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An unfair DSH formula for safety net hospitals

July 8, 2016  /  Editorials, Opinion

The nation’s 250-plus safety net hospitals, which serve a disproportionate share of poor and uninsured patients, still face unique challenges.

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Value Pricing For Drugs: Whose Value, What Price?

April 3, 2016  /  Editorials, Opinion

If we are to embrace “value pricing,” we need to understand what it is and how and when it should be calculated.

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The Payment Reform Landscape: Specialty Pharmacy — Can Payment Reform Offer Relief?

November 20, 2015  /  Editorials, Opinion

There is no magic bullet for getting the best value out of specialty pharmacy spending, but there are various strategies purchasers can consider when implementing or expanding a specialty pharmacy management program.

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California Is Proving That Health Reform Works

August 10, 2015  /  Editorials, Opinion

The number of Californians who have trouble finding a doctor or paying their medical bills has sharply declined since the Affordable Care Act took effect. And premiums charged by private insurers have risen only modestly.

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Why Blue Cross Hates Anthem’s Cigna Deal

July 27, 2015  /  Editorials, Opinion

You’re hearing crickets from inside the headquarters of the Blue Cross and Blue Shield Association’s headquarters when the topic of health plan mega mergers arises these days because it’s largest member company, Anthem, is purchasing Cigna.

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Washington’s big bet on value-based care

July 22, 2015  /  Editorials, Opinion

While the “affordable” elements of the ACA have received the lion’s share of the headlines and have been the main point of debate since the law went into effect in 2012, what’s often left out of the mainstream discussion is the broader healthcare sea change that’s taking place.

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Will states create health insurance exchanges after King vs. Burwell?

June 26, 2015  /  Editorials, Opinion

he Supreme Court’s ruling in King vs. Burwell on Thursday drew outrage aplenty from Obamacare opponents, who had come to view the plaintiffs’ fanciful legal claims as a hammer that would finally break the glass around the law.

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Measuring Health Insurance Subsidies’ Success

June 25, 2015  /  Editorials, Opinion

The impact of the law appears most clearly in the shrinking number of uninsured Americans. In 2014, the number of people without health insurance coverage fell to 36 million from 44.8 million in 2013, a decline of nearly 20 percent.

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ACOs showing payment reform possible

March 27, 2015  /  Editorials, Opinion

‘The health care system must transform and payment reform represents one pathway that is rapidly diffusing,’ according to Michael Chernew, PhD, of the Harvard Medical School.

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Medicaid Expansion in Red States

March 18, 2015  /  Editorials, Opinion

A number of states that had previously refused to expand their Medicaid programs for the poor are reconsidering that policy.

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