Category: Issue Alert

Chronic care management: Getting patients the care they need

A new study by the RAND Corporation and AHIP Foundation looks at the growing burden of chronic disease and health plans’ efforts to help chronically ill patients. Roughly one in two Americans will suffer from a chronic disease by 2030, according to the study. And with each additional chronic condition, patients face higher costs and greater difficulty in managing their health. Continue reading

Posted in: Issue Alert

Forced switch putting profits before patients

Last week, we highlighted behaviors that promote monopoly-like pricing rather than improved patient access. That list included product hopping, which aims to artificially prolong drug patents to avoid competition from generics, resulting in fewer treatment options and sky-high costs for consumers. This type of monopoly pricing scheme has serious consequences – to the tune of $288 million, which is how much it would cost Medicare Part D just this year if Actavis was allowed to force patients to a newer [...]

Posted in: Issue Alert

The definition of small-group market: Protecting affordability and stability

Under the Affordable Care Act, companies with 51 to 100 employees would move from the large-group market to the small-group market starting in 2016. That change would create instability for the small employer marketplace, leading to premium increases and potential disruptions in coverage. Continue reading

Posted in: Issue Alert, On The Hill

The Discussion About Access We Need To Have

To provide the affordable coverage that consumers want, all stakeholders have to be willing to embrace the goal of affordability and work together to achieve it. This means that the old ways have to change. Continue reading

Posted in: Health Care Costs, Issue Alert, Uncategorized

This isn’t a game of monopoly

Ever rising prescription drug prices mean more expensive coverage for individuals, families, and employers. Many of the astronomical price tags for medicines can be traced back to business practices that promote monopoly-like pricing rather than improved patient access. Continue reading

Posted in: Health Care Costs, Issue Alert

Health Plans Focus on Affordability

Despite a full host of factors that increase premiums, health plans are working hard to keep coverage affordable. Continue reading

Posted in: Issue Alert

Happy health insurance consumers

Health plans are committed to providing beneficiaries with high-quality, affordable health care coverage. And consumers are happier for it. Continue reading

Posted in: Issue Alert

Hospital Concentration Is Bad For Consumers

Hospital and provider mergers and acquisitions lead to dramatic increases in health care prices. And as the price for medical care trends higher post-hospital merger, insurance premiums will likely follow suit. Continue reading

Posted in: Issue Alert

The HIT makes tax time worse

The health insurance tax is estimated to add more than $170 to the cost of coverage for an individual purchasing insurance on his own. That more than cancels out the average $125 middle-class Americans put away for retirement each month. Continue reading

Posted in: Issue Alert

Bundled payments promote greater value and quality of cancer care

More than one in three Americans will be diagnosed with cancer in their lifetime, but rising treatment prices and unreliable care quality prevent patients from being able to access and afford the care they need. New payment structures and benefit designs give reason to hold out hope for lower costs and better value for oncology patients. Continue reading

Posted in: Issue Alert