Category: Fact Check

Fact: The real problem is abusive drug pricing

Biosimilars can save millions of dollars and save many lives. That was the message shared by all of the panelists at a discussion this morning hosted by The Hill in Washington, D.C. Continue reading

Posted in: Fact Check, Health Care Costs

What Consumers Can Expect for 2015 Open Enrollment

November 15 marks the start of 2015 Open Enrollment, and for individuals and families currently enrolled in coverage in the individual market – whether that is coverage offered through, a state exchange, or outside the Exchange Marketplace – or for those shopping for coverage for the first time, health plans are doing their part to make sure consumers understand how to navigate the enrollment process this year. Continue reading

Posted in: Fact Check, Issue Alert

Medicare Advantage: Where better care leads to satisfied seniors

Medicare Advantage goes beyond fee-for-service Medicare by providing seniors with coverage benefits and services that make a difference in improving health outcomes. And seniors are flocking to it. Continue reading

Posted in: Fact Check

‘60 Minutes’ explores the unsustainable cost of cancer care

What is the breaking point for patients when it comes to the price of specialty drugs? Tune in this Sunday at 7:30 p.m. EST for a “60 Minutes” report on the soaring price of cancer medications and the rising numbers of patients who can no longer afford them. Continue reading

Posted in: Fact Check, Health Care Costs

Health plans and the quest for value

“The quest for value dominates contemporary health policy,” and health plans play a pivotal role in that process, notes a recent Health Affairs blog post. Continue reading

Posted in: Fact Check

AHIP in the WSJ: Consolidation Leads to Higher Prices

There is overwhelming evidence that hospital mergers can lead to significant price increases and that quality of care improves with greater competition Continue reading

Posted in: Fact Check, Uncategorized

Move over Apple, health plans already using high-tech health care innovations

Long before Apple, health plans have been getting innovative with data to deliver better care for patients and empower consumers to make better decisions. Continue reading

Posted in: Fact Check

Provider consolidation holds back value-based care

So what is the impact of provider consolidation on the U.S. health care system? Higher costs and less choice for consumers and employers, as stated in a recent amicus brief filed by America’s Health Insurance Plans (AHIP) in the United States Court of Appeals for the Ninth Circuit. Continue reading

Posted in: Fact Check, Issue Alert, Uncategorized

What’s in a network: Value, Access, Satisfaction

The focus this week has been about how health plans are delivering value and peace of mind for patients. But we can’t talk value and peace of mind without highlighting another strategy that gives consumers access to quality care while keeping prices down – high-value networks. Continue reading

Posted in: Fact Check

Formularies, a tool in the fight for affordable life-saving care

Health plans have a long list of tools they use to deliver better value and access to health care consumers. One that’s worth noting is prescription drug formularies – lists of the generic and brand name drugs that are covered – that are developed to encourage the use of safe, effective, and affordable medications. Continue reading

Posted in: Fact Check