Pharma’s Bizarre Pricing Shrug

The drug industry is in denial about the seriousness of its pricing problem. Throughout this autumn, as the issue of drug pricing erupted from a long-simmering controversy into a full-blown headache, pretty much every CEO of note in biotech and pharma had to address the subject, and their tone was largely defensive and dismissive. There were vague promises of moderation, ...

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New California Color is Gray, Not Gold as ‘Aging Tsunami” Arrives

From the beach party movies of the 1960s to the hippies of the 1970s and Silicon Valley’s baby billionaires today, California has long projected a youthful ambiance. That’s about to change in a big way. The aging of California’s huge post-World War II baby-boom generation, combined with plummeting birth and immigration rates, means the Golden ...

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Many Say High Deductibles Make Their Health Law Insurance All but Useless

Obama administration officials, urging people to sign up for health insurance under the Affordable Care Act, have trumpeted the low premiums available on the law’s new marketplaces. But for many consumers, the sticker shock is coming not on the front end, when they purchase the plans, but on the back end when they get sick: ...

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What Paul Ryan’s Election to House Speaker Means for the Affordable Care Act

In a recent interview on CBS’ “Face the Nation,” newly elected House Speaker Paul Ryan (R-Wis.) signaled a need for change in the House leadership, saying he will redesign the job and return the House to “regular order.” Despite his stated desire for change, the top issues Ryan plans to address — tax reform and ...

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Legislation Cut California’s Workers’ Compensation Medical Costs

Three years ago, Gov. Jerry Brown and the Legislature enacted a major overhaul of the system that compensates workers for job-related injuries and illnesses. Senate Bill 863, backed by employers and labor unions, affected many specific aspects of the system but was aimed largely at reducing medical costs and redirecting savings into cash benefit increases ...

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Many Eligible for ObamaCare Subsidies Not Claiming Them

Most of those eligible for health insurance subsidies under the Affordable Care Act are failing to claim them, according to a new study. Researchers with the Robert Wood Johnson Foundation and the Urban Institute estimated that more than 24 million people were eligible for ObamaCare tax credits last year. By March, only 41 percent of ...

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95 California Hospitals Named ‘Top Performers’ by Joint Commission

On Tuesday, the Joint Commission recognized more than 1,000 hospitals in California and other states as “Top Performers” for achieving high performance on key quality measures, the Biloxi Sun Herald reports (Biloxi Sun Herald, 11/16). The fifth-annual “Top Performer on Key Quality Measures” list was included in the organization’s 2015 annual America’s Hospitals: Improving Quality ...

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New Data Show Greater Health Disparities Among Ethnic Groups

There are major differences in health care status among different types of Asians and Latinos in California — and yet the state so far has resisted treating those subgroups differently, according to UCLA researchers who released an updated version of health survey data last month. “Data clearly show the need to disaggregate the Asian community ...

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Companies Continue Chipping Away at Health Insurance Benefits

Companies’ health care costs in 2015 rose at the lowest rate in at least 20 years, a report out Thursday shows, but workers’ share of costs continue to skyrocket. The average health care rate increase for mid-sized and large companies was 3.2% this year, the lowest since the consulting firm Aon started tracking it in 1996.  Despite this, ...

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Health Plans Getting More Expensive, Narrower for 2016

The picture of health insurance sold on the exchanges for 2016 is becoming clearer: Premiums are rising at a faster pace than the previous year, and insurers are gradually ditching broader networks. This comes on top of the trend for many exchange plans to have high deductibles and out-of-pocket obligations. Monthly premiums for the lowest-priced ...

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