healthcare exchanges

Brand and specialty drug spending spikes
Brand and specialty drug spending spikesSpending on brand name drugs spiked 16.2% in 2015 and 98.2% since 2011, according to a new report from pharmacy benefit manager (PBM) Express Scripts. Plus, a third of branded products experienced price increases greater than 20% in 2015, according to Express Scripts’ annual Drug Trend Report.
The Affordable Care Act lives: Supreme Court decision upholds premium subsidiesIn a much-anticipated decision, the U.S. Supreme Court ruled in the case of King v. Burwell that tax subsidies for buying healthcare insurance made available through the law apply in all 50 states.
Narrowing networksThe return of narrow networks has been blamed largely on the Affordable Care Act (ACA). But the trend, similar to health maintenance organizations, re-appeared before the creation of the ACA’s health insurance exchanges. Physicians must learn how to cope with this movement and decide when it makes financial sense to be included in narrow network plans. contractor won't seek rebid of contractOptum, the UnitedHealthcare subsidiary appointed to fix after its troubled launch, will not rebid for a $40 billion contract.
Exchange plans fail to offer required smoking cessation coverageThe overwhelming majority of state health insurance marketplace plans are not providing required coverage for smoking cessation, according to a new report from the American Lung Association.
Retail pharmacy returns to primary careWhen consumers have to pay for their own healthcare, their first stop will be the corner drugstore. Get ready.
Exchanges need improvementsAs healthcare reform enters its second year, insurers and exchange vendors complain that interoperability continues to plague the carrier-facing side of federal and state exchanges.
Health insurance enrollment reaches four million in first monthNearly 90% qualify for premium subsidies
Health spending slows on heels of ACA implementationOverall healthcare spending reached $2.9 trillion in 2013—that’s $9,255 per person—but growth has slowed, particularly when it comes to physician fees.
Obama administration faces scrutiny over ACA transparencyThough the second enrollment period of the Affordable Care Act has been operating fairly glitch free, the healthcare reform law and the Obama administration are facing major scrutiny from Republicans.