Alaska removes COVID-19 vaccine eligibility restrictions; Affordable Care Act (ACA) health plan subsidies could increase under new relief bill; HHS is reviewing CDC COVID-19–related race and ethnicity data reporting.
Alaska is now allowing anyone who lives or works in the state and is 16 year or older, to receive a COVID-19 vaccine, reported The Washington Post. Close to one-fourth of the state’s residents now have gotten at least 1 vaccine dose, but this expanded eligibility for people 16 to 18 years restricts them to receiving only the Pfizer/BioNTech vaccine. The Johnson & Johnson and Moderna vaccines are only approved for individuals 18 years and older. Pfizer/BioNTech’s vaccine was recently shown to be effective against emerging and more contagious COVID-19 variants from Brazil, the United Kingdom, and South Africa.
The $1.9 trillion coronavirus relief bill proposed by President Joe Biden, currently under a final review by the House of Representatives, could introduce temporary 2-year subsidy increases for Affordable Care Act (ACA) plans, noted The Wall Street Journal. This potential change would mean lowered payments for close to 14 million plan enrollees. Other ACA-related changes included in the bill are no more income cap limits on ACA tax credit eligibility, a new 8.5% household income limit on health care spending, and increased subsidies to lower-income consumers.
Data accuracy is the focus of an investigation by HHS’ inspector general of the CDC’s breakdown of COVID-19–related race and ethnicity reporting, per Politico. Uneven data collection efforts among states, gaps in state and the federal government’s health agencies’ efforts, and missing race/ethnicity information from patients are being pinpointed as possible reasons for the inconsistent reporting of these data. Public health experts note this information is crucial to have because it can help to highlight where interventions are most needed, especially in communities disproportionately affected by the pandemic.
Urticaria Diagnosis Challenged by Overlapping Pruritic Skin Conditions
April 23rd 2025Urticaria is complicated to diagnose by its symptomatic overlap with other skin conditions and the frequent misclassification in literature of distinct pathologies like vasculitic urticaria and bullous pemphigus.
Read More
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.
Listen
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.
Listen
ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz
April 23rd 2025Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.
Read More