California Marketplace May Require Insurers To Pay Agent Commissions
Covered California’s Executive Director Peter Lee said the measure is needed to keep insurers from slicing commissions to avoid enrolling the sickest patients.
Health Industry
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Health Reform Roils Downton Abbey
The hospital consolidation plot in the final season of the beloved British series is historically accurate — and has parallels in today’s U.S. health industry.
By Jenny Gold -
Insurers And Medicare Agree On Measures Tracking Doctors’ Quality
The first set of measures focus on seven types of care, including for hearts and cancer. The metrics will be integrated into formulas that determine physicians’ pay.
By Jordan Rau -
Task Force: Not Enough Evidence To Recommend ‘For Or Against’ Universal Autism Screening For Very Young Kids
Some health professionals worry that the task force’s findings could result in missed opportunities for early intervention.
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Special Report: Baltimore's Other Divide
Hospital Trying To Win Community’s Trust
Bon Secours is dealing with patients who are sicker than those in other Baltimore hospitals.
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Blue Shield Top Choice On California Exchange
Anthem sign-ups are trailing, and UnitedHealth and newcomer Oscar are playing a minor role in coverage thus far, according to unofficial reports.
By Chad Terhune -
Study Finds No Harm In Allowing Surgeons-In-Training To Work Longer Shifts
Researchers found little difference in patient outcomes or satisfaction after placing restraints on medical residents’ working conditions in the past decade. Officials have previously sought to prevent inexperienced doctors from making mistakes caused by fatigue.
By Jordan Rau -
Hospitals Employ Email ‘Empathy’ To Help Doctors And Patients Keep In Touch
A better way to communicate with patients and track their progress?
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Insurer’s Approval Of Genetic Testing For Some Cancers Raises Questions
The decision by Independence Blue Cross of Pennsylvania to pay for whole genome sequencing for some cancer patients adds to the debate about how to handle these expensive tests.
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Study: Doctors’ Texts Can Prod Patients To Take Drugs, But Questions Linger
In an analysis published Monday in JAMA Internal Medicine, researchers found that text message reminders help patients do better when it comes to taking their medicines. But questions about the specific ways to make the most of this strategy remain.
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Federal Officials Clarify Rules On Getting New Health Coverage After A Move
The new rules should help make sure people understand when they are eligible for a special sign-up period if they move.
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California Voters Will Have Their Say On Drug Prices
Heated battle expected over November ballot proposal to curb state’s prescription drug costs, as pharmaceutical industry opens its pocketbook to defeat the measure.
By Anna Gorman -
Despite Kvetching, Most Consumers Satisfied With Health Plans: Poll
The survey by the Kaiser Family Foundation shows that 71 percent of people with insurance believe their services are excellent or good.
By Jordan Rau -
Medical Advocates Can Help Guide Patients On Difficult Care Choices
Hired advocates help patients develop treatment plans, meet with doctors and explain options, among other services.
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For Hospitals, Treating Violence Beyond The ER Is Good Medicine And Good Business
Hospitals increasingly view violence as a health concern and are developing initiatives designed to improve long-term community health.
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Fueled By Health Law, ‘Concierge Medicine’ Reaches New Markets
Doctors, insurers and others are kick-starting experiments to broaden access to direct primary care, a service long associated with only wealthy Americans.
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Heavy Use Of CT Scans Raises Concerns About Patients’ Exposure To Radiation
CT scans, which are administered more than 85 million times a year, are an important diagnostic tool, but just one can be equivalent to 200 X-rays. Some doctors warn that health providers are not considering possible consequences when ordering the tests.
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Hospitals Required To Keep Caregivers In The Loop
California is one of several states to pass laws intended to involve caregivers in discussions when patients are hospitalized or discharged.
By Anna Gorman -
More Employers Offer Plans That Provide Lump Sums For Critical Illnesses
The plans can help workers cover their high deductibles, but the policies also have limitations.
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Obamacare Insurers Sweeten Plans With Free Doctor Visits
Some insurers are betting that lowering the barrier to seeing a doctor will encourage people to get needed care sooner. If it works, the health plans could save more than they spend on the benefit.