Preventive Care Task Force Should Be Decoupled From Insurance, Experts Say
Under the Affordable Care Act, any preventive service that receives one of the USPSTF's top two ratings must be covered by insurance, but three doctors have spoken out against the rule, saying it breeds the possibility of manipulation within the system.
EpiPen Triggers Change In Thinking About Obamacare Requirement
Three doctors who have led a task force that evaluates preventive medical services say the group's recommendations shouldn't be tied by law to insurance coverage. The former chairmen of the U.S. Preventive Services Task Force say the link between medical recommendations and insurance coverage leads to financial incentives that can corrupt the process and distort people's health care decisions. (Kodjak, 10/10)
Mylan Puts Its Troubles In The Past, At A Price Of $465 Million
The worst appears to be over for Mylan NV and its EpiPen controversy. It took a $465 million settlement with the U.S. Justice Department and a grilling from Congress for its chief executive officer to get there. The drugmaker’s shares rallied Monday following Friday’s settlement with the Justice Department, resolving claims by Medicaid that Mylan overcharged the government health program for the allergy shot. That helped erase some of the stock’s 26 percent slide since August, when lawmakers began asking why Mylan had raised the EpiPen’s price sixfold since 2007, and whether it ripped off the government along the way. Meanwhile, the cost of the shots hasn’t changed. (Armstrong, 10/10)
In other news on costs and the health law —
Kaiser Health News:
Rising Health Premiums Rankle Individuals Paying Full Price
Shela Bryan, 63, has been comparing prices for individual health insurance plans since May, and she can’t believe what she sees. “They cost a thousand, $1,200 [a month], and they have a deductible of $6,000,” she said. “I don’t know how they think anyone can afford that. (Anderson, 10/11)
St. Louis Public Radio:
After The Debate, How Are Health Insurance Costs Rising In Missouri And Illinois?
The 12.7 million people who enrolled in coverage on Healthcare.gov last year make up a small portion of the population, but their insurance costs seem to be the most in flux. “That simply may be that health insurers don’t know how to price policies yet," said Sidney Watson, a health law specialist at St. Louis University. "They don’t really understand the risk pool; they are learning trial by error.” Her research shows that the premium changes vary widely from city to city. In Missouri, last year pre-subsidy premiums for the benchmark plans rose by more than 20 percent in some areas, but declined in Hannibal, Mo. (Bouscaren, 10/10)
What Would A Public Insurance Option Look Like In California?
The “public option,” which stoked fierce debate in the run-up to the Affordable Care Act, is making a comeback — at least among Democratic politicians. The proposal to create a government-funded health plan, one that might look like Medicare or Medicaid but would be open to everyone, is being reconsidered at both the federal and state levels. (Bartolone, 10/11)