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Health Reform Update - June 9th

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In this week’s Health Reform Update, new data shows that more insurers are planning to participate in Affordable Care Act (ACA) Marketplaces and are offering broader provider networks (for a price). 

Drug manufacturers and the insurance industry argue over which is more to blame for high out-of-pocket costs for specialty tier drugs, while a separate study concludes that Marketplace plans turning out to be less costly than non-Marketplace plans. Despite wide variations, proposed Marketplace premiums for 2015 continue to average in the low double-digit range, consistent with the pre-ACA market. A federal court decision blocks proposed rules extending 340B drug discounts to orphan drugs, as required by the ACA.

The Louisiana governor signs legislation requiring insurers to accept certain premium assistance payments from third-parties.  A shift in control of the Virginia Senate enables Republicans to pass a budget that prohibits the governor from expanding Medicaid without legislative approval.

You can find the full Health Reform Update here.  If you’re interested in Advocacy, you can also join the PSI Patient Coalition here.


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