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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.

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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CMS To Congress: ‘Time Is Of The Essence’ On Extending Boosted ACA Subsidies

Affordable Care Act officials need to start letting consumers know that enhanced subsidies will be in place for next year, the head of the Centers for Medicare & Medicaid Services (CMS) said. But Congress has yet to pass legislation extending the boosted subsidies past this year, causing new alarm from CMS and state-run exchanges as ...

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Supreme Court Sides With Insurer In Dialysis Coverage Case

The Supreme Court ruled 7-2 Tuesday that a group health plan in Ohio didn’t violate federal law by offering limited coverage for outpatient dialysis in a case brought by DaVita, one of the largest dialysis providers in the United States. The court sided with Marietta Memorial Hospital’s employee health plan, with Justice Brett M. Kavanaugh writing in ...

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Medicare Could Save Billions Buying Generic Drugs At Mark Cuban’s Prices

Medicare could have saved nearly $4 billion in 2020 by purchasing generic drugs at the same prices offered by Cost Plus Drug Company, Cuban's online pharmacy that launched this year, according to a study published Monday in the journal Annals of Internal Medicine.

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A Look at OSHA’s Top 10 Safety Violations

Workers’ compensation claims can result directly from worksite conditions, whether in construction, manufacturing, distribution, office or other environments. The Occupational Safety and Health Administration (OSHA) tracks violations of safety and health standards, which can lead to workers’ comp claims.

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A Proposal to Import Drugs from Other Countries Creates an Unusual Alliance in the Senate

Harmony is not often found between two of the most boisterous senators on Capitol Hill, Bernie Sanders (I-Vt.) and Rand Paul (R-Ky.). But it was there at Tuesday’s Senate Health, Education, Labor and Pensions Committee markup of legislation to reauthorize the Food and Drug Administration’s user fee program, which is set to expire Sept. 30. This user fee program, which ...

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Deep Dive Into FSA Behavior Finds Knowledge Gaps That May Reduce Effectiveness

Flexible spending accounts can be a useful way for workers to stretch health-care spending dollars further than they otherwise could. However, little is known about how workers use — or don’t use — FSAs. In response, the Employee Benefit Research Institute established the FSA Database to shine a light on this under-researched employee benefit. Analysis of this ...

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