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The Health Law's '3 Rs' For Insurers: A Bailout Or Necessary Safeguards?
Three provisions in the health law that proponents say are designed to help insurers manage the financial risk of taking all comers while keeping premiums affordable are under fire on Capitol Hill, with Republicans labeling them as giveaways to the health insurance industry.
Three provisions in the health law that proponents say are designed to help insurers manage the financial risk of taking all comers while keeping premiums affordable are under fire on Capitol Hill, with Republicans labeling them as giveaways to the health insurance industry.
House Budget Committee Chairman Paul Ryan, R-Wis., has said that Republicans may push to repeal the provisions as part of negotiations over raising the debt ceiling. Sen. Marco Rubio of Florida and Rep. Tim Griffin of Arkansas, both Republicans, are sponsoring legislation to repeal the health law’s risk corridors. Proponents say the money that insurers contribute to the program will finance most of its cost.
What follows are some frequently asked questions about the health law’s “three Rs” -- risk corridors, reinsurance and risk adjustment.
Read the full story here: http://bit.ly/1fq2MGS
Source: Kaiser Health News
Health Care Utilization and Cost of Diagnostic Testing for Respiratory Infections
September 17th 2025Syndromic reverse transcriptase–polymerase chain reaction tests for respiratory infections were associated with lower health care resource utilization and costs, implicating potential for improved value in patient care.
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AI in Health Care: Balancing Governance, Innovation, and Trust
September 2nd 2025In this conversation with Reuben Daniel, associate vice president of artificial intelligence at UPMC Health Plan, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.
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Infertility Coverage Boosts ART Use and Pregnancy Success: Richard A. Brook, MS, MBA
August 26th 2025In this episode, Richard A. Brook, MS, MBA, discusses his study showing that infertility treatment coverage increases assisted reproductive technology (ART) use and improves pregnancy outcomes.
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