Health Reform

From AIS's Value-Based Care News - When it comes to primary care medication-related issues, most in the value-based care world believe that patient non-adherence to medication regimens is the top problem, Marie Smith, Pharm.D., a professor at the University of Connecticut School of Pharmacy, told attendees June 7 at the Medical Home Summit in Washington, D.C., sponsored by Global Health Care, LLC. However, this isn’t true, she said; instead, clinician-influenced issues account for 70% to 75% of these problems. For example, patients may be taking an unnecessary drug therapy, or may need an additional medication, she said. Read more

From Inside Health Insurance Exchanges - In the first quarter of 2014, 35% of employers said they had begun the process of evaluating a private insurance exchange as a potential employee benefits strategy. That percentage plummeted to 6.7% by early 2016, according to employer surveys conducted by Chicago-based Pacific Resources Benefits Advisors, LLC. Moreover, 70% of surveyed employers said they either had no plans to evaluate private exchanges, or had looked into the idea but decided… Read more

Health Reform Blog

By Steve Davis - June 1, 2015
While determining rates for the 2016 plan year, health plan actuaries had a better understanding of who purchased coverage through a public exchange...and their health risks. It turns out that enrollees are older, sicker and use more prescription drugs than actuaries estimated for the first two...
By Steve Davis - April 10, 2015
A few months back, I interviewed a small business owner who decided to transition to the federal Small Business Health Options Program (SHOP). He liked the idea of giving his workers more health insurance choices and was intrigued by the small-business tax credit, which is available only through...
By Steve Davis - March 17, 2015
For the record, I don’t think the Supreme Court will decide only state-based exchanges can distribute federal premium subsidies. The court had its chance to strike down the individual mandate in 2012 but didn’t. But if I’m wrong, will a decision against HHS mean the end of public insurance...

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