In fact, our government does “negotiate” drug prices

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The cost of pharmaceuticals is often in the news. Sometimes the story revolves around price-gouging (think Tura Pharmaceuticals). Other times the story revolves around life-saving therapies that come at high costs (think Sovaldi and Harvoni). Sometimes the national conversation leads many people to ask “why doesn’t our government negotiate the price it … Read More

Buying Healthcare: Putting You In Charge

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Employer-supplied health insurance (ESI) is going away. The process of acquiring health insurance is rapidly changing in ways that will put you in charge of the purchasing decision. This represents a fundamental shift in the market, as individuals will be empowered to become the consumer of health plans, not just the … Read More

CMS ACOs Cannot Fail

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Quite a bit of news around Physician Payment Reform has been released these last two weeks – rather silently from CMS. The ACA is built on three main premises; Coverage Expansion – Insurance Reform –Physician Incentive & Payment Change. And you know about how each of these pillars depends on … Read More

Are ACOs the Future of the Exchanges?

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Consider an ACO as a self-contained provider network. What better partner for a managed care company seeking to offer a policy for sale on the Exchanges? After all, the premium cost listed on the Exchange is one of the most important elements of the buying decision made by individual shoppers. So if an … Read More

Will King vs. Burwell Tear Down the Health Care Law?

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Quick answer: No…. King vs. Burwell is the case now before the Supreme Court, currently scheduled to be heard on March 4th, 2015. The Court will consider whether subsidies that help make premiums affordable for individuals are available in federally facilitated exchanges as well as the state-run exchanges. Currently 36 … Read More

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