Small Primary Care Physician Practices Have Low Rates Of Preventable Hospital Admissions By Lawrence P. Casalino, Michael F. Pesko, Andrew M. Ryan, Jayme L. Mendelsohn, Kennon R. Copeland, Patricia Pamela Ramsay, Xuming Sun, Diane R. Rittenhouse and Stephen M. Shortell Health Affairs, August 13, 2014 (online) The Affordable Care Act and initiatives by private health […]
To: Sylvia Burwell, ￼Secretary of Health and Human Services From: Over 300 patient advocacy groups Letter, July 28, 2014 Based on reports of enrollee experiences during the first year of Marketplace implementation, we have identified a number of concerns. These include discriminatory benefit designs that limit access, such as restrictive formularies and inadequate provider networks; […]
The Food and Drug Administration (FDA) protects the public from pharmaceutical firms that increase their drug sales by not being totally forthcoming about both the effectiveness and safety of their drug products. The required drug labeling is based on the best information available. History has repeatedly confirmed that such oversight is essential even now with the pharmaceuticals firms having paid tens of billions of dollars in penalties for these continuing violations.
The Evolution Of A Two-Tier Health Insurance Exchange System By Rosemarie Day, Pamela Nadash and Angelique Hrycko Health Affairs Blog, August 13, 2014 Health reform has been a catalyst for change. It has fostered the creation of public health insurance exchanges and accelerated existing trends in health insurance coverage for employees. Many employers are reevaluating […]
More Employers Limit Health Plan Networks But Seek To Preserve Quality, Says Adviser By Mary Agnes Carey Kaiser Health News, August 13, 2014 Dr. Robert Galvin is chief executive officer of Equity Healthcare (a wholly owned subsidiary of Blackstone, a global investment and advisory firm), where he works with executives of nearly 50 companies that […]
Disparities in Stage at Diagnosis, Treatment, and Survival in Nonelderly Adult Patients With Cancer According to Insurance Status By Gary V. Walker, Stephen R. Grant, B. Ashleigh Guadagnolo, Karen E. Hoffman, Benjamin D. Smith, Matthew Koshy, Pamela K. Allen and Usama Mahmood Journal of Clinical Oncology, August 4, 2014 Abstract Purpose The purpose of this […]
An Ounce Of Prevention For The ACA’s Second Open Enrollment By Jon Kingsdale and Julia Lerche Health Affairs Blog, August 4, 2014 Since recovering from its flawed rollout, the ACA has enjoyed a string of successes. By April, some eight million Americans managed to enroll. Approximately 87 percent of Marketplace enrollees claimed premium tax credits, […]
Fewer Uninsured Face Fines as Health Law’s Exemptions Swell By Stephanie Armour The Wall Street Journal, August 6, 2014 Almost 90% of the nation’s 30 million uninsured won’t pay a penalty under the Affordable Care Act in 2016 because of a growing batch of exemptions to the health-coverage requirement. The architects of the health law […]
How Medicare Advantage plans code for cash By Fred Schulte The Center for Public Integrity, August 7, 2014 A new federal study shows that many Medicare Advantage health plans routinely overbill the government for treating elderly patients — and have gotten away with doing it for years. Analyzing government data never before made public, Department […]
You Qualify for Medicaid: Don’t Sign Up By Christopher Flavelle Bloomberg View, August 4, 2014 The debate over Obamacare’s Medicaid expansion divides states into two broad categories — those that expand their program and those that don’t. New research suggests we should talk more about a third group: States that agree to expand Medicaid, then […]
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