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New programs, known as ACOs, reward hospitals and physician groups that hold down costs by keeping enrollees healthy. The health care providers are asked to address social issues ā such as homelessness, lack of transportation and poor nutrition ā that can cause and exacerbate health problems.
President Donald Trumpās decision to stop paying cost-sharing reduction subsidies means the federal government will reduce its funding of the Basic Health Program that provides low-cost coverage to more than 800,000 low-income people in those two states.
States aren't getting nearly as much federal money this year to explain and campaign for Affordable Care Act policies. Some are trying to make up the shortfall; others lack the cash or political will.
The federal health law includes a provision that allows states to alter some of its rules if they can think of a better way to provide health care to their residents, but itās not clear how far outside the box states can go.
Some health plans are beginning to offer free maintenance care for people with chronic health problems, hoping that spending a little more early on will save a lot of money in the long run.
In a letter to all governors, HHS Secretary Tom Price invited them to consider seeking federal help to set up reinsurance funds that would help cover losses that insurers have because of high numbers of sick patients.
Minnesota had one of the most successful high-risk insurance pools in the country, and GOP leaders are eyeing this special insurance for sick people as an Obamacare replacement. But analysts say costs were high and many people in need were left out.
The state passed a bailout to make ACA plans more affordable, defeated a plan to offer bare bones insurance and is floating a state-sponsored public option.
Investigators claim drugmaker employees met in secret at restaurants, golf outings and at āGirls Night Outā to raise generic drug prices.
The medical device industry is enjoying a two-year moratorium on a tax that was created to support the Affordable Care Act. Are firms using their savings to create more jobs, as many claim?
A relatively obscure category of health insurance -- "critical illness" insurance -- isĀ catching on because, increasingly, conventional health plans have consumers paying a lot of out-of-pocket costs. Mark Zdechlik of Minnesota Public Radio explains the pros and cons of critical care insurance in this story that aired on NPR's Morning Edition.
Both states are offering ābasic health programsā that provide policies to consumers with low monthly premiums and copayments, and low or no deductibles.
Even though Medicaid enrollees are more likely to be smokers than the general public, a study published Tuesday in Health Affairs examined state data from 2010 to 2013 and found wide differences in funding of cessation efforts.
Many families must sign a binding arbitration agreement when a loved one is admitted to a nursing home, pledging not to sue if something goes wrong. Proposed rules would ban that requirement.
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