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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.
California Aims for Equity by Redefining Cancer Care
December 8th 2023Authors highlight key aspects of the California Cancer Care Equity Act, including its focus on Medi-Cal beneficiaries, the requirement for managed care plans to contract with specialized cancer centers, and the definition of complex cancers.
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Oncology Onward: A Conversation With Thyme Care CEO and Cofounder Robin Shah
October 2nd 2023Robin Shah, CEO of Thyme Care, which he founded in 2020 with Bobby Green, MD, president and chief medical officer, joins hosts Emeline Aviki, MD, MBA, and Stephen Schleicher, MD, MBA, to discuss his evolution as an entrepreneur in oncology care innovation and his goal of positively changing how patients experience the cancer system.
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Patients With RA in Remission Withdrawing From TNF Inhibition Show Flare Increases
December 8th 2023New data presented at ACR 2023 highlighted the differences in rates of flares and Boolean 2.0 remission rates compared to patients with rheumatoid arthritis who continued a tumor necrosis factor inhibitor (TNFi).
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Insufficient Data, Disparities Plague Lung Cancer Risk Factor Documentation
September 24th 2023On this episode of Managed Care Cast, we speak with the senior author of a study published in the September 2023 issue of The American Journal of Managed Care® on the importance of adequate and effective lung cancer risk factor documentation to determine a patient's eligibility for screening.
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Research Reveals the Role of Structural Racism in Lung Cancer Risk
December 7th 2023Spanning 22 studies, the analysis illuminated housing disparities, occupational hazards, unequal health care access, economic inequality, and discriminatory industry practices and how they collectively contribute to heightened lung cancer risks.
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Refining Precision Prevention for Benign Breast Disease
December 7th 2023Many questions remain surrounding accurately classifying the risk of developing invasive breast cancer associated with the benign breast disease diagnoses of nonproliferative lesions and proliferative changes without atypia.
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