Most of the coverage offered under the Affordable Care Act (ACA) is through the individual market (plans sold in the exchanges) or Medicaid. But as Jay Hancock of Kaiser Health News explains in a new AHCJ tip sheet, that doesn’t mean the employer-sponsored insurance system won’t be touched by any plan to repeal and replace the ACA.
Changes to how health care is subsidized – directly through tax credits or indirectly through tax breaks – may have a profound impact on the job-linked insurance that covers more than 150 million people. Continue reading
Houston Chronicle reporter Jenny Deam last year wrote an in-depth story about how a mill is closing in a Texas town cost people not only their livelihood but also their health coverage. Because the mill was so crucial to Cuero’s economy, that closure had ripple effects that overshadowed the beleaguered community.
Deam’s Aug. 8, 2016, story, “No job. No insurance. No chance at ‘Obamacare.’ No safety net in Texas. Welcome to Cuero,” is a sharp reminder that many of the uninsured are hard-working people – or at least they would be if the mill had not closed and left them without work and insurance. Continue reading
In a speech before Congress in which he promised “Everything that is broken in our country can be fixed,” President Donald Trump laid out some expected goals for health care, without much detail about how to achieve those goals. (For comparison, see President Obama’s first congressional address.)
On Tuesday night, Trump talked about bringing drug and insurance costs down, giving states flexibility with Medicaid, tort reform and expanding the use of Health Savings Accounts. Continue reading
Many Americans think they pay too much for their prescription drugs, especially those who need life-saving medications for cancer and hepatitis C. Why are drug costs so high in the United States? How can reporters better explain the cost squeeze to their audiences?
These were among the questions that Sarah Emond, M.P.P., executive vice president at the Institute for Clinical and Economic Review (ICER) in Boston and Peter Bach, M.D., director of the Memorial Sloan Kettering’s Center for Health Policy and Outcomes in New York City addressed at the Feb. 15 meeting of AHCJ’s New York chapter. Dan Goldberg of Politico moderated the session. Continue reading
A 2011 lawsuit unsealed last week reveals the inner workings of the nation’s largest health insurer, UnitedHealth Group. In the lawsuit, lawyers for the plaintiff allege that UnitedHealth evaluated certain employees on how well they raised risk adjustment scores.
The lawyers contend the practice was part of a scheme to increase payments from the federal Centers for Medicare & Medicaid Services by submitting false statements about the level of illness among Medicare Advantage patients. Continue reading