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Mal Allison

States experimenting to lower health care costs - 0 views

bigstory.ap.org/...enting-lower-health-care-costs

states lower health care

shared by Mal Allison on 04 Sep 13 - No Cached
  • "Look at any of the long-term projections for the federal budget or for state budgets," said Alan Weil, executive director of the National Academy for State Health Policy. "If we don't bring down health care costs, we're either going to be paying a whole lot more in taxes or we're going to stop spending money on other things we care about."
  • "It has to end eventually," said Larry Levitt, senior vice president of the Kaiser Family Foundation, "because we can't have an economy driven entirely by health care."
Mal Allison

Health Insurance Within Reach - NYTimes.com - 0 views

well.blogs.nytimes.com/...health-insurance-within-reach

health insurance ACA changes

shared by Mal Allison on 16 Jul 13 - No Cached
  • All health plans offered on a state exchange must provide comprehensive coverage that includes doctors’ visits, lab work, hospital stays, emergency room services, maternity care, prescriptions, mental health services and children’s dental and vision care.
  • Policies with the most generous benefits will be “platinum” plans; they will have the highest monthly premiums but fewer out-of-pocket costs and lower deductibles. The “gold” and “silver” plans will be somewhat less generous, while those in the “bronze” category will have the cheapest premiums but may require high out-of-pocket costs and deductibles.
  • Be aware that the plans may have narrow provider networks — your favorite doctor or the hospital down the street may not be a participant. You’ll need to check to see if a certain provider is in the network, advised Sabrina Corlette, a research professor at Georgetown University’s Center on Health Insurance Reform.
  • ...4 more annotations...
  • Be prepared for sticker shock. A 40-year-old nonsmoker may be able to buy a plan for about $4,000 annually or less; someone in his or her 50s may pay double. “Health insurance is an incredibly expensive product,” Ms. Corlette warned.
  • People who earn up to four times the federal poverty level — roughly $45,960 a year for a single person and $94,200 for a family of four — can receive subsidies to help pay for the new coverage. Those earning 250 percent of the poverty level are eligible for additional cost-sharing subsidies.
  • Americans who work at minimum wage jobs, earning less than 138 percent of the federal poverty level, which is $15,856 for a household of one and $32,499 for a household of four, will qualify for free government coverage under Medicaid — but only if they live in a state that is expanding its Medicaid program.
  • Open enrollment on the new exchanges will run from October 1 through March 31. Y
Mal Allison

Some Massachusetts small businesses could see health insurance premiums rise under Obam... - 0 views

www.masslive.com/...massachusetts_small_busin.html

massachusetts businesses health insurance rise

shared by Mal Allison on 16 Jul 13 - No Cached
  • Next year, Massachusetts will be allowed to take into account two-thirds of its soon-to-be-disallowed rating factors. It can use one-third of the disallowed factors in 2015.
  • that requires the state to formally request a waiver from the federal government from the ratings factor provision. Democratic Gov. Deval Patrick signed the bill on Friday, and the state is working to comply with the waiver request provision.
Mal Allison

State making headway in curbing health costs, but leaders worry about backsliding - Met... - 0 views

www.bostonglobe.com/...story.html

massachusetts health costs headway

shared by Mal Allison on 02 Oct 13 - No Cached
  • Companies are increasingly offering employees health plans that allow them more freedom to choose doctors and hospitals and that generally do not require referrals from primary care doctors for specialty care.
  • insurers generally still pay a fee for every visit and procedure, a payment system that has been blamed for driving up spending.
  • this movement back toward’’ fee-for-service medicine “is really going to hurt us.’’
Mal Allison

Health Care Policy and Marketplace Review: Administration Delays the Employer Mandate--... - 0 views

healthpolicyandmarket.blogspot.com/...istration-delays-employer.html

employer mandate small business ACA

shared by Mal Allison on 03 Jul 13 - No Cached
  • These small group requirements are expected to increase the cost of small group coverage by an average of 15%––with wide variation by state and the average age of the group.
  • Why not do the same for small employers as well? And while they are at it, use the time to reconsider the impact many of these regulations are likely to have on the number of small employers continuing to offer coverage
Mal Allison

It's WW III and Big Brains are Working on Small Things - Forbes - 0 views

www.forbes.com/...ns-are-working-on-small-things

Dave Chase job wars Iora

shared by Mal Allison on 04 Jul 13 - No Cached
  • As Dr. Rushika Fernandopulle states, “they are putting wings on cars and calling them airplanes.” Instead, creative physicians such as Dr. Fernandopulle have developed models such as Iora Health that are built from the ground up NOT to optimize around billings, but to optimize around health. Iora Health has proven that they can deal with the toughest patient populations and reduce costs while greatly improving outcomes
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