January 15th 2025
The findings challenge the effectiveness of these widely used transitional care interventions and suggest a need for more targeted, multifaceted approaches to address the needs of higher-risk patients.
January 14th 2025
The Hidden Costs of 'Affordable' Health Insurance Plans
August 22nd 2013The Affordable Care Act promises to expand access to health care by providing affordable coverage to millions of Americans. But finding a policy that meets your health care needs and your budget requirements can be daunting.
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Study: Half Plan Getting Help on Health Costs as Rate Shock Hits
August 21st 2013About half the people who now buy their own health insurance- and potentially would face higher premiums next year under President Barack Obama's healthcare law- would qualify for federal tax credits to offset rate shock, according to a new private study.
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Slow Start for Medicaid Fee-for-Service Rate Bump
August 20th 2013The Patient Protection and Affordable Care Act relies heavily on expanding Medicaid eligibility to increase insurance coverage and healthcare access. But its authors had to make sure that physicians would accept new Medicaid patients.
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New Laws and Rising Costs Create a Surge of Supersizing Hospitals
August 13th 2013Hospitals across the nation are being swept up in the biggest wave of mergers since the 1990s, a development that is creating giant hospital systems that could one day dominate American health care and drive up costs.
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How Will ACOs Share Liability Risk?
August 13th 2013Like their predecessors in health care's parade of acronyms -- HMOs and MCOs -- ACOs will need to balance quality patient care with saving money. When that balance is questioned by consumers and inevitably by the courts, how, exactly, will the risk be shared?
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Community Partners to Assist Medicaid Beneficiaries
August 12th 2013Preventive health services are key to ensuring people seek care before their conditions are critical or urgent in nature. As healthcare services for Medicaid and Medicare beneficiaries expand under the Affordable Care Act, so will the need for professionals who can administer certain preventive measures.
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Wade M. Aubry, MD, associate clinical professor, University of California, San Francisco, continues discussions saying that comparative effectiveness research (CER) and the evolution of evidence-based medicine can facilitate innovations under the Affordable Care Act (ACA), especially with the inclusion of value-based insurance design (VBID).
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Health Reform Will Cost Cancer Patients
August 8th 2013In an effort to offset cost increases associated with the Affordable Care Act (ACA), the Obama administration intends to expand hospitals' access of the 340B discount drug plan. While the expansion may sound promising to some, many others worry that the program will threaten the quality of care, as increased participation risks higher potential for abuse. Even worse, the 340B program will likely rise the cost of cancer care.
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ACA Implementation Continues to Face Challenges
August 2nd 2013Delaying the employer insurance mandate until 2015 has cost the government an estimated $12 billion in fees. This coming after an assessment conducted by The Congressional Budget Office (CBO) and the Joint Committee on Taxation (JCT) on the impact the delay will have on the Affordable Care Act (ACA) implementation.
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Reform Update: Online Insurance Brokers Get to Play on Federally Run Exchanges
August 2nd 2013Increasing enrollment in health insurance is one of the primary goals of the health reform law. The CMS took a major step to achieve that this week by signing agreements with five Web-based insurance broker firms to help enroll Americans in the insurance exchanges in the 35 states where the federal government will run them.
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ACA Mandates Questioned by Congress and States Alike
August 1st 2013At the heart of Washington, government workers are concerned about what healthcare reform will mean for them. A mandate in the Affordable Care Act (ACA) will require Congress members and their aids to obtain health insurance coverage through the state exchange marketplace.
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Medicaid Managed Care Insurers Prepare to Offer Plans of Insurance Exchanges
July 29th 2013A growing number of Medicaid managed-care insurers have received approval from state regulators and state insurance exchange officials to enroll non-Medicaid members on the exchanges in October, marking the first time these specialized insurers will offer health coverage to the general public.
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The State Debate of Expanding Medicaid
July 26th 2013The Affordable Care Act will expand Medicaid eligibility starting in 2014, but a Supreme Court ruling that there will be no penalty for those states refusing to comply, or who later withdraw from the program, has left many state legislators questioning how to proceed.
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