Health Reform

From AIS's Value-Based Care News - California is well ahead of most of the rest of the country when it comes to providers bearing risk in HMO models. But the advent of accountable care organizations and a resurgence in PPO benefit design have led to some unique collaborations between providers and payers in the state, and insurance products based on these alliances are trying to supplant the more traditional HMOs in some areas. Read more

From AIS's Value-Based Care News - Insurers and provider groups are trying a variety of approaches on oncology reimbursement that will remove the incentive for oncologists to use expensive but not necessarily effective chemotherapy drugs and instead place the focus back on quality of care. Read more

Health Reform Blog

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...
By Steve Davis - February 25, 2015
Based on early income tax filings, a surprisingly large number of people who bought coverage through insurance exchanges last year will need to pay back a portion of their advance premium tax credit. So far, 52% of people who bought coverage through an exchange will need to refund some money...

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