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A team of analysts found that claim rejection rates for specific issuers ranged from 1 percent up to 40 percent.
The government could hire a vendor to help public and private plans share billing data with law enforcement officials.
The IRS, EBSA and CMS are asking for ideas about how to keep old plans out from under ACA rules.
Spending on drugs will increase only about 4.6 percent this year, compared to a 4.8 percent increase in overall health costs.
Under federal law, people are not supposed to use ACA premium tax credit subsidies and have Medicare coverage at the same time.
H.R. 1143 would require issuers to offer consumers a detailed list of warnings.
Short-term plans have their uses, but too often consumers may have no good way to know what a policy will really cover.
Enrollment in the core Medicare Advantage health maintenance plans increased 6.9 percent over last year.
AHIP also says it would like to see new efforts to get Americans to maintain continuous coverage.
The surge in spending comes as the pharma industry prepares for what could be its most challenging year in decades.