State-Based Marketplaces 2.0 – Part 1: The Coming Expansion in Access, Affordability, and Value
CONCLUSION: LOCAL SOLUTIONS ADVANCING MEANINGFUL REFORM
The ACA gives states the flexibility to implement SBMs and encourage private sector participation. The federal government is responsible for establishing coverage standards, financing subsidies, and operating the HealthCare.gov platform. But it faces some challenges when it comes to innovating.
By contrast, states can be nimble. They can tailor program offerings to meet market demands and dynamics. Factors influencing program design could also include the state’s urban/rural mix, the size of its employer base, the payer mix, social determinants of health, demo...
Source: The Health Care Blog - October 18, 2021 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Obamacare Affordable Care Affordable Care Act American Rescue Plan Biden-Obama Build Back Better Act David W. Johnson Joe Biden Rosmarie Day State-based marketplaces Source Type: blogs
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Although the American Rescue Plan Act has made coverage more affordable, some insurers continue to push limited, low-premium plans that leave consumers virtually uninsured.
(Source: The Commonwealth Fund: Blog)
Source: The Commonwealth Fund: Blog - September 11, 2021 Category: International Medicine & Public Health Authors: Dania Palanker, Kevin Lucia Source Type: blogs
Coupons, PBM's ... oh my!
Over the past few years, my coverage of coupon-generating websites/apps has increased by a lot in this blog because those have emerged as a critical way for patients to get prescriptions at lower, PBM-negotiated prices even if they have yet to satisfy an annual insurance deductible or they have no insurance at all. In general, coupon-generating websites/apps offer consumers access to the deeper pharmacy benefits manager ( " PBM " )-negotiated prices on prescription drugs, at prices which are often substantially less than the prices you could otherwise attain as a consumer without the benefit of a commercial healthcare...
Source: Scott's Web Log - September 1, 2021 Category: Endocrinology Tags: CGM CGMS coupon-generating websites apps Dexcom insulin Libre PBM test strips Source Type: blogs
Coupons, PBM's ... oh my!
Over the past few years, my coverage of coupon-generating websites/apps has increased by a lot in this blog because those have emerged as a critical way for patients to get prescriptions at lower, PBM-negotiated prices even if they have yet to satisfy an annual insurance deductible or they have no insurance at all. In general, coupon-generating websites/apps offer consumers access to the deeper pharmacy benefits manager ( " PBM " )-negotiated prices on prescription drugs, at prices which are often substantially less than the prices you could otherwise attain as a consumer without the benefit of a commercial healthcare...
Source: Scott's Web Log - September 1, 2021 Category: Endocrinology Tags: CGM CGMS coupon-generating websites apps Dexcom insulin Libre PBM test strips Source Type: blogs
Health Insurance is a Stumbling Block in Many Patients ’ Thinking
By HANS DUVEFELT
I have a patient with no health insurance but a brand new Mercedes. He says he can’t afford health insurance. He cringes at the cost of his medications and our office visit charges. His car cost a lot of money and I know that authorized Mercedes dealers charge around $140/hour for their technicians’ (not mere mechanics) time. A routine service costs several hundred dollars, which he seems more okay with than the cost of his own healthcare visits.
His new Mercedes is under warranty, but his body is not. He is risking financial disaster if he gets seriously ill with no insurance coverage.
I have...
Source: The Health Care Blog - August 27, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Patients Physicians Primary Care Hans Duvefelt Health insurance Source Type: blogs
Matthew ’s health care tidbits
Each week I’ve been adding a brief tidbits section to the THCB Reader, our weekly newsletter that summarizes the best of THCB that week (Sign up here!). Then I had the brainwave to add them to the blog. They’re short and usually not too sweet! –Matthew Holt
For my health care tidbits this week, I am featuring the the Urban Institute report on the uninsured that’s released today. “Between March 2019 and April 2021 the percentage of U.S. adults reporting they had employer-sponsored coverage declined from 65% to 62.3%, a decrease of approximately 5.5 million adults. The share of adults reporting public ...
Source: The Health Care Blog - August 23, 2021 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Matthew Holt Medicaid the uninsured Source Type: blogs
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Several states have proposed or are implementing “easy enrollment” programs, which help state officials pinpoint the uninsured and streamline their path to coverage.
(Source: The Commonwealth Fund: Blog)
Source: The Commonwealth Fund: Blog - August 4, 2021 Category: International Medicine & Public Health Authors: Rachel Schwab, Justin Giovannelli, Kevin Lucia, Sabrina Corlette Source Type: blogs
Making Sense of the Novo Nordisk-Walmart Partnership to Sell Some Discounted Insulin Analogues
On June 29, 2021, Walmart Inc. and the American business unit of Novo Nordisk A/S (which is based just outside of Princeton, New Jersey known as Novo Nordisk Inc.) dropped what was intended to be a news bombshell coming just as the ADA Scientific Sessions was coming to a close. In fact, the insulin makers had hardly any big news coming from the ADA Scientific Sessions themselves this year (in fact, Novo Nordiskacquired a UK-based company known as Ziylo in 2018 to use its technology to try and develop glucose-responsive insulin, but it still has a long while before it is ready for commercialization ... if ever), becaus...
Source: Scott's Web Log - July 15, 2021 Category: Endocrinology Tags: Aspart Novo Nordisk Novolog Walmart Source Type: blogs
Making Sense of the Novo Nordisk-Walmart Partnership to Sell Some Discounted Insulin Analogues
On June 29, 2021, Walmart Inc. and the American business unit of Novo Nordisk A/S (which is based just outside of Princeton, New Jersey known as Novo Nordisk Inc.) dropped what was intended to be a news bombshell coming just as the ADA Scientific Sessions was coming to a close. In fact, the insulin makers had hardly any big news coming from the ADA Scientific Sessions themselves this year or for the past several years (about the biggest news was from 2018 when, Novo Nordiskacquired a UK-based company known as Ziylo to use its technology to try and develop glucose-responsive insulin, but that still has a long whil...
Source: Scott's Web Log - July 15, 2021 Category: Endocrinology Tags: Aspart Novo Nordisk Novolog Walmart Source Type: blogs
Better Broadband for Better Health Care
By KIM BELLARD
Here’s a question that we don’t often ask: which is the U.S. more likely to accomplish – getting everyone health insurance, or broadband? Hint: it’s probably not what you think.
The health insurance part of it is often debated. We passed ACA, but the number of uninsured stubbornly remains at nearly 30 million, almost 10% of the population. Still, except for residents of those 12 states that have refused to pass Medicaid expansion, everyone in the country has at least access to public or private health insurance, with subsidies available to many.
Broadband hasn’t bee...
Source: The Health Care Blog - June 22, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Health Technology broadband broadband access Kim Bellard Source Type: blogs
Women's access to healthcare improved with Obamacare
The number of uninsured women in the U.S. fell by nearly a half, from 19 million in 2010 to 11 million in 2016. (Source: Healthcare IT News Blog)
Source: Healthcare IT News Blog - June 15, 2021 Category: Information Technology Tags: Public Policy Source Type: blogs
AHRQ shows healthcare quality and access disparities persist in US
Most affected are poor people with no insurance. (Source: Healthcare IT News Blog)
Source: Healthcare IT News Blog - June 15, 2021 Category: Information Technology Tags: Quality Care, Core Technologies Source Type: blogs
Should I Say Adios to Dexcom G7, Hello Abbott Freestyle Libre 2? Maybe.
ConclusionIn the end, I ' m getting sick of Dexcom and its product. I feel as if the company ' s initial focus on patients has declined, and the company now takes its patients for granted as it pushes for events to drive its share price up, and while its retail model has made getting the product to consumers vastly easier, but its basic product has not improved much. The new G7 model will make some modest changes, along with reducing the number of SKU ' s needed for the company to commercialize the product, which is less of a patient benefit and more about making distribution to retail pharmacies easier for the company. Th...
Source: Scott's Web Log - June 7, 2021 Category: Endocrinology Tags: Abbott CGM CGMS continuous glucose monitor Dexcom Freestyle Libre Source Type: blogs
Should I Say Adios to Dexcom G7, Hello Abbott Freestyle Libre 2? Maybe.
ConclusionIn the end, I ' m getting sick of Dexcom and its product and being considered a market tied to Dexcom itself. I feel as if the company ' s initial focus on patients has declined, and the company now takes its T1D patients for granted as it pushes for events to drive its share price up, targets the T2D universe to generate more sales. While its retail model has made getting the product to consumers vastly easier for patients, but its basic product has really not improved much. The new G7 model will make some modest changes, along with reducing the number of SKU ' s needed for the company to commercialize the produ...
Source: Scott's Web Log - June 7, 2021 Category: Endocrinology Tags: Abbott CGM CGMS continuous glucose monitor Dexcom Freestyle Libre Source Type: blogs
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Eliminating the family glitch would extend affordable coverage to millions of low-income working families currently uninsured or forced to pay high premiums.
(Source: The Commonwealth Fund: Blog)
Source: The Commonwealth Fund: Blog - May 19, 2021 Category: International Medicine & Public Health Authors: Timothy S. Jost Source Type: blogs
