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News
Reform Update: Bigger doesn't equal cheaper for patients, studies find
By Melanie Evans | October 22, 2014 | Basic Web Basic Web Subscription Details
Consolidation across healthcare sectors and local markets may benefit consumers when it reduces costly and potentially harmful duplication and waste. Or not. Consolidation also can increase costs, researchers contend in two newly published studies.
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News
Feds outline plan to pay states for Basic Health Program in 2016
By Bob Herman | October 21, 2014 | Basic Web Basic Web Subscription Details
The federal government will continue to fund an optional health insurance program for the working poor in 2016 with the methodology it used for 2015, according to a proposed notice from the CMS.
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News
Reform Update: Medicaid programs crafting limits on Harvoni usage
By Virgil Dickson | October 21, 2014 | Basic Web Basic Web Subscription Details
Which Medicaid beneficiaries will have access to Gilead Sciences' newest high-cost hepatitis C treatment, Harvoni, and when they'll get that access, now depends on prior-authorization criteria being hammered out by various state agencies. Most will likely limit Harvoni use to patients dealing with...
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News
Uninsured largely unaware of looming enrollment period
By Paul Demko | October 21, 2014 | Basic Web Basic Web Subscription Details
Roughly 90% of uninsured Americans are unaware of the open-enrollment period that begins Nov. 15, according to new polling data from the Kaiser Family Foundation.
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Vital Signs
What's essential in some states isn't in others, study finds
By Bob Herman | October 21, 2014
President Barack Obama's healthcare law mandated that certain health plans start covering common services. But because the federal government offered states latitude in those initial determinations, the definition of an essential health benefit ranges widely across the country, a report...
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Magazine
New fed loans to promote rural ACOs
By Melanie Evans | October 18, 2014 | Print Magazine Print Magazine Subscription Details
The Obama administration plans to offer infrastructure loans to small and rural healthcare providers to participate in Medicare's program for accountable care organizations.
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News
Reform Update: McConnell's claims on Kentucky exchange, Obamacare baffle experts
By Darius Tahir | October 17, 2014 | Basic Web Basic Web Subscription Details
Senate Minority Leader Mitch McConnell (R-Ky.) has made a habit of saying during his hotly contested race for re-election that repealing the Patient Protection and Affordable Care Act would not necessarily mean shutting down the state's popular insurance exchange that was established under the law.
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News
Reform Update: More providers, insurers showing appetite for narrow networks
By Bob Herman | October 16, 2014 | Basic Web Basic Web Subscription Details
A new health plan collaboration in Wisconsin between a hospital system and an insurer is the latest sign that providers and insurers are betting on narrow networks even as controversy continues over whether these plans offer adequate provider access for consumers.
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News
CMS loan program offers rural providers entry to accountable care
By Melanie Evans | October 15, 2014 | Basic Web Basic Web Subscription Details
The Obama administration plans to offer upfront cash to help small and rural healthcare providers build the infrastructure they need to succeed in Medicare's program for accountable care organizations.
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News
Surge in Medicaid costs won't last, researchers say
By Virgil Dickson | October 15, 2014 | Basic Web Basic Web Subscription Details
A new UCLA study suggests that the Medicaid expansion under the healthcare reform law will not necessarily lead to a long-term increase in emergency room or hospital utilization.
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