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Private Payer Participation In Coverage With Evidence Development: A Case Study

March 17, 2017  /  Comparative Effectiveness, Public Health

Driven by the escalating costs of both health care delivery and research, the concept of health care value is of increasing interest to both payers and providers.

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The impact of Obamacare in Four Maps

November 2, 2016  /  Public Health

Three years into the Affordable Care Act, there remain places where many people still lack health insurance. But their share keeps shrinking.

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Analysis: Nearly 12 Million People Who Remain Uninsured Are Eligible for Financial Help Under the Affordable Care

October 21, 2016  /  Public Health

As the Nov. 1 start of the Affordable Care Act’s fourth open enrollment period approaches, a new Kaiser Family Foundation analysis estimates that 11.7 million people who remain without health insurance are eligible for Medicaid in their state or for tax credits to purchase health insurance through their state’s Affordable Care Act marketplace.

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Justice Department Says Health Insurance Mergers Thwart Value-Based Care

July 22, 2016  /  Public Health

In its lawsuits to block the Aetna purchase of Humana and the proposed acquisition by Anthem of Cigna, the U.S. Justice Department says allowing these deals to come together would hinder the move to value-based care.

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Actuaries: Health Care Costs, End of Reinsurance Drive Premium Changes

May 9, 2016  /  Public Health

Underlying growth in health care costs and the sunset of the Affordable Care Act’s reinsurance program are the major drivers behind insurance premium increases this year.

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Newest Policyholders Under Health Law Are Sicker and Costlier to Insurers

March 31, 2016  /  Public Health

People newly insured under the Affordable Care Act were sicker, used more medical care and had higher medical costs than those who already had coverage, the Blue Cross and Blue Shield Association said Tuesday in a new study of its policyholders.

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Many See I.R.S. Fines as More Affordable Than Insurance

January 2, 2016  /  Individual Purchase Mandate, Public Health

Two years after the Affordable Care Act began requiring most Americans to have health insurance, 10.5 million who are eligible to buy coverage through the law’s new insurance exchanges were still uninsured this fall, according to the Obama administration.

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2016 will bring flurry of new rules and regulations affecting healthcare

January 2, 2016  /  Public Health

2016 is expected to be just as eventful as 2015, with more rules and regulations expected.

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A look at healthcare changes in 2015 and beyond

December 29, 2015  /  Public Health

Healthcare — a sector that accounts for one-sixth of the U.S. economy, continues to be engulfed by dramatic changes that are revolutionizing the way that medical care is delivered in the U.S.

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CMS Unveils Draft Plan for New Payment Model Quality Measures

December 29, 2015  /  Public Health

On Friday, CMS released a draft plan detailing how the agency plans to use and develop quality measures for new payment models under the Medicare Access and Children’s Health Insurance Program Reauthorization Act.

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