Tomas Philipson, PhD, says historical reform efforts in the United States have raised doubts as to whether or not the implementation of the Affordable Care Act will slow health spending growth. Dr Philipson also suggests that concepts of value-based insurance design must be considered differently when managing a chronic condition like diabetes.
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Administration Releases New Rules To Implement Health Law's Individual Mandate
August 28th 2013As congressional Republicans push for a delay in the 2010 health law's individual mandate, the Obama administration Tuesday announced final regulations implementing the requirement that most Americans have health insurance coverage by Jan. 1 or pay a fine.
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Study Finds Link Between Medicare Payment Models and Cancer Supplement Prescriptions
August 27th 2013Could Medicare payment models impact a physician's decision to prescribe cancer drug supplements? A recent study from The American Journal of Pharmacy Benefits published new findings that say they can.
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First Obamacare Open Enrollment Promises More Incentives and Costs
August 26th 2013As American workers prepare for the first open enrollment season of the Obamacare era, hints are surfacing about what awaits them - higher deductibles, more incentives for staying well and premium hikes that continue to out-strip wages, albeit by more moderate amounts than in the past.
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Large Health Insurers Plan to Make Cuts to Their Medicare Advantage Programs
August 26th 2013Facing anticipated reductions in funding and regulatory changes under the health care reform law, several of the nation's largest health insurers have indicated plans to scale back their Medicare Advantage programs.
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Moderate Premium Increase May Indicate Slowdown in Cost Spending
August 22nd 2013While the employer mandate delay and other stalls in the implementation of the Affordable Care Act have raised a few eyebrows, a recent report from the Kaiser Family Foundation brings forth some encouraging news.
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The Hidden Costs of 'Affordable' Health Insurance Plans
August 22nd 2013The Affordable Care Act promises to expand access to health care by providing affordable coverage to millions of Americans. But finding a policy that meets your health care needs and your budget requirements can be daunting.
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Medicare ACOs Growing Faster than Non-Medicare ACOs
August 22nd 2013Medicare accountable care organizations outnumber non-Medicare ACO contracts and make up more than half of the 488 ACOs nationwide, according to an August 2013 update from Leavitt Partners, a healthcare consultancy that follows ACO development.
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Study: Half Plan Getting Help on Health Costs as Rate Shock Hits
August 21st 2013About half the people who now buy their own health insurance- and potentially would face higher premiums next year under President Barack Obama's healthcare law- would qualify for federal tax credits to offset rate shock, according to a new private study.
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Panel Discusses Costly New Oncology Drugs; Study Address Cancer Drug Shortages
August 21st 2013Although researchers have made powerful new targeted treatment options available to oncologists who treat breast cancer patients, options such as pertuzumab are associated with high costs which raises questions about access as payers assess the value of treatment.
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Slow Start for Medicaid Fee-for-Service Rate Bump
August 20th 2013The Patient Protection and Affordable Care Act relies heavily on expanding Medicaid eligibility to increase insurance coverage and healthcare access. But its authors had to make sure that physicians would accept new Medicaid patients.
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