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Policy and Regulation News

Both Political Parties Seek to Replace the Affordable Care Act

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As previously reported, the major health payer Aetna is leaving the majority of health insurance exchanges it is currently operating in. Some critics have pointed at the failure of the Affordable Care Act to sustain payers within the public exchanges...

Is the ACA’s Health Insurance Provider Fee Unconstitutional?

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Last year, six states including Texas, Wisconsin, Kansas, Louisiana, Indiana and Nebraska filed a lawsuit arguing that a provision within the Affordable Care Act requiring states to cover a Health Insurance Provider Fee is unconstitutional and...

Will Divestitures Preserve the Health Insurance Mergers?

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As previously reported, the insurance companies Aetna and Humana are attempting to preserve their health insurance merger by divesting millions of dollars in assets in order to satisfy the concerns of the Department of Justice. David Balto, an...

How Health Insurance Industry Faces the Presidential Elections

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The upcoming US presidential elections may impact the future of the health insurance industry and the way healthcare costs are addressed in this country. Whether the Democrats or the Republicans take the White House, the continuing rise in the...

ACA, Mergers, Value-Based Care Dominated Payer News in July

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Last month, the news cycle was busy for the health insurance industry. Some of the key areas that seemed to make the biggest splash for the health insurance market includes the ongoing disputes regarding the Affordable Care Act and the Department...

How Presidential Election will Impact the Affordable Care Act

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For months now, the media has been broadcasting 24 hours per day, seven days a week news related to the upcoming presidential election. Many have postulated on how the nation will be impacted if either the Republican Party or the Democratic Party...

Democratic Party’s Predictions for the Affordable Care Act

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The future of the healthcare industry and the health insurance space is very much dependent on the upcoming presidential elections and the two parties' stances on the Patient Protection and Affordable Care Act. The Affordable Care Act has...

Department of Justice Moves to Block Health Insurance Mergers

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While there have been talks of the Department of Justice (DOJ) looking to block the Anthem-Cigna and Aetna-Humana health insurance mergers by filing lawsuits, the final decision was announced today at a press conference. The DOJ will proceed...

DOJ May File Lawsuits against Health Insurance Acquisitions

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The health insurance acquisitions between Anthem and Cigna along with Aetna and Humana is likely to be blocked by the Department of Justice (DOJ). According to the American Hospital Association (AHA), the Department of Justice will be filing...

Health Insurance Mergers May Harm Consumer Interests

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What does the future hold for the Cigna-Anthem and Aetna-Humana health insurance mergers? Currently, many experts point at the possibility that these health insurance mergers will face regulatory blockage and won’t continue. A large number...

President Obama Highlights Progress from Affordable Care Act

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When it comes to the Patient Protection and Affordable Care Act, the media has reported on a variety of opinions among healthcare experts and regulators regarding the benefits and disadvantages of the ACA. However, there has not been much in...

Why GOP Should Hold Off on Replacing the Affordable Care Act

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When the Patient Protection and Affordable Care Act was passed into law, it has had a variety of proponents as well as opposition from the GOP with many calling on the healthcare law to be repealed. However, repealing the Affordable Care Act...

Patients with Pre-Existing Conditions Need Affordable Care Act

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The Patient Protection and Affordable Care Act has undergone both an opposition and an embrace by healthcare experts and politicians around the country. Now that this healthcare law has become embedded within the healthcare delivery system, it...

Opposition Increases to Aetna, Anthem Health Insurance Mergers

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The health insurance mergers between Aetna and Humana along with Anthem and Cigna seem to have a fair amount of opposition from both healthcare organizations as well as politicians around the country. The American Hospital Association (AHA) reported...

Republicans Release Plan to Replace the Affordable Care Act

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It is well-known the the GOP base has attempted to repeal the Patient Protection and Affordable Care Act for years since its passage. However, the big question that everyone has always wondered is what the Republicans would replace the Affordable...

How the Affordable Care Act Influenced CORE Certification

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Health plans, vendors, and providers will need to meet CORE certification requirements in order to comply with mandates under the Patient Protection and Affordable Care Act. CORE stands for Committee on Operating Rules for Information Exchange...

What Repealing the Affordable Care Act Would Mean for America

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While the Patient Protection and Affordable Care Act was passed into law six years ago, there is still plenty of controversy that surrounds this landmark legislation. For instance, the Senate and House of Representatives passed a bill that would...

Affordable Care Act Brought Healthcare Coverage to Rural Areas

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The Patient Protection and Affordable Care Act has brought a fair amount of healthcare access and coverage to the American people. This does not just include those living in urban areas or the suburbs. Recent research suggests that the Affordable...

Affordable Care Act Brought 30% Drop for Texas Uninsured Rate

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The Patient Protection and Affordable Care Act has made a significant difference for the average American citizen when it comes to ensuring greater medical coverage and healthcare access. The uninsured rate has been dropping steeply throughout...

Is the Health Insurance Industry Heading on a ‘Death March?’

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The health insurance industry has been undergoing tremendous reforms in recent years due to new federal regulations including the Affordable Care Act. Reimbursement between payers and providers have been changing as well. Coverage for the majority...

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