In other words, health insurance companies are settling in for the long haul and using a combination of public and private advocacy that is very familiar to other industries regulated at the federal level.

Adding to the current dynamic is the upcoming election. A new Congress and president, especially a Republican in the White House, could have major implications for the law and for the requirements the Department of Health and Human Services places on insurers.

“You can bet those insurers will make sure that they’re at the table and have as much leverage as […]

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