Contributor: April Wortham
Topics: Health insurance exchanges, ACA
Anyone who has been following closely the development of health insurance exchanges knew that setting Oct. 1 as the launch date for HealthCare.gov was an incredibly ambitious, if not entirely unrealistic, goal. But for an entire month to pass and the site be largely unavailable to millions of Americans? Not even a panel of industry insiders could have predicted that. Read more.
Posted on: 11/11/2013 7:07:56 PM
Contributor: Sheri Sellmeyer
Topics: Exchanges, drug coupons, ACA, copays
A few weeks ago I wrote in this blog that pharmacy coupon copays would likely not be allowed for health benefits sold through the exchanges.
I was wrong. Read more.
Posted on: 11/4/2013 8:42:50 PM
Copay coupons, statins, adherence, exchanges
Pharmaceutical manufacturers have scored two recent wins related to their increasing use of discount coupons for branded drugs.
First, they will be allowed to offer the coupons to those enrolling in the new marketplaces. Second, a new study is one of the first to link coupon use to higher drug adherence, in this case, for patients using statins. Read more.
Posted on: 11/4/2013 3:48:29 PM
Contributor: Mark Cherry
Topics: Mini-Meds, ACA, Exchanges, Individual Insurance
When President Obama first started using the line about "if you like your insurance plan, you can keep it," he may not have anticipated how many defenders there would be of the reviled mini-med policy. Read more.
Posted on: 10/31/2013 12:05:40 PM
ACOs, Orphan Diseases, MMS
It’s been a month since DRG’s Managed Markets Summit, but there’s a conversation I can’t forget: if and when ACOs will affect the rare/orphan drug landscape.
The question was posed by a conference attendee between sessions. As my new friend and I talked through pulmonary hypertension and the rather busy market space for such a rare condition, my short answer was that the immediate impact of ACOs on companies like his would be a longer time coming. And that the effect was likely to be more indirect than direct. Why? Read more.
Posted on: 10/28/2013 9:39:58 AM
Contributor: Chris Silva
Topics: Medicare Advantage, Part D, CMS, Star ratings
With all the craziness early October brought with health exchanges, website glitches and the federal government shutdown, it was easy to overlook the start of the new seven-week enrollment period for Medicare Advantage and Part D plans. Read more.
Posted on: 10/24/2013 8:59:54 AM
Exchanges, ACA, Humana
Let’s assume the federal health marketplace website actually starts working efficiently, the state-run exchanges clean up their bugs, and every other star aligns for the successful launch of exchanges in 2014. Who will be the enrollment winners among health plans?
Posted on: 10/23/2013 6:09:34 AM
ACA, Exchanges, Medicaid, Obama
In President Obama’s Oct. 21 address on the Affordable Care Act and persistent enrollment glitches for the new marketplaces, it was tempting to say the White House gathered all the people for the Rose Garden speech (about 10) who successfully signed up through healthcare.gov to stand behind the president.
Posted on: 10/21/2013 4:51:55 PM
Covered California, Exchanges, Affordable Care Act
More than two weeks into open enrollment, shoppers in the Covered California insurance exchange lack access to two critical pieces of information to help them select a plan: a directory of in-network providers and the drug formularies.
Posted on: 10/21/2013 1:56:22 PM
Contributor: Holly Fults
Topics: Employers, narrow networks, ACOs, quality
Retail giants Walmart and Lowe's have announced a new healthcare benefit for their employees: no-cost knee and hip replacements. As of Jan.1, care and consultations for the procedures will be covered at 100 percent, with no copays or deductibles.
Posted on: 10/21/2013 10:20:52 AM