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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.

Janet Trautwein: ‘Medicare For All’ Bad News For Patients

In California, Democrats call for "a universal, single-payer healthcare system" as part of their party platform. A bid to install such a system failed in the California Assembly at the end of January, but the Golden State's leaders have promised to make another run at it.

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Worker Tensions About Returning To Office Bubbling Over

Some workers are so unhappy about returning to the office that they’re playing a legal card—asserting that they have a disability that necessitates that they work from home full time, employment attorneys say.

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AARP’s Billion-Dollar Bounty

In September, AARP, the giant organization for older Americans, agreed to promote a burgeoning chain of medical clinics called Oak Street Health, which has opened more than 100 primary care outlets in nearly two dozen states.

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AHIP Calls For Federal Agencies To Issue Extensive Guidance To Implement ACA ‘Family Glitch’ Rule

Insurers support a Biden administration rule to fix a “family glitch” in the Affordable Care Act but stress that plans must get quick guidance on the requirements they have to meet. Payers and providers submitted comments Monday on a proposed rule from the Treasury Department and the IRS that would create a minimum value for ...

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Health Insurers Will Issue Roughly $1 Billion In Rebates This Year

These rebates are larger than those issued in most prior years, but they fall short of the record-high rebate amounts of 2020 and 2021.

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Go-Broke Dates Pushed Back For Social Security, Medicare

A stronger-than-expected economic recovery from the pandemic has pushed back the go-broke dates for Social Security and Medicare, but officials warn that the current economic turbulence is putting additional pressures on the bedrock retirement programs. The annual Social Security and Medicare trustees report released Thursday says Social Security’s trust fund will be unable to pay ...

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Fixing The Obamacare ‘Glitch’ That Pushed One Couple To Divorce

The scene seems straight out of a movie: A young couple stands solemnly before the judge. They’ve been married just a year, and they’re here – for the second time – to ask for a divorce. A month ago, the same judge gave them a hard time, then said no. He still thinks there is ...

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CVS Health Rolls Out Virtual Primary Care Service

Retail drugstore giant CVS is rolling out a virtual care service that gives consumers access to primary care, on-demand care, chronic condition management and mental health services. Eligible Aetna and CVS Caremark members will be able to use the virtual primary care service to access healthcare services on demand, whether at home or in a retail or community-based ...

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Lack Of Price Transparency Still Keeping Many From Seeking Health Care

Inability to pay for health care has been a major driver for many to avoid the health care system, but simply not being sure if a service is affordable is enough of a deterrent for many Americans. According to new research by HealthSparq, a health data company, as much as 44% of people may be deterred from obtaining ...

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Healthcare Spending Could Drop $11.4B Next Year If ACA Premium Subsidies Expire, Research Finds

Dive Brief: * Healthcare spending could drop by more than $11.4 billion next year if enhanced premium tax credits enacted in the American Rescue Plan expire, new research finds. * Hospital spending would decline by $3.8 billion, while spending on physician practice services would drop by $1.3 billion, according to a report from the Robert Wood Johnson ...

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