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What We're Reading: Tennessee's ACA Exchange Near Collapse
What we're reading, August 24, 2016: Tennessee signed off on high premium hikes as its exchange is close to collapse; 5 states sue the Obama administration over a transgender healthcare policy; and a new non—travel-related Zika case is identified in Tampa Bay.
In a bid to keep the state’s Affordable Care Act insurance exchange afloat, Tennessee signed off on high premium hikes. The state’s insurance regulator said that approving the increases was necessary to ensure there would be options in every part of Tennessee when open enrollment begins, reported The Tennessean. Currently, BlueCross BlueShield of Tennessee is the only insurer selling statewide, plus Cigna and Humana may reduce their involvement. UnitedHealthcare dropped of the state exchange earlier this year.
Kansas, Kentucky, Nebraska, Texas, and Wisconsin are suing the Obama administration for a policy extending nondiscrimination laws to transgender individuals. According to Reuters, the states are suing on behalf of 3 medical organizations, 2 of which are affiliated with Christian groups, and arguing that the groups would be forced to violate their religious beliefs. HHS announced it would broaden its nondiscrimination law and require health insurers and medical providers treat transgender patients equal to all other patients.
As cases of non—travel-related Zika rise in the Miami area, a new case was identified in the Tampa Bay region. While the Tampa Bay case is the first in Florida outside of Miami, there isn’t enough evidence to declare a zone of local transmission in that area, according to AP. Currently, the Department of Health has only identified 2 areas of ongoing active transmission: Wynwood and Miami Beach.
Collecting SDOH Data Can Assess Risk of Medical Nonadherence, Improve HEI and Star Ratings
April 18th 2024At the Academy of Managed Care Pharmacy (AMCP) 2024 annual meeting, a panel of presenters explored changes coming to Medicare that incorporate social determinants of health (SDOH) data to improve patient and health system outcomes.
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Navigating Health Literacy, Social Determinants, and Discrimination in National Health Plans
February 13th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the February 2024 issue of The American Journal of Managed Care® about their findings on how health plans can screen for health literacy, social determinants of health, and perceived health care discrimination.
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Drs Raymond Thertulien, Joseph Mikhael on Racial Disparities in Multiple Myeloma Care Access
December 28th 2023In the wake of the 2023 American Society of Hematology Annual Meeting and Exposition, Raymond Thertulien, MD, PhD, of Novant Health, and Joseph Mikhael, MD, MEd, FRCPC, FACP, chief medical officer of the International Myeloma Foundation, discussed health equity research highlights from the meeting and drivers of racial disparities in multiple myeloma outcomes.
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Need for Pharmacogenomic Testing in Mental Health Care Explored at AMCP 2024
April 17th 2024Presenters from Mayo Clinic discussed the benefits of implementing pharmacogenomic testing in mental health care for the betterment of patient outcomes, reducing medical costs, and more at the Academy of Managed Care Pharmacy (AMCP) 2024 annual meeting.
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