year. The Centers for Medicare & Medicaid Services (CMS) said Friday that it expects the average premium to decrease to $31.50 in 2023, or about 1.8% from the 2022 rate of $32.08. The projected monthly premiums are based on bids to CMS ...

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Insurance Broker Tips to Help You Prepare for Q4

Embracing these seven tips can help you prepare for what’s ahead later this year

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Dr. Amazon Will See You Now

Amazon's latest move to further entrench itself in health care will stoke heated competition by other major retailers to capture new customers by delivering primary care.

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Insurance IQ: Consumers Don’t Understand Basic Health Insurance, Survey Finds

Study finds that more than three-quarters of respondents couldn’t identify the word coinsurance, and nearly half incorrectly defined copayment and deductible – and that’s just the beginning of their confusion about the U.S. health insurance system.

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New Survey: Consumers Say Employer-Provided Coverage Vital to Maintaining Health and Financial Well Being During Pandemic

As the impact of COVID-19 continues to be felt around the world, the vast majority of respondents (75%) in a recent AHIP Coverage@Work survey report that their employer-provided coverage was important to maintaining the health and financial security of them and their families during the pandemic. A large majority (71%) also reported that employer-provided coverage was helpful ...

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Five Things to Know about the Possible Renewal of Extra Affordable Care Act Subsidies

Congress is considering an extension of extra help for people buying their own health coverage on the Affordable Care Act Marketplaces. These temporary subsidies, passed as part of the American Rescue Plan Act (ARPA), increased the amount of financial help available to those already eligible; the ARPA also newly expanded subsidies to middle-income people, many of whom ...

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Welcoming Apple To The Health Care World: Health Features And Apps

Apple Inc. published a nearly 60-page report Wednesday outlining all its health features and partnerships with medical institutions, arguing that such offerings are key to the tech giant’s future. The company pointed to its breadth of existing services — from sleep monitoring and fitness classes to atrial-fibrillation detection and cycle tracking — and promised to build on that foundation. Chief ...

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