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Policy and Regulation News

The Biggest ACA Legal Challenges Facing Healthcare Industry

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Ever since the Obama administration passed the healthcare law to reform many of the inequalities faced in this country, there have been a wide variety of ACA legal challenges that have stood in the way of this law progressing to reduce the rates...

Long-Term Care has a Shorter Time Frame Due to ACA, CMS

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The Affordable Care Act has impacted a variety of aspects of the health insurance landscape as well as the healthcare delivery system. The Patient Protection and Affordable Care Act also led to the Center for Medicare & Medicaid Innovation...

State Medicaid Expansion Should Reduce Emergency Room Visits

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The Patient Protection and Affordable Care Act brought a variety of changes for the healthcare industry as well as individual states. For example, the Affordable Care Act called on for Medicaid expansion among the 50 states. However, a Supreme...

Proposed Rule in Oklahoma Impacts Costs of Prescription Drugs

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In recent months, scandals associated with the costs of prescription drugs have made headlines. About seven out of 10 Americans are currently enrolled in a health insurance plan that covers costs of prescription drugs. Prescription drug plans...

Medicare Must Remain Cautious with Alternative Payment Models

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The federal government has brought a tremendous amount of focus on reforming provider-payer reimbursement in order to reduce the rising healthcare expenditure around the country. New regulations have been implemented to improve medical care as...

64% of Polled Doctors Plagued by Rising Medical Spending

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The health insurance industry needs to continue addressing rising healthcare costs and the increases in spending among hospitals and the pharmaceutical field. Many stakeholders within the healthcare space find that high rates of medical spending...

How the Affordable Care Act Strengthened Mental Health Parity

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The Obama administration's Affordable Care Act has brought various benefits to the American people including greater health coverage through the health insurance exchange and Medicaid expansion. Young adults under 26 years of age can now...

How the Affordable Care Act has Impacted Health Payers

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The Affordable Care Act has  brought a significant reform toward the health insurance industry. This particular legislation has given the majority of American people healthcare coverage, which has put greater strain on health insurers. For...

Is the Affordable Care Act Sufficient for Mental Healthcare?

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There are specific provisions that the Patient Protection and Affordable Care Act has brought to the American people. This includes eliminating healthcare coverage restrictions such as the clause surrounding pre-existing conditions. Additionally,...

Affordable Care Act Kindles Employer Narrow Network Plans

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The Patient Protection and Affordable Care Act has brought major reforms and deviations for the health insurance industry as well as hospitals and clinics. Along with the healthcare field, consumers and the patient community has been affected...

Is the Affordable Care Act Leading Payers to Lose Profit?

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The world of healthcare has often been a struggle between medical providers and the payers with one side looking to offset costs and make a profit while the other side concerns itself with the revenue of their patient care. With the federal government...

25% of Texans Lack Knowledge about Health Insurance Plans

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New research shows that consumer education in terms of health insurance plans and healthcare access is becoming a necessity since many are unaware of some typical health insurance terms. Rice University’s Baker Institute for Public Policy...

How New Policies Impact Healthcare Spending and Access

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The Health Care Cost Institute (HCCI) announced today the publication of six different policy briefs entailing how state and federal regulations are affecting healthcare spending and patient services. Independent researchers used HCCI’s...

Sanders’ Universal Healthcare Coverage May Have Pitfalls

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In the coming Presidential election, health payers have plenty to consider, as most candidates propose significant policy changes from universal healthcare coverage to repealing the Patient Protection and Affordable Care Act. One candidate that...

The Affordable Care Act could Decrease Chronic Disease Rates

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Needless to say, healthcare reform and the Affordable Care Act have revolutionized many avenues of the health payer industry. The individual mandate along with Medicaid expansion and federal tax subsidies on the health insurance exchanges have...

HHS Cites Affordable Care Act Led to Prescription Drug Savings

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Yesterday the Department of Health and Human Services (HHS) announced that millions of Medicare beneficiaries continue to see benefits from the Affordable Care Act especially with regard to their savings with prescription drugs. Approximately...

Precision Medicine is a ‘Whole New Ballgame for Insurers’

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Recently, President Barack Obama has announced a national “Moonshot” program to put an end to cancer as a whole. Vice President Joe Biden has been appointed the main leader of this project, a White House news release stated. A total...

23% of Voters Find Affordable Care Act ‘Extremely Important’

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The Henry J. Kaiser Family Foundation released the January Kaiser Health Tracking Poll last week showing that the Affordable Care Act did not make it past 23 percent of those surveyed stating that it’s ‘extremely important’...

Health Insurance Company Couldn’t Lay Claim to Personal Assets

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The health payer industry has seen its share of legal battles when it comes to keeping businesses afloat financially. One particular health insurance company – the National Elevator Industry Health Benefit Plan – paid $120,000 in...

How Paid Sick Leave Could Reduce Patients’ Financial Burden

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One of the most looming issues within the healthcare industry has been the medical debt that many citizens around the nation incur if they are struck with a serious acute or chronic illness. A report published in the Journal of the American Medical...

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