Department of Health and Human Services, June 19, 2014 This proposed rule would specify additional options for annual eligibility redeterminations and renewal and re-enrollment notice requirements for qualified health plans offered through the Exchange, beginning with annual redeterminations for coverage for plan year 2015. In paragraph (j)(1), we propose that if an enrollee remains eligible […]
Shifting toward Defined Contributions — Predicting the Effects By Kevin A. Schulman, M.D., Barak D. Richman, J.D., Ph.D., and Regina E. Herzlinger, D.B.A. The New England Journal of Medicine, June 26, 2014 When Representative Paul Ryan (R-WI) attracted national attention by joining Senator Ron Wyden (D-OR) in proposing a sweeping privatization of Medicare, he was […]
Medical Cost Trend: Behind the Numbers 2015 PricewaterhouseCoopers PwC Health Research Institute, June 2014 PwC’s Health Research Institute (HRI) projects 2015’s medical cost trend to be 6.8% — a modest increase over our 2014 projection of 6.5%. This projection is based on HRI’s analysis of medical costs in the large employer insurance market, which covers […]
Marital Disruption and Health Insurance By H. Elizabeth Peters, Kosali Simon, and Jamie Rubenstein Taber National Bureau of Economic Research, NBER Working Paper No. 20233, June 2014 Despite the high levels of marital disruption in the United States, and substantial reliance on family-based health insurance, little research is available on the consequences of marital disruption […]
Dr. Arnold Relman, Outspoken Medical Editor, Dies at 91 By Douglas Martin The New York Times, June 21, 2014 In a provocative essay in the New England journal on Oct. 23, 1980, Dr. Relman, the editor in chief, issued the clarion call that would resound through his career, assailing the American health care system as […]
Survey of Non-Group Health Insurance Enrollees By Liz Hamel, Mira Rao, Larry Levitt, Gary Claxton, Cynthia Cox, Karen Pollitz and Mollyann Brodie Kaiser Family Foundation, June 19, 2014 The Kaiser Family Foundation Survey of Non-Group Health Insurance Enrollees is the first in a series of surveys taking a closer look at the entire non-group market. […]
Premiums Rise at Big Insurers, Fall at Small Rivals Under Health Law By Louise Radnofsky The Wall Street Journal, June 18, 2014 Hundreds of thousands of consumers nationwide who bought insurance plans under the Affordable Care Act will face a choice this fall: swallow higher premiums to stay in their plan, or save money by […]
Calif. Court Rules Insurer Payments Should Reflect Value of Care California Healthline, June 16, 2014 An appellate court ruling in Fresno last week could change the way California hospitals and health insurers enter into contracts and negotiate payments for services, the Sacramento Business Journal reports. Background on Case The lawsuit between Children’s Hospital Central California […]
Narrow Provider Networks in New Health Plans: Balancing Affordability with Access to Quality Care By Sabrina Corlette, JoAnn Volk, Robert Berenson and Judy Feder Urban Institute, Georgetown University Center on Health Insurance Reforms, May 2014 New network configurations offer trade-offs for consumers. Many insurers were able to lower their overall costs by reducing the prices […]
Mirror, Mirror on the Wall: How the Performance of the U.S. Health Care System Compares Internationally By Karen Davis, Kristof Stremikis, David Squires, and Cathy Schoen The Commonwealth Fund, June 2014 The United States health care system is the most expensive in the world, but this report and prior editions consistently show the U.S. underperforms […]
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