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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.

$40 Million Medical-Insurance Fraud Went Down in Orange County, Elsewhere, Law and State Officials Say

More than two dozen doctors, pharmacists and business owners were charged Thursday in an alleged $40 million medical-insurance scam in Orange County and elsewhere that officials said “played with patients’ lives.”

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Insurers Scramble to Price Health Plans as Policy Seesaws

With deadlines looming to file plans for next year’s Affordable Care Act marketplaces, health insurers are struggling to respond to mixed signals from the Trump administration, delaying key business decisions and scouring Twitter for hints from Washington about the law’s future.

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Can Drug Companies Be Shamed Into Lowering Prices?

The pharmaceutical industry for years has fended off calls for government to controls prices despite the growing uproar over soaring prescription drug costs.,

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Self-Insurance Bill Passes House Vote

The House on Wednesday passed a bill that could protect and keep costs down for small and mid-sized self-insured employers.

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HHS to Continue Value-Based Care Efforts

HHS and Congress will continue to align their efforts to replace fee-for-service payments with value based alternatives.

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What Would Single-Payer Healthcare Look Like in California? Lawmakers Release New Details

A proposal in California for a single-payer healthcare system would dramatically expand the state government's presence in medical care and slash the role of insurance companies.

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White House Officials Offer Change to Health-Care Bill

White House officials made a new offer to conservative House Republicans late Monday on the GOP's failed health care bill, hoping to resuscitate a measure that crashed spectacularly less than two weeks ago.

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Wall Street Analyst Says Anthem is Likely to Exit Many Obamacare Exchanges

Anthem, a major health insurer, is “leaning toward exiting” many of the areas in which it sells insurance on the Affordable Care Act exchanges, according to Wall Street analysts who met with the company.

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Republican Moderates Reject Group Talks With House Freedom Caucus

Moderate House Republicans have apparently rejected having group negotiations about a possible compromise on health care with the conservative House Freedom Caucus — the most critical group in sinking the Republican bill to repeal and replace Obamacare.

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The Next Obamacare Battleground: Subsidies For Out-Of-Pocket Costs

When Republicans pulled their Affordable Care Act replacement bill last Friday, Lauren Lake’s primary reaction was relief.

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