Unbiased Analysis of Today's Healthcare Issues

Archive for the 'Health Reform' Category

“The medical marketplace is broken”

This quote is from David Blumenthal, a physician and former Harvard Medical School professor, who was the national coordinator for health information technology between 2009-2011.  He describes in an interview for the Atlantic why adoption of electronic medical records has been so slow in the U.S. From the patient’s perspective, this is a no-brainer. The benefits […]

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Wisconsin’s Unique Medicaid Non-Expansion

The Supreme Court ruled that the Affordable Care Act was legal with one exception: the federal government could not require states to increase Medicaid eligibility. Although States were not required to make Medicaid eligibility more generous, the did have an incentive to do so. The federal government will pay 90% of the cost of enrolling […]

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Health Insurance Exchange Enrollment: March 2014 Update

Healthcare.gov was seen as a disaster. Some states, however, opted to create their own exchange. California, for instance, created the “Covered California” website and exchange. How many states decided to create their own exchange? A Robert Wood Johnson issue brief notes that: [Sixteen] States (and DC) established their own marketplaces; 27 states chose, or defaulted […]

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Are ACOs working?

Maybe. An press release from CMS is very upbeat on ACOs. What do the numbers say? Farzad Mostashari and Ross White review the CMS report and find that results were mixed: Of the 114 ACOs in the program, 54 of the ACOs saved money and 29 saved enough money to receive bonus payments. The 54 […]

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CBO 2014 Budget Projections

California Healthline reports that At least one million fewer people than previously expected are projected to obtain health insurance coverage through the Affordable Care Act’s exchanges this year, primarily because of the troubled rollout of the federal health insurance exchange website last fall, according to the Congressional Budget Office’s new annual budget outlook report. WonkBlog has a […]

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Are Obamacare health plans a good deal?

Marketplace Money reports that a PwC study finds that Obamacare plans are actually lower cost than comparable plans outside the Health Insurance Exchanges. “That’s one of the misperceptions out there. That somehow they are barebones or you are not really getting adequate medical insurance,” she says. Connolly says even when you factor in all the […]

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The Hardship Provision

The Affordable Care Act (ACA) contains a provision, known as the individual mandate, which requires all individuals to have health insurance. Like most rules, however, there are loopholes. The most recent loopholes, however, were enacted by the Obama administration due to the problems with the Healthcare.gov website. Robert Laszewski explains: If you had a health […]

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Thanksgiving Cheat Sheet

What happens if you’re having Thanksgiving dinner and the topic turns to health care.  Or worse, the status of Healthcare.gov and the Obamacare Health Insurance Exchanges.  What do you do? How do you sound in the know, even if you’ve been slacking off any haven’t ready my blog for months?  The Wall Street Journal provides […]

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Problem solved?

As most people know, President Obama promised that everyone could keep their old insurance if they liked it. Although most people are able to keep their old insurance, some people certainly are not and the president has gotten major political heat for this.  Today, the Obama administration responded to the critics.  The Washington Post WonkBlog […]

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Medicaid and HIX plans may overlap

Consumers in 30 states (60%) will have the option of at least one plan operating as both a qualified health plan (QHP) in the health insurance exchange (HIX) and as a Medicaid managed care organization (MMCO), according to an Avalere analysis. In these states, Medicaid beneficiaries may be able to enroll in a plan offered […]

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