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Editorial


CEO pay ratio rule, inequality debate could pressure healthcare

Anthony Brino

Though still a major source of middle class jobs, healthcare companies, including consolidating insurers and nonprofits, may need to find a way to afford raises for their lowest-paid employees.


Praluent is not like Sovaldi

David Williams

A few reasons why the want-to-be cholesterol blockbuster Praluent will not be as much of a “budget buster” as the medicine that cures most hepatitis C patients.

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.

Nine ACOs that partner with CHS generated $27 million in the Medicare Shared Savings Program.

Two Pioneer Accountable Care Organizations, Montefiore Health and the Banner Health Network, on Tuesday touted their success in generating savings for the Centers for Medicare & Medicaid Services ACO model. Though other organizations in the group found little reason to celebrate.

Amputees against proposed changes to Medicare coverage that would result in less expensive, but inferior, prosthetics being given to patients gathered in Baltimore Wednesday to ask officials to strike down the proposal.

A new report published in the American Journal of Managed Care found that just over half of MSSP ACOs shared plans on how they'll allocate savings.

More than 2 million people with coverage on the health insurance exchanges may be missing out on subsidies that could lower their deductibles, copayments and maximum out-of-pocket spending limits, according to a new analysis by Avalere Health.

MeriTalk report claims 11 percent of people who receive government healthcare benefits are not actually eligible.

Experts say problems seen in September in testing ICD-10 codes could turn into disasters when the new diagnostic code set goes live on October 1.

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