The Latest Health Insurance News
A Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a new federal audit, which seeks to claw back the money. This story also ran on NPR. It can be republished for free. The Health and Human Services Office of […]
Accountable Care Organizations (ACOs) aim to use coordinated care to increase quality and lower cost. While everyone likes the sound of integrated care, it may be less clear how ACOs are aiming to achieve these goals. In a recent Health Affairs blog post, Micklos and co-authors review one study found that: …Next Gen ACO participants […]
Urgent care vs. ED. FDA review of old drugs. R&D incentives and innovation spillovers. Pharmaceuticals and the Developing World. Care managers vs cost centers. Source link […]
The cost to bring a drug to market is a hotly debated topic. The costs include not only the costs for basic science and clinical trials. However, one must also take into account the cost of capital (since most cost are incurred up front, but revenue begins only after drug approval) and the likelihood of […]
Lisa Payne takes the phrase “no kid hungry” to heart. As the Nutrition Director for Buncombe County Schools (BCS), she leads a team of people who are on a mission to make sure no student goes without a meal. “This is something we take very seriously in Buncombe County,” Lisa said. “We are proud to […]
A new drug comes on the market. Is the health benefit worth the cost? What is it’s value? Value assessment frameworks are one way to answer this question. Value frameworks take the evidence of the treatments benefits, risk and cost and output some notion of the treatment’s value. Ideally, if anyone applied a given value […]
At Take Command Health, we’ve been admittedly giddy about the ICHRA even before it burst onto the scene in January 2020. This version of health reimbursement arrangements represents a “super-charged” version of the QSEHRA (qualified small employer HRA), with higher contribution limits and greater design flexibility. Today, we are all about health reimbursement arrangement IRS […]
The “C word” is scary, and not just for the person diagnosed with cancer. It can feel like a shock for family and friends too. Most of the time, people want to help, but they don’t always know what to do or say. As someone who has lived through the complicated path that a cancer […]
Seven states in 2020 were able to break a longstanding stalemate and enact protections against surprise out-of-network billing. CHIR’s Jack Hoadley and Kevin Lucia delve into the factors that got these states across the finish line and how the federal No Surprises Act will impact these states’ new laws. Continue reading → The post Hybrid […]
If you want to implement value-based care, you need to define what a ‘good’ outcome is. A good outcome may be different for different individuals. For instance, if you look at mortality rates for a given disease, it makes sense that individuals age 80 and above will have higher mortality rates than those 20-29 year […]