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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.

Access, Choice, Affordability Among NAHU’s Legislative Priorities

Preserving the employer tax exclusion topped the list of the National Association of Health Underwriters’ legislative priorities as its members visit Congress during today’s NAHU Capital Conference.

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Biden’s Blanket Statement — ‘No More Surprise Billing’ — Doesn’t Quite Cover It

During a Feb. 10 speech about lowering health care costs, President Joe Biden made a sweeping declaration that Americans would no longer need to worry about surprise medical bills. “No more surprise billing. No more,” said Biden. “Millions of hardworking Americans will no longer have to worry about unexpected medical bills.”

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2022: The Perfect Opportunity For Benefits Brokers Looking To Grow

Just a few years ago, brokers looking ahead to 2020 could not have predicted the radical changes that the pandemic would soon bring to the industry. And assumptions about the economy over the past few years have consistently proven to be wrong. What the coming year has in store is anyone’s guess, but benefits advisors continue to move forward by applying the lessons of the past and implementing new strategies for the future.

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The Demise of Single-Payer in California Trips Up Efforts in Other States

Democratic lawmakers shied away from legislation that would have put state government in charge of health care and taxed Californians heavily to do so — a massive transformation that would have forced them to take on the powerful health care industry.

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Rise in Non-Covid-19 Deaths Hits Life Insurers

Last year, as expected, life insurers in the United States paid out a large number of Covid-19 death-benefit payouts. Surprisingly, many people saw an increase in other types of death claims as well. Many of the other fatalities, according to industry executives and actuaries, are linked to delays in medical care as a result of ...

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Providers Relieved CMS Chose To Overhaul Direct Contracting Model Instead Of Canceling It

Providers say they dodged a bullet when the Biden administration decided to redesign the Direct Contracting Model instead of eliminating it entirely as progressive lawmakers and groups demanded. However, it remains unclear whether the redesigned model set to launch next year will quell criticisms from progressives that the model will lead to the privatization of ...

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Employers Grapple With Pandemic Impact As Workers Report Long COVID, Higher Levels Of Depression

Employers continue to grapple with the ripple effects of the pandemic as more than one-third of employees report long COVID symptoms that impact their ability to work, including higher rates of depression, anxiety and absenteeism. Among those employees who are still having long-term effects, 71% are experiencing greater levels of depression or anxiety and many ...

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How CVS Caremark Kept Specialty Drug Trend To An Industry Low In 2021

CVS Caremark kept overall drug trend for clients to 2.4% over the first three quarters of 2021, marking multiple years of single-digit trend in drug price growth. The pharmacy benefit management arm of CVS Health also kept its specialty drug trend to single digits through the third quarter, at an industry-low 5.8%, according to the ...

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Healthcare’s Pandemic-Era Wage Growth Lagged Other U.S. Industries, Study Finds

Those working in the healthcare sector saw smaller average wage increases during the first 15 months of the pandemic compared to workers across other industries, according to a recent analysis of U.S. Bureau of Labor Statistics data. Average wages in healthcare rose 5% from 2019 to 2020 while all industries’ average wages rose 6.7% during ...

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Covid Infections Plummet 90% From U.S. Pandemic High, States Lift Mask Mandates

U.S. health officials are optimistic, albeit cautiously, the country has turned the corner on the unprecedented wave of infection caused by the omicron Covid variant as new cases plummet 90% from a pandemic record set just five weeks ago. As the nation emerges from the omicron wave, U.S. and state leaders are trying to mentally ...

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