Medicare Plans Score Higher Ratings And Millions In Bonuses

Vantage Health Plan executives saw an opportunity when they realized few of their female Medicare members were being screened for osteoporosis after they broke bones.

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Death Spirals Loom for Health Insurers

Obamacare enrollment is already millions of people below original forecasts, and we could see two sorts of death spirals in the insurance exchanges of the Affordable Care Act because of premium inflexibility mandated by law and partisan unwillingness to make the necessary compromises to fix it.

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Rise Of Latino Political Power In Capitol Could Give New Momentum To Health Care

When Anthony Rendon (D-Paramount) is sworn in as assembly speaker Monday, it will mark a historic moment in California politics: For the first time, the two top posts in the state legislature will be held by Latinos.

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Obama Says Enrollment in Affordable Care Act Reaches 20 Million

President Obama said on Thursday that enrollment in health coverage under the Affordable Care Act had reached a new high, 20 million, and he called the law an overwhelming success in this city and around the nation despite Republicans’ implacable opposition.

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When Governments Mandate Transparency of R&D Costs, the Details are Important

There has been a new interest in expanding the transparency of pharmaceutical markets, in many areas, including information about the outlays on R&D for the development of specific drugs. The debate over transparency legislation, still pending but stalled in California (AB 463), raised public attention to this issue worldwide and has stimulated additional interest in transparency measures in various states (notably in Colorado) and among members of Congress and in foreign countries.

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State Regulators Cites Price, Access As Top Concerns In Proposed Anthem-Cigna Merger

Health care access, quality and affordability will be among the top concerns for the state’s Department of Managed Health Care as it vets the proposed $54 billion merger of insurance giant Anthem Inc. and rival Cigna Corp., the department’s director, Shelley Rouillard, said during a public hearing in Sacramento Friday.

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Retail Clinics Add Convenience But Also Hike Costs, Study Finds

Retail clinics, long seen as an antidote to more expensive doctor offices and emergency rooms, may actually boost medical spending by leading consumers to get more care, a new study shows.

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ObamaCare’s ‘Ceiling’ for Sign-ups Could Be 14.7 Million

ObamaCare enrollment could have a “ceiling” of around 14.7 million sign-ups, according to a new analysis from the Kaiser Family Foundation.

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Health Law Insurance Plans to be Rated by Network Size

The Obama administration, responding to consumer complaints, says it will begin rating health insurance plans based on how many doctors and hospitals they include in their networks.

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California Insurers Want to Build a Huge Data Exchange … Will Providers Come?

Two of California's largest insurers are trying to build one of the country's most comprehensive health information exchanges, but they're facing reluctance from providers who are hesitant to share their data.

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