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Medicare, Medicaid, Health Reform

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Monthly Archives: June 2012

Basic Health Programs: ACA Option Concerns States

States deciding whether to create a Basic Health Program (BHP) are worried it could undercut their health insurance exchanges, create a new entitlement program, and could carry financial risks if federal funds don’t cover the costs, according to a series of briefings on state progress in implementing the Affordable Care Act. Most states have not yet decided whether to create...

Health Insurance Exchange Management: Options for Oversight of Qualified Health Plans

Under the Affordable Care Act, Health Insurance Exchanges, whether state or federally operated, must manage several core functions starting in 2014.  The functions include pre-screening for Medicaid or CHIP coverage, federal subsidy eligibility determination, consumer assistance, management and oversight of qualified health plans (QHPs), financial management, and enrollment of individuals or small group employees in qualified health coverage or connection with CHIP...

E-Prescribing: Significant Growth in Electronic Prescribing Use and Adoption

Electronic prescribing in the U.S. is becoming mainstream, with e-prescribing use by physicians quadrupling since 2008.  Medication adherence is increasing as a result of increased use of eRx. The National Progress Report on E-Prescribing and Interoperable Healthcare Year 2011, a report by Surescripts, provides interesting information on e-prescription use, adoption, and impact on medication adherence. It includes analysis of e-prescribing and meaningful use.  The report,...

Health Care Cost and Utilization: Trends for Employer-insured Individuals Under Age 65

A new study highlights interesting health care cost and utilization trends for Americans under age 65 with employer-sponsored health coverage. The Health Care Cost Institute (HCCI) analyzed data from Aetna, Humana, and United HealthCare, assessing price and utilization levels and changes, in their publication, Health Care Cost and Utilization Report: 2010. This is the first report to track changes in health...

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