Health Care Delivery

Groups say the approach of the Republicans' plan moves away from prevention, which had been a chief aim of the Affordable Care Act. A large cut to the CDC would leave the future of the Diabetes Prevention Program unclear.

Up to 24 million people would lose health coverage under the American Health Care Act, the Republican plan to replace the Affordable Care Act (ACA), according to a report released today by the Congressional Budget Office (CBO). That would include up to 14 million in the first year alone, or two-thirds of the 21 million who have gained coverage under the ACA.

On May 4-5, 2017, The American Journal of Managed Care's ACO & Emerging Healthcare Delivery Coalition will head back to Scottsdale, Arizona, to bring together stakeholders from across the industry.

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast.

Advocates note that the cuts would put the nation's health system in reverse, away from stopping health problems before they get out of hand.

This week, the top managed care news included a bill from House Republicans to repeal and replace the Affordable Care Act, a new program at Walgreens to train pharmacists on an advanced cancer-care curriculum, and findings that health coaching helps the neediest patients most.

Several medical interest groups have raised their opposition to the new Republican plan drafted to replace the Affordable Care Act.

During a speech at America’s Health Insurance Plans’ National Health Policy Conference, held March 8-9 in Washington, DC, Newt Gingrich, former House speaker, ran through the hurdles Republicans will face in order to get the American Health Care Act passed.

Protecting coverage gains that were made under the Affordable Care Act was one of the top concerns of experts representing insurers, physicians, and hospitals during a panel discussion at America’s Health Insurance Plans (AHIP)’s National Health Policy Conference, held March 8-9 in Washington, DC.

Just hours before House Republicans released their long-awaited Affordable Care Act replacement bill, Patricia Salber, MD, MBA, of The Doctor Weighs In, and Nathan Bays, general counsel and executive director at the Health Management Academy, discussed what was expected to be included in the final bill and mostly accurately predicted the main provisions of the new bill.

After weeks of leaked drafts and secret, closed door meetings, House Republicans have released the American Health Care Act, their bill to replace former President Barack Obama’s Affordable Care Act.

The widespread nature of the opioid epidemic will require coordination from a variety of stakeholders and all levels of government. In this podcast, experts discuss how the crisis got so out of hand, various tactics being undertaken to reverse the opioid, and the current impact of stigma on getting treatment.

How will drug developers price gene therapy treatments to recover their investment and ensure that society can bear the impending cost?

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast.

A newer version of House Republicans’ draft bill to replace the Affordable Care Act has been leaked, and it contains a few significant changes to the draft that leaked last week, including a cut-off so wealthy Americans would not be eligible for age-based tax credits.

While the Ohio governor is getting more attention for his efforts to keep federal funds for Medicaid expansion, he's quietly working just as hard on maintaining the momentum toward value-based care.

Hospitals don't always adequately prepare patients for the reality of cancer treatment and all the ways it might affect someone's life, explained Melissa Thompson, MBA, healthcare strategist, patient, and self-advocate.

The roundtable provides a forum for academic researchers, health policy experts, patient advocates, health insurance plans, and the pharmaceutical industry to debate on the most sustainable strategies for patient cost sharing for medications.

This week, the top news in managed care included President Donald Trump's first address to Congress, which included guiding principles for replacing the Affordable Care Act, a leaked version of the House GOP's own draft for healthcare reform, and a study finds a concerning trend in colorectal cancer rates among young adults.

The House GOP plan would let insurers charge older adults more while younger ones pay less. But low-income Americans nearing retirement age would see tax credits sliced in half at a time when premiums would rise.

By the time the opioid epidemic was dominating headlines, it was already out of control. So how did the epidemic sneak up on the United States, and what is being done at the state and federal levels to combat the issue?

A discussion with Jeanne Ireland, advisory board member, District Policy Group and former senior advisor to the Commissioner and Associate Commissioner for Legislation at the FDA, Obama Administration; and The Honorable Dr Phil Gingrey, senior advisor, Drinker Biddle & Reath and District Policy Group and former US Congressman, R-Georgia, 2003-2015. This discussion took place at the Cost-Sharing Roundtable: Sustainable Strategies for Providing Access to Critical Medications. The event was co-hosted by the PAN Foundation and The American Journal of Managed Care®.

Panel discussion moderated by Clifford Goodman, PhD, of The Lewin Group. The discussion took place at the Cost-Sharing Roundtable: Sustainable Strategies for Providing Access to Critical Medication, which was co-hosted by the PAN Foundation and The American Journal of Managed Care®.

Panel discussion moderated by Clifford Goodman, PhD, of The Lewin Group. The discussion took place at the Cost-Sharing Roundtable: Sustainable Strategies for Providing Access to Critical Medication, which was co-hosted by the PAN Foundation and The American Journal of Managed Care®.