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Current Risk-Adjustment Approach Underpaid Insurance Carriers for Part-Year Members
February 24, 2018 – Kaitlynn Ely
Survey Examines Whether Primary Care Doctors Gave Correct ADHD Diagnosis
February 23, 2018 – Allison Inserro
This Week in Managed Care: February 23, 2018
February 23, 2018
5 Things to Know About Biosimilars and Inflammatory Bowel Disease
February 23, 2018 – Kelly Davio
Hydroxychloroquine Ineffective in Treating Hand Osteoarthritis Compared With Placebo
February 23, 2018 – Kaitlyn Ely
AJMC® in the Press, February 23, 2018
February 23, 2018 – AJMC Staff
What We're Reading: GAO Slams CMS; Walker Gets Friendly Toward ACA; Opioid Bills in House
February 23, 2018 – AJMC Staff
Employer-Sponsored Wellness Programs Attract Already Fit and Healthy Individuals
February 23, 2018 – Kaitlynn Ely
FDA Warns About Risks of Biaxin in Patients With Cardiac Disease
February 22, 2018 – Allison Inserro

What We're Reading: ACA "Death Spiral"; Privacy Rule Delayed; and CMS Projects Spending

AJMC Staff

Aetna Says ACA Is in “Death Spiral”

Amidst news of insurers pulling out from the 2018 exchanges, the Affordable Care Act (ACA) did not receive a vote of confidence from Aetna. Chief executive Mark Bertolini said the ACA’s exchanges are in a “death spiral” and predicted that many more plans would withdraw this year due to the “deteriorating” risk pool, according to a Washington Post article. Aetna sells exchange plans in only 4 states this year, and has not yet announced whether it will continue on the exchanges in 2018.

HHS Secretary Price Delays Drug Treatment Record Sharing Rule

About a month after the Obama administration released a final rule that would have made it easier for healthcare providers to share patients’ substance abuse treatment records with one another, HHS secretary Tom Price is pumping the brakes. The rule was supposed to take effect on Friday, but the date has now been pushed to March 21. A Federal Register notice explained that the delayed implementation is meant to allow sufficient time for public comments on the rule.

CMS Projects National Health Expenditure Growth

CMS has released a report that projects national health spending will rise by an average 5.6% annually until 2025, outpacing the projected growth in gross domestic product by 1.2 percentage points. The report attributes the growth to a more rapid pace of increase in medical prices. Lead author Sean Keehan anticipated that because of these cost pressures, “employers, insurers, and other payers will continue to pursue strategies that seek to effectively manage the use and cost of health care goods and services.”  

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