U.S. Health Care from a Global Perspective: Spending, Use of Services, Prices, and Health in 13 Countries By David Squires, Chloe Anderson The Commonwealth Fund, October 8, 2015 This analysis draws upon data from the Organization for Economic Cooperation and Development and other cross-national analyses to compare health care spending, supply, utilization, prices, and health […]
Risk Selection Threatens Quality Of Care For Certain Patients: Lessons From Europe’s Health Insurance Exchanges By Wynand P. M. M. van de Ven, Richard C. van Kleef and Rene C. J. A. van Vliet Health Affairs, October 2015 Abstract Experience in European health insurance exchanges indicates that even with the best risk-adjustment formulas, insurers have […]
High-Cost Patients Had Substantial Rates Of Leaving Medicare Advantage And Joining Traditional Medicare By Momotazur Rahman, Laura Keohane, Amal N. Trivedi and Vincent Mor Health Affairs, October 2015 Abstract Medicare Advantage payment regulations include risk-adjusted capitated reimbursement, which was implemented to discourage favorable risk selection and encourage the retention of members who incur high costs. […]
Big shortfall in Obamacare risk program could hurt insurers By Tami Luhby CNN Money, October 2, 2015 A key federal program designed to cushion health insurers’ risks in the Obamacare exchanges has a massive shortfall, which could throw some insurers into financial turmoil. Insurers requested $2.87 billion in so-called “risk corridors” payments for 2014, but […]
The Section 1557 Regulation: What’s Missing, And How We Can Include It By Douglas Jacobs Health Affairs Blog, September 21, 2015 Kristin Agar, a 63-year-old social worker, was diagnosed with lupus in 2008, a rare disease in which the body’s own immune system can cause serious damage to the kidneys, brain, skin, and joints. Unfortunately, […]
Prevalence and compensation of academic leaders, professors, and trustees on publicly traded US healthcare company boards of directors: cross sectional study By Timothy S Anderson, Chester B Good, Walid F Gellad BMJ, September 29, 2015 Abstract Objective: To identify the prevalence, characteristics, and compensation of members of the boards of directors of healthcare industry companies […]
Federal health-care plan costs to rise by most in five years By Eric Yoder The Washington Post, September 29, 2015 The enrollee share of premiums in the health insurance program for federal employees and retirees will rise by 7.4 percent on average in 2016, the largest increase since 2011, the government announced Tuesday. Overall premium […]
Fiscal Sustainability of Health Systems: Bridging Health and Finance Perspectives OECD, September 2015 From the Forward This book provides a synthesis of the work developed by the OECD Senior Budget and Health Officials Joint Network. Over the past four years, this joint network has been an important forum to promote the dialogue and mutual comprehension […]
To Enroll or Not to Enroll? Why Many Americans Have Gained Insurance Under the Affordable Care Act While Others Have Not By Sara R. Collins, Munira Gunja, Michelle M. Doty, Sophie Beutel The Commonwealth Fund, September 25, 2015 Exhibit 2. Just under half of the adults who have visited the marketplace enrolled in a marketplace […]
Are Marketplace Plans Affordable? Consumer Perspectives from the Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015 By Sara R. Collins, Munira Gunja, Petra W. Rasmussen, Michelle M. Doty, Sophie Beutel The Commonwealth Fund, September 25, 2015 From the Conclusion On average, larger shares of people with marketplace plans have high deductibles than those in […]
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