Adequacy of Outpatient Specialty Care Access in Marketplace Plans Under the Affordable Care Act By Stephen C. Dorner, MSc; Douglas B. Jacobs, ScB; Benjamin D. Sommers, MD, PhD JAMA, October 27, 2015 In this study of federal marketplace plans, nearly 15% completely lacked in-network physicians for at least 1 specialty. We found this practice among […]
Brief Comments on ColoradoCare By Ida Hellander, M.D., David U. Himmelstein, M.D., and Steffie Woolhandler, M.D., M.P.H. Physicians for a National Health Program, October 27. 2015 Organizers for the ColoradoCare ballot initiative have contacted some activists in Physicians for a National Health Program seeking their endorsement and financial support. We summarize, below, our understanding of […]
2016 Marketplace Affordability Snapshot CMS.gov, October 26, 2015 The 2016 Affordability Snapshot provides a review of the final rate increases for second lowest cost silver plans, known as benchmark plans, which will be available for purchase in the 37 states that used the HealthCare.gov platform in 2015, including those in the Federally-facilitated Marketplace, State Partnership […]
This is just one more small but somewhat shocking example of the unnecessary administrative complexity created by the Affordable Care Act (ACA).
Fareed Zakaria: Health IT is no magic bullet By Bernie Monegain Healthcare IT News, October 21, 2015 As Fareed Zakaria sees it, the remedy for America’s ailing and expensive health system is clear. It might be hard for some to swallow, but, in his view, it is sure and proven. “There’s absolutely no question that […]
I thought people should shop more for health care. Then I actually tried it. By Sarah Kliff Vox, October 19, 2015 I spend most of my time writing about the health care system. But every now and again, I actually use the system, too. This past week, those two activities collided on a very specific […]
Hedge Funds Attack American Health Care Hedge Clippers, September 30, 2015 It’s not just one highly unethical man: dozens of high-flying financial speculators at hedge funds and private equity firms are driving up the price of pharmaceuticals across the country. Out of the twenty-five drugs with the fastest-rising prices over the past two years, twenty […]
U.S. Health Care Could Be More Like Denmark’s By Steffie Woolhandler Room for Debate, The New York Times, October 20, 2015 In last week’s Democratic debate, when Bernie Sanders cited Denmark as a role model for the United States to follow, Hillary Clinton was quick to point out that “we are not Denmark.” The United […]
We will likely hear more about this study. The reports will certainly say that private Medicare Advantage (MA) plans provide greater efficiency and lower costs by reducing unnecessary hospitalizations and elective care. We may even hear that they do this while increasing quality and reducing mortality. With a more careful analysis of this article and with additional thought input, these conclusions do not seem to be warranted.
Covering the Remaining Uninsured: Not Just a Red-State Issue By Drew Altman The Wall Street Journal, October 14, 2015 About 32 million people in the U.S. remained uninsured as of early 2015, a Kaiser Family Foundation analysis of federal survey data has found, with about half of them eligible for Medicaid or subsidies under the […]
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