Denial, Appeal, Approval … An Adult’s Thorny Path To Spinraza Coverage
The FDA granted approval for Spinraza in late December for use on children and adults with spinal muscular atrophy. Insurance coverage is mostly focused on infants and children.
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Drug Puts A $750,000 ‘Price Tag On Life’
The high cost of Spinraza, a new and promising treatment for spinal muscular atrophy, highlights how the cost-benefit analysis insurers use to make drug coverage decisions plays out in human terms.
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Repeal & Replace Watch
Podcast: ‘What The Health?’ Now What?
In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Sarah Kliff of Vox.com, and Mary Agnes Carey of Kaiser Health News discuss what happens now in the wake of the apparent demise of the Republican-only repeal and replace efforts for the Affordable Care Act.
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Repeal & Replace Watch
In Strong-Arm Tactic, Trump Puts Congressional Health Benefits Into Play
By taking aim at the subsidies received by some congressional staff members who, under the Affordable Care Act, are mandated to get their health coverage from the Obamacare exchanges, the president reignited an old fight.
By Julie Rovner -
Many Still Sidestep End-Of-Life Care Planning, Study Finds
Only about a third of U.S. adults have advance directives in place to guide the care they receive in the event that they are unable to make their own decisions about life-sustaining medical treatments.
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REPEAL & REPLACE WATCH
Counting On Medicaid To Avoid Life In A Nursing Home? That’s Now Up To Congress.
Tighter Medicaid budgets could jeopardize states’ home-based services that help older adults and disabled people live in their homes instead of more expensive nursing homes.
By Susan Jaffe -
Even Without Congress, Trump Can Still Cut Medicaid Enrollment
The Trump administration is poised to grant states waivers that some critics say could change the shape of the program.
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Repeal & Replace Watch
Podcast: What The Health? What A Week!
In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Joanne Kenen of Politico, Sarah Kliff of Vox.com, and Mary Agnes Carey of Kaiser Health News deconstruct the drama leading to the middle-of-the-night collapse of Senate Republicans’ last-ditch effort to overhaul the Affordable Care Act.
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Repeal & Replace Watch
Analysis: GOP Failure To Replace The Health Law Was Years In The Making
As postmortems mount regarding the collapse of the Senate Republican health plan, it’s clear how complex political and policy issues worked against the replacement effort.
By Julie Rovner -
Repeal & Replace Watch
5 Ways White House Can Use Its Muscle To Undercut Obamacare
The Trump administration has a variety of mechanisms at its disposal that could undermine the insurance exchanges.
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Repeal & Replace Watch
5 Ways White House Can Use Its Muscle To Undercut Obamacare
The Trump administration has a variety of mechanisms at its disposal that could undermine the insurance exchanges.
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Repeal & Replace Watch
Obamacare’s History Littered With Near-Death Experiences
The Affordable Care Act has repeatedly faced opposition in Congress and the courts, but it has continued to survive.
By Julie Rovner -
Repeal & Replace Watch
Timeline: Obamacare’s History Littered With Near-Death Experiences
The Affordable Care Act has repeatedly faced opposition in Congress and the courts, but it has continued to survive.
By Julie Rovner -
REPEAL & REPLACE WATCH
McCain Votes No, Derails ‘Skinny Repeal’ In Marathon Session
After a late-night session and the "skinny" defeat, Senate Majority Leader Mitch McConnell pulls legislation to repeal the Affordable Care Act from the floor.
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Ask Emily
Leap Of Faith: Will Health Care Ministries Cover Your Costs?
Sharing ministries are based on biblical principles and are not the same as commercial insurance. They are not legally binding and may not cover some common medical expenses.
By Emily Bazar -
Whistleblowers: United Healthcare Hid Complaints About Medicare Advantage
A Wisconsin lawsuit alleges United Healthcare downplayed abusive sales tactics to avoid losing government bonuses.
By Fred Schulte -
When High Deductibles Hurt: Even Insured Patients Postpone Care
The number of Americans with high-deductible health plans is growing, along with the fear that even insured people won’t get the care they need because it’s too costly.
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Seema Verma Runs Medicaid. Her Husband’s Practice Won’t Accept It.
Dr. Sanjay Mishra, the husband of CMS Administrator Seema Verma, is part of a group practice in Indiana that does not accept Medicaid payments.
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Repeal & Replace Watch
States Have Tried Versions Of ‘Skinny Repeal.’ It Didn’t Go Well.
Republican senators are warming to the idea of a scaled-back plan that would delete the Affordable Care Act’s individual and employer mandates but leave the rest of law generally intact. But this approach has caused difficulties in the past.
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Repeal & Replace Watch
Medicaid Proves A Lifeline For Clients Of Crisis Pregnancy Centers
For pregnant women in the United States, Medicaid is less a safety net than a building block of the maternity care system.