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What We're Reading: Are Reforms Coming to Medicare?
What we're reading, November 28, 2016: The GOP is considering reforms to Medicare and Democrats are gearing up for a fight; the IRS will send letters to try to sign more people up for Obamacare; and the abortion rate reaches the lowest level in decades.
The Republican Party is eyeing Medicare reforms following its Election Day success. According to The New York Times, House Republicans are considering a fixed government contribution for each beneficiary instead of the current open-ended commitment. Democrats are preparing for a battle over the changes, which they believe would lead to sicker patients being left in traditional Medicare to face higher premiums, while healthier beneficiaries choose private insurance through the Medicare program.
The Internal Revenue Service (IRS) is attempting to sign more people up for health insurance plans under the Affordable Care Act. The agency will send out letters to Americans who pay the tax penalty instead of purchasing insurance, reported The Washington Times. Republicans say the plan risks disclosure of taxpayers’ information, but the IRS claims it is only following the law, which requires it to let people know about the option.
The abortion rate in the United States has reached the lowest level since 1971, which was before abortion rights had been extended nationwide. The CDC reported that the abortion rate for 2013 was 12.5 abortions per 1000 women. However, the CDC doesn’t receive abortion information from California, Maryland, and New Hampshire.
Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
April 2nd 2024On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of The American Journal of Accountable Care®, about prior authorization, price transparency, the impact of health policy on the upcoming election, and more.
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Exploring Medicare Advantage Prior Authorization Variations
March 26th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the March 2024 issue of The American Journal of Managed Care® about their findings on variations in prior authorization use across Medicare Advantage plans.
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Standard Criteria for Loss of Ambulation Needed in DMD
April 19th 2024A recent study suggests the differences between ambulation definitions for patients with Duchenne muscular dystrophy (DMD) can impact the identification of ambulant vs nonambulant individuals, and standard criteria across settings are needed.
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