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Industry Updates

This broad category includes articles concerning health insurance costs, carrier and health plan news, changing benefits technology, and surveys by the Kaiser Family Foundation and others on employee benefits.

Ruling On Health Care Subsidies Could Prove Costly for Government

A federal court ruled this month that a Montana insurer is entitled to federal compensation for subsidy payments under the Affordable Care Act that President Trump abruptly ended last October, a ruling that could reverberate through insurance markets and cost the government hundreds of millions of dollars.

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Paper Jam: California’s Medicaid Program Hits ‘Print’ When The Feds Need Info

In the shadow of Silicon Valley, the hub of the world’s digital revolution, California officials still submit their records to the feds justifying billions in Medicaid spending the old-fashioned way: on paper.

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New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients’ Choices

Starting next year, Medicare Advantage plans will be able to add restrictions on expensive, injectable drugs administered by doctors to treat cancer, rheumatoid arthritis, macular degeneration and other serious diseases.

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California Grapples With Growing Physician Shortage For Low-Income Patients

When Paul Lyons opened a primary-care practice in the Palm Springs area for low-income patients, the need was clear.

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More Than Half of Consumers Don’t Understand Basic Aspects of the Healthcare System, Survey Finds

Improving consumers’ healthcare literacy could save the U.S. healthcare system billions of dollars per year, according to a new analysis from Accenture.

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Three File Suit Against Dignity Health, Company That Runs Sierra Nevada Memorial Hospital

A lawsuit has been filed on behalf of three Dignity Health nurses claiming they were required to perform off-the-clock work and were subject to impermissible rounding of time entered on timecard software and an employee monitoring system hospital staff use to record hours worked.

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The Affordable Care Act is Under Fire Again in Federal Court

The long-disputed fate of the Affordable Care Act played out anew in a Fort Worth courtroom Wednesday as a score of Republican-led states sought to persuade a federal judge to halt the sprawling health-care law.

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Senate Poised to Pass Bill to Stop Flow of Opioids Through the Mail

The Senate appears poised this week to pass a bill intended to shut a window through which fentanyl and other opioids pour into the United States from China through the mail, as lawmakers search desperately for ways to combat an epidemic affecting people of all ages and income levels across the country.

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Confusion Leaves Low-Income Children In Health Care Limbo

Tania Alvarado’s 13-year-old daughter doesn’t smile much anymore. She doesn’t want anyone to see her front teeth, which are so crowded they’re nearly growing atop one another. The crowding makes it painful to eat; it also embarrasses her.

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Major Health-Industry Deals Move Closer to Approval

Two major health-care deals that stand to reshape the insurance and pharmacy industries are moving toward winning antitrust approval, according to a person familiar with the matter, a final step as the takeovers head toward completion.

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