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Patient engagement paves the way to higher CMS star ratings

Mariza Hardin, vice president of government sector solutions, Alere Health, Inc.

Not only are older Americans living longer than in past generations, they also have multiple health problems, according to "The State of Aging and Health in America 2013" report by the Centers for Disease Control and Prevention (CDC).

Messy ACO demonstrations may bring ripples, waves to MA

John Gorman, founder and chairman, Gorman Health Group

If you're a Medicare Advantage Plan with a Medicare ACO in your neighborhood, or worse in your network, start sleeping with one eye open.

Whining about thousand-dollar pills

David Williams
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When I saw Paying for the Thousand-Dollar Pill, an anti-Sovaldi op-ed in the Wall Street Journal, it brought back memories from my childhood when I toured the FBI headquarters in Washington, DC. The tour guide started off by showing us a wall with pictures of the 10 most wanted fugitives in the country and asked for our help in tracking them down.

What about the working class and middle class?

Robert Laszewski, Health Care Policy and Marketplace Review
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Perhaps the biggest consumer problem Obamacare has is that the plans with high premiums even after the subsidy, big deductibles, and narrow networks are not attractive to working class and middle class families and individuals who don't qualify for the biggest tax credits.

Is the ACA really a job-killer?

David Williams, Health Business Blog
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The Affordable Care Act requires employers to provide coverage for full-time employees, but not part-timers. That sounds like a straightforward and reasonable provision, but as usual the devil is in the details.

Now about that individual mandate

Robert Laszewski, Health Care Policy and Marketplace Review
Robert Laszewski's picture

Will the 2014 mandate to buy health insurance be enforced come tax time? It sure doesn't look like it.

Navigating the murky waters of hospital quality and narrow networks

Robert Laszewski, Health Care Policy and Marketplace Review
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It isn't news for anyone to suggest the most expensive hospitals may not be worth the money. But the recent hullabaloo over both narrow networks and hospital quality may be missing the forest for the trees.

Silly Republican insurance reform ideas

Robert Laszewski, Health Care Policy and Marketplace Review
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There are news reports indicating Republicans will be proposing such longstanding health insurance reform ideas as selling insurance across state lines and association health plans.

State HIXs fighting for survival

Anthony Brino, Healthcare Payer News
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The federal government's latest health reform tweaks could complement or disrupt the transition to new insurance marketplaces, depending in part on how consumers fair in the last month of open enrollment.

Extending the Obamacare cancelled policy moratorium

Robert Laszewski, Health Care Policy and Marketplace Review
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The administration has confirmed that the individual policies that were supposed to be cancelled because of Obamacare can now remain in force another two years.

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