Anthony Brino
Less than 30 percent of uninsured millennials queried in a new Harvard poll are planning to buy coverage in public exchanges, and a majority disapprove of the Affordable Care Act as a whole -- suggesting sustainability problems in the first year of the HIXs.
Existing market share has been a fairly good predictor of health plan participation in the federal exchange, although new entrants like CO-OPs may give some a run for their money, according to a Milliman report.
Aetna is buying an international medical insurer, eying a growing market for expatriate plans in Asia, Africa and Europe and bolstering its 500,000-plus international membership.
The new face of Medicaid may be underemployed millennials, but that may bode well for Medicaid's finances.
Concentrated economic power, combined with fee-for-service incentives, has made healthcare "the least consumer-friendly" U.S. industry and enabled arbitrary and capricious price gouging, according to the man behind Time magazine's "Bitter Pill" feature.
Not long ago, New York's Medicaid program had a pretty awful reputation: some of the highest per capita spending, mediocre care quality, coverage for medically dubious procedures and widespread fraud. Today, the state is making strides to shed that image.
As millions of low-income Americans gain access to insurance through Medicaid or subsidized plans, guiding them away from unnecessary emergency visits will be a challenge.
The Department of Defense has been testing patient-centered medical home models longer than most payers, and could offer lessons in team-based care for civilian providers.
The lure of data analytics is strong, but providers need to slow down in order to get the most out of it and not undermine what they're trying to accomplish with it.
One of California's largest health systems is paying $46 million to settle allegations of overcharging payers with obscured anesthesia billing practices. The state's insurance commissioner calls the agreement "groundbreaking."