Archive for the ‘News’ Category
Tool Used To Assess How Well Community Health Centers Function As Medical Homes May Be Flawed [Web First]
The patient-centered medical home model holds the potential for reducing disease complications and improving health, and the federal government is now promoting the adoption of the model within federally qualified community health centers. In a group of Los Angeles community health centers, we found that all would have qualified as patient-centered medical homes under a ...
How Small Business Health Exchanges Can Offer Value To Their Future Customers–And Why They Must [Small Business Insurance Exchanges]
The success of the Small Business Health Options Program (SHOP)—health insurance exchanges targeted at the small-group market and opening for business in January 2014—will depend in large part on persuading small employers and qualified health plans to participate. The most important objective will be offering employers lower-cost health plans than they have now. Other critical objectives ...
Employers And The Exchanges Under The Small Business Health Options Program: Examining The Potential And The Pitfalls [Small Business Insurance Exchanges]
The health insurance exchange is the centerpiece of the insurance reforms created by the Affordable Care Act. The Small Business Health Options Program (SHOP) is intended to create a marketplace for small, and perhaps eventually large, employers to purchase health insurance for their employees. This paper introduces a collection of articles that illuminate the need ...
Deepening Drug Shortages [Entry Point]
The federal government is trying to shore up supplies of life-saving drugs, but for now, fundamental aspects of the market for specialized generic medications are working against it.
Adjusting For Risk Selection In State Health Insurance Exchanges Will Be Critically Important And Feasible, But Not Easy [Small Business Insurance Exchanges]
The Affordable Care Act calls for the establishment of state-level health insurance exchanges. The viability and success of these exchanges will require effective risk-adjustment strategies to compensate for differences in enrollees’ health status across health plans. This article describes why the Affordable Care Act could lead to favorable or adverse risk selection across plans. It ...
Large Employers See Scenarios Under Which They Could Move Workers And Retirees To Exchanges [Small Business Insurance Exchanges]
Large employers are thinking about how they might use the health insurance exchanges created by the Affordable Care Act. In the short term, from 2014 to 2016, many of these employers are giving serious consideration to using the exchanges to help provide coverage for part-time workers and for retirees not yet eligible for Medicare. In ...
How Choices In Exchange Design For States Could Affect Insurance Premiums And Levels Of Coverage [Small Business Insurance Exchanges]
The Affordable Care Act gives states the option to create health insurance exchanges from which individuals and small employers can purchase health insurance. States have considerable flexibility in how they design and implement these exchanges. We analyze several key design options being considered, using the Urban Institute’s Health Insurance Policy Simulation Model: creating separate versus ...
Health Insurance Exchanges Of Past And Present Offer Examples Of Features That Could Attract Small-Business Customers [Small Business Insurance Exchanges]
The Affordable Care Act calls on states to create health insurance exchanges serving small businesses by 2014. These exchanges will allow small-business owners to pool their buying power, have more choices of health plans, and buy affordable health insurance. However, creating an exchange that appeals to small-business owners poses several challenges. Past and current exchanges ...
One Payer’s Attempt To Spur Primary Care Doctors To Form New Medical Homes [Interview]
As president and CEO of CareFirst BlueCross BlueShield, Chet Burrell is leading the insurer’s effort to spark delivery system reform in and around the nation’s capital. His main tool: cold hard cash.
