Workers Squeezed As Employers Pass Along High Costs Of Specialty Drugs
Employers struggling to keep down insurance costs are increasingly requiring workers to pay a percentage of high-cost drugs rather than a modest co-pay.
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Head Of Major HMO Sees Openings For Accountable Care Organizations-The KHN Interview
Kaiser Permanente's George Halvorson says that despite the complexity of ACO regs, some versions have the potential to save money and improve care.
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The Price They Paid
The Lemacks got permission for out-of-network care for their son Joshua's heart defect, but the Virginia family still ended up drowning in debt.
By Jordan Rau -
Hospitals Look For Disney Magic To Make Customers Happy
Medicare payments soon will partly reflect patient satisfaction, so hospitals are seeking advice from the entertainment kingdom.
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Big Bills For A Small Heart: The Lemacks’ Story
A Virginia family got permission for out-of-network care for their son's heart defect but still ended up drowning in debt.
By alley -
The Antitrust Exemption For Health Insurers: Meaningful Or Not?
With comprehensive health care legislation foundering, House Democrats are turning to a narrower piece of legislation they hope has populist appeal: repealing the antitrust exemption for health and medical liability insurers. Policy makers disagree on the effect the repeal would have.
By Jenny Gold -
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Federal Officials Try Again To Bolster Plans For People With Medical Conditions
The administration sets a second premium reduction hoping to entice more enrollees.
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Managed Care Enters The Exam Room As Insurers Buy Doctor Groups
Large health insurers are trying to curb rising costs by gaining control over those who provide care: doctors.
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Appealing An Insurer’s Denial Is Often A Good Strategy
GAO finds most claims problems come from billing and eligibility issues, and beneficiaries often win when they appeal.
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Berwick: “I’ve Got The Back” Of Medicare Beneficiaries – The KHN Interview
Embattled CMS administrator says partnering with providers will improve care and reduce costs.
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Doctors In Small Practices Slow To Dump Paper Records
Despite carrots and sticks from the federal government, some physicians are leery about moving to electronic health records.
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Medicaid Managed Care Expands In California As State Adds Many Seniors And Disabled
Even critics of managed care are warming to the idea of including nearly 400,000 seniors and disabled person now receiving health care through the traditional Medi-Cal program. The shift to managed care begins today and will be phased in.
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Untouchable! Vets’ $52 Billion Health Care Plan
The military is trying to figure out ways to slow down the rapidly rising cost of care and the Obama administration's 2012 budget calls for the first changes since 1996.
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Florida Legislature Passes Massive Medicaid Overhaul
Arguing that the proposal will save tax dollars and improve patient care, Republican lawmakers Friday approved a massive overhaul of Florida's Medicaid system.