Your Next Hospital Bed Might Be at Home
In a time of strained capacity, the “hospital at home” movement is figuring out how to create an inpatient level of care anywhere. (Source: NYT Health)
Source: NYT Health - January 26, 2023 Category: Consumer Health News Authors: Helen Ouyang Tags: Health Insurance and Managed Care Hospitals Coronavirus (2019-nCoV) Emergency Medical Treatment Rural Areas CMS Innovation Center (Centers for Medicare and Medicaid Services) Source Type: news

The Hospital Makes a House Call
In a time of strained capacity, the “hospital at home” movement is figuring out how to create an inpatient level of care anywhere. (Source: NYT Health)
Source: NYT Health - January 26, 2023 Category: Consumer Health News Authors: Helen Ouyang Tags: Health Insurance and Managed Care Hospitals Coronavirus (2019-nCoV) Emergency Medical Treatment Rural Areas CMS Innovation Center (Centers for Medicare and Medicaid Services) Source Type: news

Obamacare Sign-ups Top 16 Million for 2023, Setting Another Record
Enrollment in plans through the Affordable Care Act ’s marketplaces broke last year’s record, with particularly high growth in Florida, Texas and Georgia. (Source: NYT)
Source: NYT - January 26, 2023 Category: American Health Authors: Margot Sanger-Katz Tags: Patient Protection and Affordable Care Act (2010) Biden, Joseph R Jr Health Insurance and Managed Care Coronavirus (2019-nCoV) Stimulus (Economic) Medicaid American Rescue Plan (2021) Federal Aid (US) Health and Human Services Department Source Type: news

Emailing Your Doctor May Carry a Fee
More hospitals and medical practices have begun charging for doctors ’ responses to patient queries, depending on the level of medical advice. (Source: NYT Health)
Source: NYT Health - January 24, 2023 Category: Consumer Health News Authors: Benjamin Ryan Tags: Health Insurance and Managed Care Computers and the Internet Hospitals Prices (Fares, Fees and Rates) Doctors Coronavirus (2019-nCoV) E-Mail Electronic Health Records Medicare Telemedicine Centers for Medicare and Medicaid Services Source Type: news

A Dilemma for Governments: How to Pay for Million-Dollar Therapies
A wave of transformative but hugely expensive treatments is challenging the budgets of health systems in wealthy nations. Now countries with far fewer resources are wrestling with how to cover the therapies. (Source: NYT Health)
Source: NYT Health - January 24, 2023 Category: Consumer Health News Authors: Rebecca Robbins, Stephanie Nolen and Dado Galdieri Tags: Drugs (Pharmaceuticals) Health Insurance and Managed Care Genetic Engineering Babies and Infants Genetics and Heredity Children and Childhood Suits and Litigation (Civil) Spinal Muscular Atrophy Disabilities Novartis AG Brazil Zolgen Source Type: news

The Government Thinks It Is Overpaying for Medicare, Spelling Trouble for Insurers
Health insurers had the best of both worlds last year. Their stocks benefited from a rotation into value and their profits weathered the inflationary environment as healthcare utilization remained low. But as managed-care companies kick off earnings season, sentiment has shifted. That isn’t…#unitedhealthgroupinc (Source: Reuters: Health)
Source: Reuters: Health - January 23, 2023 Category: Consumer Health News Source Type: news

The December Omnibus Bill ’s Little Secret: It Was Also a Giant Health Bill
Congress passed legislation on mental health, drugs, pandemic preparedness, new Medicare benefits and Medicaid expansion — all before the arrival of the new House. (Source: NYT)
Source: NYT - January 22, 2023 Category: American Health Authors: Margot Sanger-Katz Tags: Law and Legislation Health Insurance and Managed Care United States Politics and Government Medicare Federal Budget (US) Medicaid Pelosi, Nancy Source Type: news

California Sues Companies Over Insulin Prices, Joining Other States
The state is taking action against three major drug companies and the big pharmacy benefit managers in an effort to temper costs for people with diabetes. (Source: NYT Health)
Source: NYT Health - January 18, 2023 Category: Consumer Health News Authors: Benjamin Ryan Tags: Diabetes Drugs (Pharmaceuticals) Insulin Health Insurance and Managed Care Research Law and Legislation Medicare Inflation Reduction Act of 2022 Prices (Fares, Fees and Rates) Suits and Litigation (Civil) your-feed-healthcare Source Type: news

CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare and Medicaid Services is seeking comment on the following information collections: 1) Medicaid Managed Care and Supporting Regulations; 2) Testing Experience and Functional Tools (TEFT): Functional Assessment Standardized Items (FASI) Based on the CARE Tool; 3) the Home Health Care CAHPS ® Survey (HHCAHPS); and 4) Collection of Diagnostic Data in the Abbreviated RAPS Format. Comments are due by March 20, 2023. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - January 17, 2023 Category: Rural Health Source Type: news

Medicare Begins to Rein In Drug Costs for Older Americans
Reforms embedded in the Inflation Reduction Act will bring savings to seniors this year. Already some lawmakers are aiming to repeal the changes. (Source: NYT Health)
Source: NYT Health - January 14, 2023 Category: Consumer Health News Authors: Paula Span Tags: Medicare Diabetes Health Insurance and Managed Care Inflation Reduction Act of 2022 Law and Legislation Insulin Drugs (Pharmaceuticals) Elderly Vaccination and Immunization Politics and Government United States Source Type: news

Study finds hepatitis C cure saved Medicaid $15 billion
New research published in theAmerican Journal of Managed Care (AJMC) underscores the critical role that medicines play in improving health and reducing disease complications and other, often costly, medical care and services. The study finds that since curative direct-acting antiviral medications for hepatitis C were approved in 2013, even after factoring in the cost of treatment, Medicaid has saved an estimated $15 billion in avoided health care costs and nearly 285,000 Medicaid enrollees are estimated to have been cured. (Source: The Catalyst)
Source: The Catalyst - January 5, 2023 Category: Pharmaceuticals Authors: Lindsey Seidlitz Tags: Drug Cost Hepatitis C Medicaid Source Type: news

Medical Debt Is Being Erased in Ohio and Illinois. Is Your Town Next?
Cook County, Ill., and Toledo, Ohio, are turning to the American Rescue Plan to wipe out residents ’ medical debt. Experts caution it is a short-term solution. (Source: NYT)
Source: NYT - December 29, 2022 Category: American Health Authors: Amanda Holpuch Tags: RIP Medical Debt Debt Collection Health Insurance and Managed Care City Councils Local Government Budgets and Budgeting Law and Legislation American Rescue Plan (2021) Hospitals Cook County (Ill) Illinois New Orleans (La) Toledo (O Source Type: news

Most Older Adults Concerned About Emergency Department Costs
WEDNESDAY, Dec. 28, 2022 -- Eight in 10 older U.S. adults are concerned about the costs of an emergency department visit, according to a study published online Dec. 16 in the American Journal of Managed Care. Rachel E. Solnick, M.D., from the... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - December 28, 2022 Category: Pharmaceuticals Source Type: news

U.S. Health Officials Seek New Curbs on Private Medicare Advantage Plans
Proposed regulations would crack down on misleading ads for the private plans and would enhance scrutiny of denials for coverage of medical care. (Source: NYT Health)
Source: NYT Health - December 17, 2022 Category: Consumer Health News Authors: Reed Abelson and Margot Sanger-Katz Tags: Medicare Health Insurance and Managed Care Medicare Advantage Centers for Medicare and Medicaid Services Source Type: news

Centene to pay $44.4 million to settle latest PBM allegations
So far, Centene has reached settlements that have been announced by at least 12 states, requiring the nation's largest Medicaid managed care provider to make about $552.4 million in payments. Centene last year set aside $1.1 billion to resolve allegations from states. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - December 15, 2022 Category: Biotechnology Authors: James Drew Source Type: news