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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.

Biden Administration Wants To Make Medical Debt Less Of A Threat To Consumers’ Financial Health: ‘People Who Get Sick Feel...

Medical debt can be a serious drag on consumers’ financial health, but the Biden administration hopes it has a dose of strong medicine coming.

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Biden’s Band-Aid On Medical Debt

The Biden administration took new steps yesterday to reduce the burden of medical debt — but the moves don't address its underlying causes, and may have unintended consequences.

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2021 HSA Research Report

Devenir found that there is now over $100 billion saved in over 33 million HSAs at the end of January 2022.

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Blue Shield CA, Walgreens Expanding Access To In-Person, Virtual Care

Blue Shield of California and Walgreens Health are expanding access to in-person and virtual care options through the launch of 12 new Walgreens Health Corner locations in the San Francisco Bay Area and Los Angeles County.

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California Is Investigating The Corporation That Took Over Its Medicaid Drug Program

Prescription drug costs for California’s massive Medicaid program were draining the state budget, so in 2019 Gov. Gavin Newsom asked the private sector for help.

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Biden Admin Plots To Fix Obamacare’s ‘Family Glitch,’ Expand Coverage

The Biden administration is planning on Tuesday to propose a long-sought change to the Affordable Care Act aimed at lowering health insurance costs for millions of Americans, four people with knowledge of the matter told POLITICO.

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Supreme Court Weighs Employer’s Challenge To California Labor Law

The Supreme Court on Wednesday weighed an employer’s challenge to a California labor law that authorizes private attorneys to sue on behalf of thousands of workers, even if those workers had agreed to arbitrate their claims individually.

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Push For Single Payer Temporarily Over – But Likely To Return

As you may have read in Paul Roberts’s recent compliance column, A Deep Dive into California “Single Payer,” the most recent effort to pass some sort of single-payer health care legislation in California failed. It marks the sixth time efforts have fallen short in a push to overhaul the state’s health care system.

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State-Based ACA Exchanges Make Backup Plans In Case Congress Fails To Act On Enhanced ACA Subsidies

The Biden administration and states across the country celebrated record-breaking enrollment gains for the Affordable Care Act (ACA) this year. But state-run exchanges are eyeing backup plans for outreach and marketing in case Congress doesn’t extend beyond this year a major driver for those enrollment gains: enhanced income-based subsidies. Some officials have warned that people ...

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AHIP Warns Proposed ACA Exchange Rule Could Threaten Market’s Growing Stability

AHIP, the top lobbying organization for commercial insurers, is warning the feds that provisions in its proposed rule governing the Affordable Care Act’s exchanges for 2023 could “undermine” the growing stability there. For instance, the group says in comments (PDF) submitted late Thursday that potential changes to requirements for essential health benefits would limit the ability for ...

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