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ACA Ruling in King v. Burwell a Big Win for Mental Health Patients
The King v. Burwell decision to uphold subsidies on the federal marketplace is a win for patients who might have lost their mental health insurance coverage.
The King v. Burwell decision to uphold subsidies on the federal marketplace is a win for patients who might have lost their mental health insurance coverage. More than 2.7 million Americans with mental health and substance abuse conditions would have become uninsured, according to a study from the American Mental Health Counselors.
Through the Affordable Care Act (ACA)'s mandate on essential benefits, ACA insurance and some individual and small group plans must cover mental health treatment, an important provision, note mental health advocates.
"When people can't get access to mental health and substance abuse services because they don't have insurance and can't afford it, the personal cost in human suffering is high: divorce, unemployment, and even early death," wrote Carolyn Colwell, LCSW-R, MSJ, for MD Magazine.
Read the full article: http://bit.ly/1CyE8Nc
New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
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Personalized Care Key as Tirzepatide Use Expands Rapidly
April 15th 2025Using commercial insurance claims data and the US launch of tirzepatide as their dividing point, John Ostrominski, MD, Harvard Medical School, and his team studied trends in the use of both glucose-lowering and weight-lowering medications, comparing outcomes between adults with and without type 2 diabetes.
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Integrated CKD Care Model Cuts ED Visits by 30%, Boosts Specialized Treatment
April 21st 2025An analysis of an interdisciplinary care model for managing chronic kidney disease (CKD) shows hospital admissions dropped by 26% and emergency department (ED) visits decreased by 30% after clinic initiation.
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