Julie Appleby

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jappleby@kff.org
@Julie_appleby

Some States Are Pushing ‘Employee Choice’ For Small Business Insurance

KFF Health News Original

Small business workers in at least 15 states and the District of Columbia may have a menu of health insurance choices next year, something that didn’t seem likely a few months ago. Back in April, federal officials concerned about the potential for major glitches put off until 2015 a provision that would offer small businesses […]

Improper Use Of Prescription Drugs Costs $200 Billion A Year, Report Finds

KFF Health News Original

The U.S. spends $200 billion each year — about 8 percent of the nation’s health care tab — on medical care stemming from improper or unnecessary use of prescription drugs, a new report out Wednesday says. Much of those costs result from unneeded hospitalizations or doctor visits, according to the study by the IMS Health’s […]

California Insurance Chief Wants To Bar Anthem From Selling Small Business Coverage

KFF Health News Original

Citing a pattern of “unreasonable rate increases” for small business customers by Anthem Blue Cross, California Insurance Commissioner Dave Jones said Thursday he will recommend that the state’s new online insurance marketplace exclude the firm from selling small business coverage. The move comes amid national debate about the cost of coverage for individuals and small businesses […]

Study: Consumers Saved $2.1B On Individual Coverage Under Health Law

KFF Health News Original

People who bought their own health insurance last year saved $2.1 billion because of the federal health law, mainly because of a provision that limits how much of their premium can go to insurers’ administration and profits, says a report out today from the Kaiser Family Foundation. (KHN is an editorially independent program of the […]

California Law Likely Resulted In Lower Bills, Free Care For Uninsured

KFF Health News Original

A California law limiting how much hospitals can charge the uninsured likely resulted in lower bills for many patients – and free care for most of the state’s poorest uninsured residents, according to a study published today in the journal Health Affairs. While some hospitals around the country have  voluntarily agreed to reduce how much they […]

Final Rule Upholds Increased Rewards, Penalties For Wellness Participation

KFF Health News Original

Employers will be able to increase rewards to workers who participate in wellness programs under final rules released Wednesday by the Obama administration. The final rules, similar to those proposed in November as part of the Affordable Care Act, have raised concerns among advocates who represent people with chronic or severe illnesses, as well as […]

Boston Children’s Hospital Creates ‘Living’ Practice Guidelines

KFF Health News Original

Overuse of some medical treatments – and underuse of others, when patients fail to get recommended care — are two factors linked to high medical spending in the United States. But efforts to set “best practice guidelines” have often drawn criticism from physicians and patients as “cookbook medicine” that could limit doctors’ autonomy or restrict […]

Auditors: Medicare Could Save Millions By Limiting Advance Payments To Insurers

KFF Health News Original

Medicare could earn up to $111 million annually if it limited insurers’ ability to retain investment earnings on the billions they are paid through the prescription drug program, according to a government reportout today. That’s because Medicare prepays the private insurers approximately 20 days before the insurers pay their pharmacy bills and does not require them to return […]

Groups Seek To Fast-Track Efforts To Curb Costs, Boost Quality

KFF Health News Original

Five veteran health care leaders representing insurers, hospitals, employers and consumers on Thursday outlined an ambitious set of recommendations aimed at slowing rising costs, focused mainly on changing the way America pays for health care. Many of the ideas draw on existing efforts, such as accelerating Medicare’s efforts to pay for quality rather than just […]