Early reports show two major medical-home experiments run by the health law’s Center for Medicare & Medicaid Innovation reduced hospitalizations in some cases but are still working to cut overall costs.
Results so far show community agencies haven’t made a big difference in keeping seniors from making return hospital trips. But administration officials say the program has plenty of potential.
Some 2.5 million patients are involved in federally funded tests to control costs and reduce injuries, but data on most programs still aren’t available.
The federal government has invested $15 million in a North Carolina experiment that gives community pharmacists a new role in patient care.
Small employers are canceling medical plans and leaving workers to buy insurance through the law’s online marketplaces — sometimes to everyone’s benefit.
Surging contracts related to the Affordable Care Act have helped make the Department of Health and Human Services a fount of revenue for private business.
The Affordable Care Act and related programs have helped make the Department of Health and Human Services the No. 3 federal agency for outsourcing work to private business, after the Pentagon and the Energy Department.
Paying high-risk employees to buy exchange plans is declared illegal.
The new proposed rule would bar such plans that had once qualified under a federal calculator.
Consumers who get health insurance through their employers need to pay close attention this year to their enrollment materials.
Some large employers will face penalties if they don’t offer workers health insurance in 2015. In addition, workers can expect to see increased cost-sharing and employers pushing them to “private exchanges” to save money.
Moving to close what many see as a major loophole in Affordable Care Act rules, the Obama administration will ban large-employer medical plans from qualifying under the law if they don’t offer hospitalization coverage.
he Obama administration may reverse course on an online spreadsheet that lets large employers comply with the health law by offering what consumer advocates call substandard insurance.
Some insurance pros say the administration intended such coverage to meet Obamacare’s “minimum value” standard. Others disagree, and the government stays silent.
Problems with a government calculator that companies use to prove that their insurance meets health law standards could allow substandard policies, consumer advocates say.
Health and social spending as measured by the Census Bureau grew by only 3.7 percent from the second quarter of 2013 to the same quarter of 2014.
This KHN story can be republished for free. (details) In preliminary but encouraging news for consumers and taxpayers, insurance filings show that average premiums will decline slightly next year in 16 major cities for a benchmark Obamacare plan. Prices for a benchmark “silver” or mid-priced plan sold through the health law’s online marketplaces aren’t all moving […]
The National Business Group on Health also found, based on 136 large employers’ responses, a continued move toward high-deductible, “consumer-directed” plans.
A little-known office tests ways to improve care, but some wonder whether its achievements will match its budget.
Hints of cost spikes matter because much is riding on spending forecasts.