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Mary Lou Retton’s Explanation of Health Insurance Takes Some Somersaults

Kaiser Health News

Nonetheless, her situation can be informative because the reasons she cited for not buying coverage — preexisting conditions and cost — are among the things the Affordable Care Act directly addresses. And even with insurance, many U.S. But Retton provided no details on what kind of health insurance she shopped for, or when.

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Proposed Regulations Issued to Substantially Increase Access to Federally Subsidized Health Insurance

Compliance Now

On April 5, 2022, the Administration issued new proposed regulations changing certain aspects of the affordability and minimum value rules under the Affordable Care Act (“ACA”). Specifically, to administer the new provisions, the IRS will need to collect substantial additional information about the coverage that employers offer.

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Lawsuit Alleges Obamacare Plan-Switching Scheme Targeted Low-Income Consumers

Kaiser Health News

In turn, sales agents used the information to either enroll them in ACA plans or switch their existing policies without their consent. Such private sector platforms, which must be approved by the Centers for Medicare & Medicaid Services, streamline enrollment by integrating with the federal ACA marketplace, called healthcare.gov.

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KHN’s ‘What the Health?’: A Conversation With Peter Lee on What’s Next for the ACA

Kaiser Health News

He reflects on how the ACA has changed the nation’s health system, what could result if Congress fails to renew expanded premium subsidies that have helped boost coverage, and what should happen next with the health law and the millions of Americans who still lack health insurance coverage.

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A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity

Jane Sarashon

NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. The Affordable Care Act (ACA) of 2010 had embedded within the law a Patient’s Bill of Rights.

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Importance of Regulatory Compliance in Healthcare

Compliancy Group

Complying with healthcare regulations and standards means following rules and guidelines that protect patient and worker safety, prevent waste and abuse of federal funds, and uphold privacy surrounding personal health information (PHI). They must also prevent unauthorized access to such information. name, phone number).

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Doctors’ Offices Morph into Bill Collectors As Patients Face Growing Out-Of-Pocket Costs

Health Populi

This has raised the importance of price transparency, which is based on the hypothesis that if patients had access to personally-relevant price/cost information from doctors and hospitals for medical services, and pharmacies and PBMs for prescription drugs, the patient would behave as a consumer and shop around.

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