Tag: affordability

The dangers of AWP laws in 1-2-3

Health plans have been creating provider networks that deliver greater efficiency and higher quality. Three separate studies show that “any willing provider” (AWP) laws will undermine those efforts. 1. In the first report, Paul Ginsburg, the Norman Topping Chair in Medicine and Public Policy at the University of Southern California’s Schaeffer Center for Health Policy and Economics, concludes that AWP laws can increase health care costs and negatively affect care quality. AWP laws, which allow any doctor or hospital to [...]

Posted in: Health Care Costs, Issue Alert, Uncategorized

Cover story: Rising drug prices

With a full pipeline of new specialty drugs and ever-rising prices, the drug price problem has grown into a cover story at the Washington Examiner. Continue reading

Posted in: Cost Alert, 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

What really happens when hospitals consolidate

Provider consolidation is a continuing source of debate in health care. But the facts are clear: Hospital mergers can drive up health care costs for consumers. Continue reading

Posted in: Health Care Costs, Issue Alert

Why Drug Prices Never Come Down in One Quote

Here is a Gilead executive attempting to justify the astronomical price of its hepatitis C treatment Sovaldi to Bloomberg: “We didn’t base it on our R&D costs, and we didn’t base it on our acquisition costs. The most basic answer we give is the regimen cost was the same as the old regimen cost.” Continue reading

Posted in: Health Care Costs, Issue Alert

Roundtable round-up: Protecting Medicare Advantage

The Coalition for Medicare Choices recently held 10 roundtable discussions with members of Congress who have previously worked to protect Medicare Advantage. Here are some highlights of those important discussions that focused on the continued need to protect seniors from harmful cuts to the program. Continue reading

Posted in: Issue Alert

From the feds: High-priced treatments to drive up health care spending

A new report from the Centers for Medicare and Medicaid Services published in Health Affairs shows that prescription drug spending will hold on to its role as a primary health care cost driver. Continue reading

Posted in: Health Care Costs

What’s wrong with the U.S. health care system, and what health plans are doing about it

Over at Vox, reporter Sarah Kliff has compiled a list of eight facts that show what’s wrong with the U.S. health care system. On that list you’ll see that health plan profits aren’t to blame for the rise in national health care spending. Continue reading

Posted in: Issue Alert

Solving health care’s biggest problems

Health plans have important roles to play in health care, guiding patients through the system, providing access to the best treatments, and protecting patients from medical bankruptcy. They’re also on the frontlines tackling challenges in an industry that is undergoing unprecedented change. Continue reading

Posted in: Fact Check

New Study: Coverage Options Available to Significantly Limit Costs for Those With Chronic Conditions

A new independent analysis from HealthPocket has found that consumers have a range of coverage options to choose from, including plans that can significantly limit out-of-pocket costs for those with chronic conditions and the most medical needs. Continue reading

Posted in: Fact Check