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Editorial


Lemons and lemonade: GOP may extend subsidies, with lots of conditions

Robert Laszewski

The Republicans should offer an unconditional subsidy extension if the Supreme Court strikes them down.


The next bend in the cost curve: Rising prices for proven drugs?

Paul Levy

"The expense of the surgical robot will pale in comparison to the coming tsunami of overpriced drugs."

Feature Video

The Obama Administration recruited Seattle Seahawks quarterback Russell Wilson and cornerback Richard Sherman to the game of selling the Affordable Care Act.
 

President Obama acknowledges the technical issues with HealthCare.gov, pledging his Administration will resolve them soon and asserting that the distressed web portal is not the only way to shop for affordable health insurance available through the ACA.

 

Three years after launching a 750-patient Medicare Advantage collaborative care pilot, Portland, Maine-based independent physician practice NovaHealth and insurer Aetna have shown concrete results in improving care quality and reducing costs. Technology and provider-payer cooperation played a large part in the program's success.

Blue Cross and Blue Shield companies are setting up their own insurance exchange for retirees switching to individual Medicare plans, a bid to secure lifetime customers from in a new population of seniors.

Thousands of families with a disabled or deceased parent may have received a lower subsidy than they deserved to buy health coverage through the federal insurance marketplace as a result of a calculation error by the federal government.

Add Tennessee and Kansas to the list of states that have been warned by the Obama administration that failing to expand Medicaid under the Affordable Care Act could jeopardize special funding to pay hospitals and doctors for treating the poor.

It's a network war with Midwest manners, but Nebraska's largest insurer and health system still have miles to go before a resolution. The impasse may be hurting one organization more than the other.

Consumer advocates and an activist insurance commissioner in California are renewing a push for premium review authority, while the state exchange is moving ahead with its own version of active purchasing.

For Humana, the national insurer with the most Medicare Advantage members, retail health clinics are out of the integration strategy, but home care is very much in.

Illinois' largest health insurer is building out its accountable care network, even as some of the health system partners are consolidating.

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