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New York's 2015, 2016 and 2017 Obamacare Rate Increases
New York just announced the 2017 requested rate increases for individual health insurance. I thought the history of New York's increases was interesting. For 2015, the exchange health plans asked for an average increase of 12.5%. The New York Insurance Department approved an average 5.7% increase. Here are the requested and approved rate increases for 2016 (from Charles Gaba): Here are
Source: Health Care Policy and Marketplace Review - May 17, 2016 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

The Doctors Club
By  ANISH KOKA, MD Vatsal Thakkar, a psychiatrist, recently wrote of the perks doctors are afforded in everyone’s favorite instrument of social justice – the New York Times. Dr. Thakkar speaks effectively and correctly about a broken health care system navigated best by pulling the ‘doctor’ card. Some on the progressive left have seized on this blatant disregard for egalitarianism as yet another example of a broken healthcare system, despite the fact that a two tiered system is exactly what they have been building over the last eight years. To be clear, there has always been special treatment accorded fellow doct...
Source: The Health Care Blog - July 19, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

John Stossel Discovers Health Care Dysfunction, Blames it on " Socialists " - Like Maurice Greenberg (AIG), John Thain (Merrill Lynch), Sanford Weill (Citigroup), and David H Koch?
In conclusion, I am glad that some of the problems in the dysfunctional US health care system are getting more public attention.   However, now we need to calmly and rationally consider what is causing them and what to do about them without the blinders of ideology or vested interests.   IMHO, true US health care reform would put the operation of US health care organizations more in the hands of people who have knowledge and experience in health care, and are willing to be accountable to support health care professionals ' values.   Furthermore, oversight and stewardship of these organizations should repres...
Source: Health Care Renewal - April 24, 2016 Category: Health Management Tags: boards of trustees bureaucracy finance generic managers managerialism New York - Presbyterian Hospital Source Type: blogs

New York ' s 2015, 2016 and 2017 Obamacare Rate Increases
New York just announced the 2017 requested rate increases for individual health insurance. I thought the history of New York ' s increases was interesting. For 2015, the exchange health plans asked for an average increase of 12.5%. The New York Insurance Department approved an average 5.7% increase. Here are the requested and approved rate increases for 2016 (from Charles Gaba): Here are
Source: Health Care Policy and Marketplace Review - May 17, 2016 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

A Cartoon that Tells You Everything You Need to Know about International Bureaucracies
Okay, I ’ll admit the title of this post is an exaggeration. There are lots of things you should know -most bad, thoughsome good - about international bureaucracies.That being said, regular readers know that I get very frustrated with the statist policy agendas of both theInternational Monetary Fund and theOrganization for Economic Cooperation and Development.I especially object to the way these international bureaucracies are cheerleaders forbigger government andhigher tax burdens. Even though they ostensibly exist to promote greater levels of prosperity!I ’vewritten on these issues, ad nauseam, but perhaps dry analys...
Source: Cato-at-liberty - August 10, 2016 Category: American Health Authors: Daniel J. Mitchell Source Type: blogs

‘Moderate’ Health Spending Growth Projections Exceed What We Can Afford
There are few surprises in the government’s recent 11-year projections of national health expenditures (NHE). The 5.8 percent average growth rate is the same as last year’s projection and the annual pattern is also largely the same. Over the 11-year period, gross domestic project (GDP) is projected to average 4.5 percent growth. Thus, the excess growth in NHE is projected at 1.3 percentage points or, more concisely, NHE growth is projected at GDP+1.3. This has been referred to as “moderate” growth. Compared to our long-run historical experience, it certainly is — since 1980, NHE growth has averaged 7.8 percen...
Source: Health Affairs Blog - August 10, 2016 Category: Health Management Authors: Charles Roehrig Tags: Costs and Spending Featured ACA national health expenditures Source Type: blogs

Cardiac Rehab Saves Lives. So Why Don ' t More Heart Patients Sign Up? : Shots - Health News : NPR
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Source: Dr Portnay - August 14, 2016 Category: Cardiology Authors: Dr Portnay Source Type: blogs

Aetna is the Latest Insurer to Drastically Scale Back ACA Exchange Participation
On Monday Aetna announced that it will significantly reduce the scope of its participation in the Affordable Care Act ’s health insurance exchanges, pulling out of 11 of its 15 states. The company will only continue offering exchange plans in Delaware, Iowa, Nebraska, and Virginia. In the relatedpress release, Aetna Chairman and CEO Mark T. Bertolini pointed to the sizable losses the company had incurred through its business on the exchanges: $200 million in pretax losses in the second quarter and $430 million total since January 2014. Aetna covered almost850,000 people through its exchange plans as of June 30th, and mos...
Source: Cato-at-liberty - August 16, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs

Health Wonk Review Archives: 2006-2015
August 18, 2016 - Jason Shafrin - Healthcare Economist July 21, 2016 - Steve Anderson - medicareresources.org blog June 16, 2016 - Christopher Fleming at Health Affairs Blog June 2, 2016 - David Harlow - HealthBlawg May 19, 2016 - Tinker Ready - Boston Health News May 5, 2016 - Brad Wright - Wright on Health April 21, 2016 - Peggy Salvatore - Health System Ed Blog April 7, 2016 - Jaan Sidorov - The Population Health Blog March 24, 2016 - Charles Gaba at ACASignups.net March 10, 2016 - David Williams - Health Business Blog February 25, 2016 - Louise Norris -Colorado Health Insurance Insider February 11, 2016 - S...
Source: Health Wonk Review - June 10, 2016 Category: Health Management Source Type: blogs

Examining The Effects Of Premium Increases On Consumers And The Marketplaces
On August 24, 2016, the Health and Human Services Assistant Secretary for Planning and Evaluation (ASPE) released a report on “The Effect of Shopping and Premium Tax Credits on the Affordability of Marketplace Coverage.” Although insurers still have a month before they need to finalize their plans for participation in the marketplaces, they should have filed their final rates by August 23. The availability of these rates varies from state to state and all may not be available until November 1 when the marketplace opens. There have been a number of reports recently, however, indicating that marketplace premiums are incr...
Source: Health Affairs Blog - August 24, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage ACA Marketplaces advance premium tax credits MAGI Source Type: blogs

When Exchanges Collapse, ObamaCare Penalizes You Even If Coverage Is Unaffordable
MIAMI, FL - NOVEMBER 02: Martha Lucia (L) sits with Rudy Figueroa, an insurance agent from Sunshine Life and Health Advisors, as she picks an insurance plan available in the third year of the Affordable Care Act at a store setup in the Mall of the Americas on November 2, 2015 in Miami, Florida. Open Enrollment began yesterday for people to sign up for a 2016 insurance plan through the Affordable Care Act. (Photo by Joe Raedle/Getty Images)In opeds at  Time and National Review Online, I discuss how ObamaCare ’s health-insurance Exchange has collapsed in Pinal County, Arizona, throwing some 10,000 residents out of thei...
Source: Cato-at-liberty - September 1, 2016 Category: American Health Authors: Michael F. Cannon Source Type: blogs

A 51-Percent Premium Hike Rescues ObamaCare In Pinal County
Pinal County, Arizona was in danger of being the  first second third fourth place where ObamaCare caused insurance markets to collapse. As of last month, every private health insurance company now selling ObamaCare coverage in the county announced it would no longer do so in 2017. Had that scenario come to pass, it would have tossed nearly 10,000 residents out of their Exchange plans and left them to buy ObamaCare coverage outside of the Exchange, with no taxpayer subsidies to make the coverage “affordable.” If they didn’t buy that unaffordable coverage, ObamaCare would still subject them to penalties, at le...
Source: Cato-at-liberty - September 8, 2016 Category: American Health Authors: Michael F. Cannon Source Type: blogs

How Community Partnerships Can Help End Food Insecurity (Part 2)
In our previous post, we describe how the policy climate has begun to change in a way that may allow stronger partnerships between medical and hunger-relief organizations. Here, in part two, we take a close look at how the Greater Boston Food Bank (GBFB) has developed a scalable model that community health centers might use to address food insecurity (FI) in their communities. This model was designed with the Community Health Needs Assessment (CHNA) process in mind, as it affords partnering health centers a clear way to address relevant health priorities within their communities—such as FI, food access, diet-related ...
Source: Health Affairs Blog - September 21, 2016 Category: Health Management Authors: Vin Gupta, Tamara Baer, Allen Hamdan and Kathryn Brodowski Tags: Health Professionals Innovations in Care Delivery Organization and Delivery Population Health Public Health chronic conditions Community Health food insecurity Hunger Social Determinants of Health Source Type: blogs

Health Wonk Review Archives: 2006-2016
Sept 22, 2016 -Louise Norris - Colorado Health Insurance Insider September 8, 2016 - David Williams - Health Business Blog August 18, 2016 - Jason Shafrin - Healthcare Economist July 21, 2016 - Steve Anderson - medicareresources.org blog June 16, 2016 - Christopher Fleming at Health Affairs Blog June 2, 2016 - David Harlow - HealthBlawg May 19, 2016 - Tinker Ready - Boston Health News May 5, 2016 - Brad Wright - Wright on Health April 21, 2016 - Peggy Salvatore - Health System Ed Blog April 7, 2016 - Jaan Sidorov - The Population Health Blog March 24, 2016 - Charles Gaba at ACASignups.net March 10, 2016 - Davi...
Source: Health Wonk Review - June 10, 2016 Category: Health Management Source Type: blogs

Surge in Emergency Department Use Persists in New Oregon Medicaid Study
One of the main arguments proponents of Medicaid expansion make, at least on the fiscal side, is that it would save money as people gaining Medicaid coverage would reduce their use of expensive visits to the Emergency Department (ED). Anearlier study from the Oregon Health Insurance Experiment threw some cold water on that theory, as it found that getting Medicaid actually increased the number of ED visits by 40 percent. Some analysts postulated that this increase was only temporary because it was due to either pent-up demand for health care services, or because new enrollees did not have established relationships with doc...
Source: Cato-at-liberty - October 21, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs