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In the Health Reform Update for the past two weeks, pharmaceutical and insurance industry groups are quick to renounce proposals by Democratic presidential candidate Hillary Clinton to cap out-of-pocket costs for specialty drugs and allow Medicare to negotiate lower drug prices. Bills to repeal the Affordable Care Act (ACA) excise tax on high-cost health plans gain a bipartisan majority in the U.S. House. New survey data from the Health and Human Services department and Census Bureau show re...
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Our latest update on Specialty Tier is now available!
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In the Health Reform Update for the past week, 37 House Democrats back a PSI initiative to persuade the Centers for Medicare and Medicaid Services (CMS) to require Marketplace insurers accept third-party premium assistance from charitable organizations. A Centers for Disease Control and Prevention survey finds that the nation’s uninsured rate has fallen below ten percent for the first time in history. CMS reports that nearly 944,000 consumers have used a special enrollment period to sign-up...
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Our recent update on Specialty Tiers is now available.
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In the Health Reform Update for the past week, the Medicare trustees predict that the program will remain solvent through 2030 but warn of the potential for 52 percent premium hikes next year under Medicare Part B. Preliminary figures from the Internal Revenue Service (IRS) show that about 7.5 million Americans are paying a $200 average tax penalty for not obtaining health insurance they can afford in 2014. A Senate Republican requests an IRS investigation into why roughly 710,000 recipi...
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In the Health Reform Update for the past week, the U.S. Supreme Court ensures that the premium and cost-sharing subsidies under the Affordable Care Act (ACA) will remain available to consumers in all Marketplaces, regardless of where they live. The House passes a repeal of the controversial Medicare cost-cutting board but loses its Democratic sponsor after amendments would make further cuts to the ACA’s Prevention and Public Health fund. Appropriations bills passed by House and Senate commi...
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Our recent update on Specialty Tiers is now available.
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In the Health Reform Update for the past week, Congressional bills repealing the medical device tax and Medicare cost-cutting board under the Affordable Care Act (ACA) advance with bipartisan support. Enrollment in ACA Marketplaces fell by nearly 13 percent in March as consumers were required to pay their first month’s premiums. However, the total of 10.2 enrollees still surpasses the 9.1 million target for the 2015 open enrollment period. A federal lawsuit filed by a former Centers for ...
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Read out recent update on Specialty Tiers!
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In the Health Reform Update for the past week, a House committee advances a draft version of “21st Century Cures” legislation to expedite drug approvals, while exclusivity for biologic drugs becomes a sticking point in trade legislation blocked by the Senate. Hawaii’s governor agrees to turn control over the state’s beleaguered Marketplace web portal to the federal government. Marketplaces in Colorado and Connecticut approve increases in insurer assessments in order to remain self-sust...
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