Obama Administration Set Low Bar for Health Law Enrollment in 2016

The Obama administration is again dramatically scaling back projected enrollment in health plans purchased through the Affordable Care Act, predicting that about 10 million people will have coverage through the health law’s marketplaces by the end of next year. That is only a small increase over 2015, when 9.1 million Americans are expected to have ...

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Medicaid Spending Soars – Mostly In Expansion States

Medicaid spending soared nearly 14 percent last year—its biggest annual increase in at least two decades—as a result of millions of newly eligible low-income enrollees signing up under the Affordable Care Act, according to a report released Thursday by the Kaiser Family Foundation. Total spending was highest in the 29 states that expanded Medicaid, the ...

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A Year of Change for Health Care in the Legislature

California made national news last week when Gov. Jerry Brown signed a bill allowing doctors to prescribe a lethal dose of drugs to patients who are terminally ill and want to die. But many quieter bills also will change health care in the state. The first half of the 2015-2016 legislative session ended last weekend ...

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Consumers Union: Doctors on Probation Should Tell Patients

Consumers Union wants the Medical Board of California to require doctors who are on probation to notify their patients. The policy and advocacy division of Consumer Reports filed a petition last week urging the board to take action. The board is expected to hold a public hearing on the issue at its Oct. 30 meeting ...

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Narrow Networks Don’t Sacrifice Quality For Cost

An analysis of narrow networks on the Covered California health plan marketplace found that in most cases consumers don’t need to worry that they are trading quality of care for lower costs. While Covered California plans did offer narrower hospital networks, there was no significant relationship between raw network size and performance, according to the ...

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Hopes Dim For Deal To Avert Medicare Premium Spikes

The window is closing for congressional leaders to avert the double-digit premium hikes that are set to hit 8 million Medicare enrollees next year. Congress has only a handful of weeks to prevent the 52 percent premium hikes — the largest in the program’s history — that will harm seniors and drain state budgets. And with ...

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No Ready-Made Rx For Rising Drug Costs

When Turing Pharmaceuticals raised the price of an older generic drug by more than 5,000 percent last month, the move sparked a public outcry. How, critics wondered, could a firm charge $13.50 a pill for a treatment for a parasitic infection one day and $750 the next? The criticism led Turing’s unapologetic CEO to say ...

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Aetna, Humana Shareholders Approve Proposed Merger

Health insurer Aetna’s proposed $37 billion acquisition of smaller rival Humana Inc was approved by the shareholders of both companies. The companies continue to expect the deal to close in the second half of 2016, they said in separate statements on Monday. Aetna in July said it would buy Humana to become the largest provider ...

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Blue Shield of California Agrees To Limit Premiums, Recalculate Rebates

Blue Shield of California has agreed to limit its premiums for certain policies next year and in 2017, Payers & Providers reports. Background On Oct. 5, the California Department of Managed Health Careissued an order addressing Blue Shield’s premiums and medical loss ratio calculations. DMHC spokesperson Rodger Butler said the agency had “significant concerns with ...

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Little Growth Predicted on Health Exchanges

WASHINGTON — In a surprisingly pessimistic forecast, the Obama administration predicted on Thursday that health insurance enrollment on the Affordable Care Act’s public marketplaces will only inch up from current coverage levels by the end of 2016. After an elaborate analysis of demographic data, Sylvia Mathews Burwell, the secretary of health and human services, said ...

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