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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’s Bid To Lower Drug Costs A High Priority For Stakeholders

Much of the stakeholder reaction to healthcare initiatives in President Joe Biden’s State of the Union address on Tuesday centered on the president’s repeated urging to Congress to allow Medicare to negotiate drug prices. “That is why my top priority is getting prices under control,” Biden said Tuesday night. “We pay more for the same ...

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Congress Nears Deal On Billions In Coronavirus Aid

Lawmakers say they are close to an agreement to provide billions in new coronavirus relief, set to be tied to a massive government funding bill. Congress is expected to include at least $15 billion in response to the Biden administration’s request for new funding for COVID-19 vaccines, treatments and testing. Getting a deal on the funds ...

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Telehealth Use Increased Amid Omicron As 2021 Drew To A Close

Dive Brief: * Telehealth use continued ticking up at the end of 2021 amid a surge in COVID-19 cases fueled by the omicron variant, according to new data from Fair Health. * Telehealth claims measured as a percentage of all medical claims grew more than 11% from November to December, the nonprofit found. Telehealth increased from 4.4% ...

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Broker Comp Disclosure ‘Will Change The Game,’ NAHU Members Told

Compensation transparency will have a bigger impact on health insurance brokers over the next few years than the Affordable Care Act did, an insurance industry veteran told members of the National Association of Health Underwriters.

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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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