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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.

Moderna Says COVID Booster ‘Potent’ vs Newer Omicron Variants

Moderna released study results today showing its new Omicron-specific booster increased antibodies against the coronavirus by a factor of 5, even against some of the newer and more worrisome variants.

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Hospital Groups Decry New Round Of DSH Cuts In Latest Infrastructure Bill

Hospital groups are making a last-minute push to prevent Congress from including cuts to safety net hospitals in a massive $1.75 trillion infrastructure package.

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California Will Require Health Facilities To Start Sharing Patient Data With Each Other

Hospitals, public health agencies and other providers have no systematic way to share patient data among themselves, limiting their ability to monitor trends and work efficiently. Under the state’s new data-sharing requirement, a doctor or case worker could get immediate access to a patient’s full medical history, and patients could view their own records easily.

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Dialysis Reform Will Be On The California Ballot Yet Again. Does It Stand A Chance?

Once again, California’s largest healthcare workers union is campaigning for dialysis reform — but they face powerful opponents. It’s deja-vu for the California political scene, where such a battle transpires repeatedly. This time around, SEIU-United Healthcare Workers West is advocating for a ballot initiative that would require a physician assistant, physician or nurse practitioner to ...

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Health Care Startups Turn to ‘Coaches’ to Help Patients Cope and Monitor Treatment

In 2011, Sean Duffy and Adrian James were sitting in San Francisco’s Dolores Park debating what to call some workers at the company they founded, Omada Health. Omada, which launched that year, provides virtual treatment for chronic conditions. The company addresses the conditions through a team of employees — some traditional clinicians and others meant ...

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AHA Wants Congress To Pressure CMS To Reverse Updates For Inpatient Payment Rule

The American Hospital Association (AHA) is turning to lawmakers to pressure the Biden administration to change “woefully inadequate” payment rates proposed for next year. The AHA sent a letter Friday to congressional leaders surrounding the proposed Inpatient Prospective Payment Systems (IPPS) rule, which sets inpatient rates for next year. The hospital lobbying group charged that ...

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Expiration Of Healthcare Subsidies Will Have Domino Effect, Leading To Higher Prices And Increased Medical Debt

The COVID-19 pandemic forced the United States to cope with a health insurance crisis it didn’t anticipate. Congress and the Biden administration responded by enacting policies to expand access to subsidized private health plans sold through Affordable Care Act exchanges.

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Here’s How Nevada OSHA Is Protecting Workers From Heat This Summer

With summer officially underway, the Nevada Occupational Safety and Health Administration (OSHA) say it might be a good idea for employers to familiarize themselves with the new OSHA heat illness standards.

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Health Systems Want Government Help Fighting Off The Hackers

From January through June, the Office of Civil Rights tallied 256 hacks and information breaches, up from 149 for the same period a year ago. It’s a continuing trend from last year: Cybersecurity outfit Sophos reports that in 2021, attacks on health systems were up 66 percent over 2020.

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Senators Unroll Bipartisan Plan To Curb Insulin Prices

Top senators unveiled a bipartisan bill Wednesday that aims to curb the high cost of insulin, a lifesaving drug that some Americans have struggled to pay for as prices of the medicine have soared. The legislation from Sens. Jeanne Shaheen (D-N.H.) and Susan Collins (R-Maine) is the product of months of work to forge a compromise. But ...

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