Rates are far too high and health insurers are the big losers. Is it time to institute financial penalties? “Insurance companies could and should prioritize safety in hospitals more than they are doing,” says John Santa, MD, director of the Consumer Reports Health Ratings Center.
Questions abound. Will new rules cause all costs to rise? Will insurers then need to raise premiums because they are operating under the medical loss ratio rules under the Affordable Care Act? Will plans limit care by arguing that some mental health treatments are not medically necessary? Stay tuned.
The former head of CMS is proud of helping launch Medicare Advantage and Medicare Part D. He wishes he could have done more, however, and the private sector gives him a chance. Scully turns his considerable talents to smoothing transitions from hospitals to acute-care settings.
Can an injectable biologic really replace a delicate surgery for treatment of Dupuytren’s disease?
A bigger portion of the population is expected to have cardiac disease but live longer, and researchers argue for stopping it before it shows
Ann O’Malley, MD
Moody’s says that more people will get care, but hedges its prediction, while other experts think that the trend line will stay flat
A new precertification procedure addresses key elements in genetic testing
The system’s effect on the private sector has actually been underestimated. Medicare price changes often lead to amplified swings on the private side.
Compulsory medical insurance with a twist: Plans play a crucial role
Despite last year’s fiasco at Penn State and growing concern about the effectiveness of such programs, employers are still believers