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Industry Updates

This broad category includes articles concerning health insurance costs, carrier and health plan news, changing benefits technology, and surveys by the Kaiser Family Foundation and others on employee benefits.

ObamaCare Enrollment Down Compared to Last Year

Fewer people are signing up for ObamaCare plans this year compared to a similar period last year, according to data released Wednesday by the Trump administration. 

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House Democrats Target DOJ Decision Not to Defend Obamacare

Democrats will scrutinize the Trump administration’s decision not to defend Obamacare in federal court, when Democrats take control of the U.S. House of Representatives next year, a leading Democrat said on Monday.

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Commissioner Jones Issues Emergency Notice to Help Expedite Claims in California Fires

Insurance Commissioner Dave Jones today issued a notice to insurers requesting they agree to expediting claims handling for Camp and Woolsey wildfire survivors in order to help them begin the recovery and rebuilding process more quickly.

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Incoming Dem Chairman: Medicare Negotiating Drug Prices is a Priority

Rep. Frank Pallone Jr. (D-N.J.), who is slated to be the next chairman of a House committee overseeing drug prices, said Wednesday that his top priorities on the issue are allowing Medicare to negotiate prices and speeding the approval of cheaper generic drugs.

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Lower Drug Prices Get an Assist From a Big Player

Express Scripts Holding Co. and other pharmacy-benefit managers make money by negotiating drug prices on behalf of health-plan providers. The list prices that pharmaceutical companies set for their drugs diverge wildly from their real cost, and PBMs widen and feast on the gap, which helps make them some of the principal beneficiaries of America’s byzantine pricing system.

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Buyers Of Short-Term Health Plans: Wise Or Shortsighted?

Supporters of the nation’s health law condemn them. A few states, including California and New York, have banned them. Other states limit them.

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From Rising Drug Prices to Mobile Clinics, 8 Key Healthcare Trends to Watch

Access to high-quality healthcare was a recurring theme last week at the National Alliance of Healthcare Purchaser Coalitions’ annual conference in Washington, D.C. 

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Lack of Competition Leads to Higher ACA Plan Premiums in Rural Areas

The lower premiums in urban areas were partially connected to more competition among plans and providers. Having more plans also means they can spread the financial risk rather than having one or two payers shoulder all of it, leading to lower premiums.

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Playing On Fear And Fun, Hospitals Follow Pharma In Direct-To-Consumer Advertising

The scene is shadowy, and the background music foreboding. On the TV screen, a stream of beleaguered humans stand in an unending line.

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Primary Care Physician Visits Drop Among Patients with Employer Plans

NPs and PAs have recently taken on a larger role in primary care. Health experts say those roles will help fill primary care gaps in the coming years with physician shortages expected.

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