In my close look at silver plan selection in 2015 among HealthCare.gov customers who were eligible for Cost Sharing Reduction (available only with silver plans). I expressed some disappointment that CSR takeup had apparently dipped a bit on the federal exchange from 2014 to 2015. Disappointment on that particular point may have been misplaced.
Official projections of long-term Medicare spending were lowered sharply in response to the ACA. It seemed like the ACA had made a major dent in addressing our long-term fiscal challenges. But had it?
This isn’t just theoretical. I was approached by a consultant representing large U.S. employers who were exploring pharmacy tourism that would send patients abroad for their drugs.
||David Rettew, MD, University of Vermont|
It turns out that most providers who prescribe antipsychotic medications are not psychiatrists.
||Tim Vogus, Vanderbilt|
In his new book, America's Bitter Pill, Steven Brill dives deep into the history of the Affordable Care Act (ACA) and how it was passed. He concludes that, although providing more Americans with health insurance is worthy of praise, the ACA does far too little to address the costs of health care.
||Paul Vosters, Discovery Health Partners|
Clearly healthcare is the most interesting and dynamic sector in the U.S. today. We are witness to an unprecedented transformation as healthcare stakeholders embrace new delivery entities and new reimbursement models, shift attention to building relationships with members and explore new markets. There will be winners and losers in this game, and everyone is placing their bets.
||Paul Houchens, Milliman|
Exchange market leaders in 2014 may have had a large portion of their membership renew coverage, but a material portion may have higher monthly costs in 2015, which could change persistency rates.
||Vik Khanna and Al Lewis|
For many Americans, $179 for $2,000 worth of cardiovascular disease screenings might be better spent on a good pair of shoes.
||Jim Lee, Altarum Institute|
If consumers can not make more informed healthcare decisions, they may just end up being skinned alive.
If you read the memo and muttered, "uh-oh" under your breath, you might be thinking that your plan/organization owes CMS some money, and soon. If you haven't read this memo, "uh-oh" would be an understatement.