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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 Puts Focus On Drug Prices In Fight Against Inflation

Unable to tame inflation that has worsened sharply under his watch, President Joe Biden stressed Thursday that his administration’s policies would cut prescription drug prices and make life more affordable for families. His pitch, which he delivered at a community college in Culpeper, Virginia, came on the heels of a dire inflation report released earlier ...

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Why Millions on Medicaid Are at Risk of Losing Coverage in the Months Ahead

The Biden administration and state officials are bracing for a great unwinding: millions of people losing their Medicaid benefits when the pandemic health emergency ends. Some might sign up for different insurance. Many others are bound to get lost in the transition. State Medicaid agencies for months have been preparing for the end of a ...

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Amazon to Bring Medical Services to 20 More Cities This Year

Amazon.com Inc. says its medical consultation service is expanding around the U.S., underscoring the company’s determination to become a major player in the health care industry. Amazon Care offers virtual health services nationwide and this year will expand in-person care to 20 more cities, including New York, San Francisco, Miami and Chicago, Amazon said Tuesday in ...

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House Republicans Press HHS To End COVID-19 Emergency, But Hospitals Want Extension

House Republicans are demanding the Biden administration starts winding down the COVID-19 public health emergency, while hospital lobbying groups are pressing it to do the opposite.

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‘Somebody Is Gonna Die’: Medi-Cal Patients Struggle to Fill Prescriptions

A month into its debut, California’s new Medicaid prescription drug program is riddled with problems, leaving thousands of patients without medications — often after languishing on hold for up to eight hours on call center phone lines. On Jan. 1, the state handed control of its Medicaid drug program, known as Medi-Cal Rx, to Magellan Health, ...

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Employee References And Information For IRS Form 1095-A, 1095-B, And 1095-C

Employees covered by employers’ health plans, and individuals covered by Individual and Family Plan health insurance policies (purchased through an individual health insurance broker, Covered California, Nevada Health Link, etc.) are beginning to receive copies of their Internal Revenue Service (IRS) Forms 1095, in accordance with Affordable Care Act (ACA) law.

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Hospital Price Disclosures Reveal Prices Can Vary By Ten Times

Last month, the federal government revealed that the U.S. spent $4.1 trillion on healthcare in 2020, over 20% of GDP and twice as much as the developed-world average. While hundreds of billions of dollars were spent fighting Covid-19, the overwhelming majority went to propping up the country’s broken healthcare system. National healthcare spending has doubled, adjusted for inflation, since 2000.

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Eric Lander Resigns — Potentially Imperiling The Rest Of Biden’s Scientific Agenda

When President Biden tapped Eric Lander as White House science adviser in January 2021, he tasked the renowned genomics researcher with “reinvigorating” American science. Following Lander’s stunning resignation on Monday evening, however, the question is no longer whether he’ll reinvigorate the U.S. scientific enterprise. It’s whether he’s derailed it. In a resignation letter, Lander apologized ...

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Free Cosmetic Surgery Offered In Massive Health Fraud Scheme

In a surgical clinic in the California desert, what appeared on paperwork as “medically necessary” was more than a mirage. Explanations given to insurers were as phony as the breasts implanted in scores of patients. The former executive director of The Morrow Institute clinic pleaded guilty Friday in U.S. District Court to a health care fraud conspiracy ...

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A Deep Dive Into California “Single Payer”

In 2021, the California Assembly introduced a new bill, AB 1400, which – if passed – would have eliminated health care in California, as we know it today. Instead, all health care in California would be provided by one new “Single Payer” system called “CalCare” – with no other options for Californians. The move would have eliminated all existing ...

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