Large Employer Health Plans Could Also See Some Impacts From Obamacare Overhaul
With the future of Obamacare on the line, workers might want to consider what benefits they have gained through the landmark law.
Cost and Quality
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The Orphan Drug Machine
Drugmakers Manipulate Orphan Drug Rules To Create Prized Monopolies
Drugmakers have brought almost 450 orphan drugs to market and collected rich incentives but nearly a third of those products aren’t new or were repurposed multiple times, an investigation shows.
By Sarah Jane Tribble and Sydney Lupkin -
The Orphan Drug Machine
Timeline: The Orphan Drug Act
Follow the twists and turns of the orphan drug industry over the past three decades.
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Cheaper Over-The-Counter Hearing Aids Could Be On The Way
The FDA and other agencies are loosening restrictions on hearing aid sales and opening the door to less expensive, over-the-counter products.
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Repeal & Replace Watch
HHS Secretary: Give Medicare Authority To Negotiate Drug Prices
More work is needed to improve health care in U.S., but there are no “silver bullets” to get the job done, Health and Human Services Secretary Sylvia Burwell tells the National Press Club in a farewell speech defending Obamacare.
By Rachel Bluth -
One In Three Women With Breast Cancer Treated Unnecessarily, Study Concludes
Mammograms find many slow-growing cancers that aren’t life-threatening and shouldn’t be treated, a Danish study said.
By Liz Szabo -
Ask Emily
New Rules to Limit ‘Death Fees’ For California Medicaid Enrollees
Medi-Cal’s controversial program to go after your assets when you die will be significantly curtailed, but some enrollees could be hit by new claims.
By Emily Bazar -
In Towns That Lost Most Obamacare Insurers, Rate Increases Still Competitive
Premiums on 2017 plans are rising by comparable amounts both in counties where multiple insurers still compete and in those where only one insurer remains after several companies stopped selling individual plans under the health law, according to Avalere, a consulting firm.
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Leading Republicans See A Costly Malpractice Crisis — Experts Don’t
The incoming HHS secretary wants to boldly reform the malpractice system, saying hundreds of billions are wasted on “lawsuit abuse” and defensive medicine. Industry experts say premiums and claims are down and “it’s a wonderful time for doctors.”
By Chad Terhune -
Bundled Payments Work, Study Finds, But HHS Nominee No Fan
A study found that Medicare’s bundled payments model for joint replacement could save the government billions of dollars without harming patient care.
By Rachel Bluth -
Medicare Pays For A Kidney Transplant, But Not The Drugs To Keep It Viable
The federal government pays for kidney transplants. But the program only pays for essential anti-rejection drugs for three years. Many people can't afford them and can end up losing the kidney.
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California Hopes $3 Billion Experiment Will Improve Health Of Neediest
Pilot projects are being launched in 18 counties to reduce ER visits among Medi-Cal's most costly patients.
By Anna Gorman -
Alleged Scheme To Fix Generic Drug Prices Started At Dinners And ‘Girls Nights Out’
Investigators claim drugmaker employees met in secret at restaurants, golf outings and at “Girls Night Out” to raise generic drug prices.
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New Medicare Rules Should Help ‘High Need’ Patients Get Better Treatment
Medicare is launching new regulations in January that will provide higher reimbursements for doctors involved in care coordination for seriously ill people.
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Faced With Unaffordable Drug Prices, Tens Of Millions Buy Medicine Outside U.S.
Eight percent of those polled by the Kaiser Family Foundation say they have purchased medications outside of the U.S. to save money.
By Rachel Bluth -
Please, Baby, Please: Some Couples Try Crowdfunding For IVF
Infertility treatment rarely is covered by health insurance. And more couples who need it to conceive are turning to crowdfunding sites.
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After-Hours ER Care May Come With A Doctor’s Surcharge
Patients sometimes find an additional charge, generally between $30 and $200, tacked onto their bill for visiting a hospital emergency room between 10 p.m. and 8 a.m.
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COBRA, Retiree Plans, VA Benefits Don’t Alleviate Need To Sign Up For Medicare
Thousands of people mistakenly think that if they have insurance, they can wait to sign up for Medicare Part B. Generally, insurance other than that provided by a current employer will not exempt them from Medicare’s strict enrollment requirements.
By Susan Jaffe -
Grab Bag Of Goodies In 21st Century Cures Act
A breakdown of winners — and a few losers — in the sprawling Cures Act approved by the House.
By Sydney Lupkin and Steven Findlay -
Senate Approves Landmark Mental Health Bill As Part Of 21st Century Cures Act
The U.S. Senate passed a landmark bill to help millions of Americans suffering from mental illness.
By Liz Szabo