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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.

New Drug Prices Soar To $180,000 A Year On 20% Annual Inflation

While gasoline and food prices soar, few products rival the inflation in prices on newly launched prescription drugs, according to a new study.

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The Paw-Ful Truth: These Are The Biggest Pet Claims Of 2021

At the end of 2020, more than 3 million pets were insured in North America. According to the most recent report from the North American Pet Health Insurance Association, that number increased to 4.41 million in 2021. In the United States, there was a 28.3% increase in total pets insured in 2021, with an average ...

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Providers Are Calling For More Time To Implement Estimate Requirement In Surprise Bill Rule

Providers have a little more than six months to find a way to deliver good faith estimates to patients on medical bills, but some say a lack of automated solutions is going to create a colossal burden for them to meet. Several groups have written to the Centers for Medicare & Medicaid Services (CMS) asking ...

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Price Transparency Noncompliance Rampant, Especially In Concentrated Markets, Rural Areas

Hospitals located in more concentrated healthcare markets, rural hospitals and those with higher per patient-day revenue could require “greater scrutiny” to ensure compliance with federal price transparency rules, according to a new analysis. The warning comes alongside yet another review of hospital websites finding low industrywide adherence to the mandate, which requires hospitals to post ...

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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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