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Survey: Mass. Health Law Increased Coverage, But Struggles On Cost

The journal Health Affairs has a new study analyzing the effects of the 2006 Massachusetts health insurance law.

Boston Globe: Mass. Health Insurance Law: More Coverage, More Expensive
The state’s landmark health insurance law, passed in 2006, significantly increased the number of residents ages 19 to 64 with coverage — now at 94.2 percent. A survey released today found that it also is starting to produce results by keeping patients healthier and out of emergency rooms and hospitals. Unfortunately, as many probably suspect, it has done little to control costs (Kowalczyk, 1/25).

National Journal: Massachusetts Health Experience: What The Nation Can Expect?
Mitt Romney may not like to hear it, but if you want to know what health reform will look like for the United States, look to what’s happening in Massachusetts, a team of experts said on Wednesday. .. “Despite the 2010 gains in access relative to 2006, 22.8 percent of nonelderly adults in Massachusetts reported that they did not get needed care in 2010,” Long’s team wrote. “It is likely that the economic downturn and the continuing increase in health care costs, in particular, dampened any gains in coverage and affordability that might otherwise have been achieved under health reform in the state” (Fox, 1/25).

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Posted in Uninsured.

Poll: Many Think Justices’ Ideologies Will Affect High Court’s Health Law Decision

According to a Kaiser Family Foundation January tracking poll, a majority of Americans believe the Supreme Court’s health law ruling will result from the justices’ own ideology rather than legal analysis. The poll also found that the public believes the uninsured will benefit most from the overhaul. 

Politico Pro: Public Thinks Ideology Will Drive ACA Ruling
The American public has little faith that partisan politics can be put aside when the Supreme Court decides on the Affordable Care Act this year, a new survey finds. Seventy-five percent said they think ideological beliefs influence decisions made by the Supreme Court justices, while just 17 percent think pure, nonpartisan legal analysis drives their decisions, according to the January Kaiser Health Tracking Poll. Further, 60 percent believe the justices will inject personal politics into their decision on health care reform’s individual mandate, while 28 percent said politics won’t factor into their decision on the provision (Millman, 1/26).

Kaiser Health News: Majority Of Americans Think Ideology Will Affect High Court’s Ruling On Health Law
With the Supreme Court just two months away from hearing a historic legal challenge to the 2010 health law, nearly 60 percent of the public expects the justices to depend more on personal ideology than a legal analysis of the individual mandate, according to the Kaiser Family Foundation’s January health tracking poll (Carey, 1/26).

Modern Healthcare: Most People Believe Reform Law Will Help Uninsured The Most: Poll
The public believes the uninsured will benefit the most from the 2010 federal healthcare overhaul, while physicians will suffer its most detrimental impacts, according to a recent public poll by the Kaiser Family Foundation. The monthly Kaiser Health Tracking Poll released Thursday found 53% expected the law to benefit people without insurance, while 25% expected it to leave them worse off (Daly, 1/26).

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Posted in Uninsured.

State Roundup: Uninsured Not The Usual Suspects In Texas, Calif.

A selection of health care news from Texas, California, New York, Maine, Maryland, Georgia and Virginia.

Texas Tribune: Interactive: Who Are The Uninsured In Texas?
Nearly a quarter of the Texas population lacked health insurance in 2010, according to the most recent data released by the American Community Survey, which the U.S. Census Bureau conducted. That’s more than 5.7 million Texans. … More than half of the uninsured are employed. More than a third have an annual household income above $50,000 (Aaronson, 1/26).

Texas Tribune (Video): Texas Tribune Weekend Insider, January 26, 2012
Until courts can hash out the state’s abortion sonogram law, Texas must begin enforcing the new regulations. Emily Ramshaw explains how family planning clinics are complying (Dehn and Ramshaw, 1/26). 

KQED’s State Of Health blog: Without Individual Mandate, Fewer Californians with Health Insurance
In a new study, researchers at the UCLA Center for Health Policy Research and UC Berkeley crunched the numbers and determined that without the individual mandate, more than one million Californians would put off buying health insurance (Aliferis, 1/26).

New York Times/The Bay Citizen: Nursing Home Investigation Finds Errors By Druggists
Pharmacists responsible for reviewing the medication of patients in California nursing homes routinely allowed inappropriate and potentially lethal prescriptions of antipsychotic medications, and failed to correct other potentially dangerous drug irregularities, according to recent state investigations (Udesky, 1/27).

California Healthline: L.A. Senior Advocates Stand Up To Budget Cuts
L.A. County’s low-income, at-risk seniors who are trying to stay in their homes rather than live in institutions must rely on a system of publicly supported programs that the UCLA Center for Health Policy Research has called ”fragmented” and “often uncoordinated.” If Medi-Cal eligible seniors enter nursing homes or arrive at emergency departments and hospitals, taxpayers still foot the bill. And that bill is projected to increase, particularly as services to keep seniors at home decrease (Stephens, 1/26).

The Washington Post: Virginia To Transform System Of Caring For Developmentally Disabled
Virginia will close all but one of its large institutions for the developmentally disabled and move thousands of people into their own homes, their family’s homes or group homes as part of a 10-year, $2.1 billion settlement announced Thursday with the U.S. Justice Department. … Virginia is one of the few states that still place people with developmental disabilities in large institutions (Kumar, 1/26).

The Baltimore Sun: Johns Hopkins Unveils New Hospital
At the new $1.1 billion Johns Hopkins Hospital there will be Xboxes and a basketball court for kids, sleeper-sofas for families, single rooms for all patients, an improved dining menu and extensive soundproofing. It’s part of an effort to make the hospital experience more patient-focused, Hopkins officials said Thursday on the first tour given to the news media since construction began five years ago on the 1.6 million-square-foot building, which will replace aging facilities on the East Baltimore medical campus (Cohn, 1/26).

Minneapolis Star Tribune: Health Beat: Retail Clinics Aren’t Just An Rx Fad
MinuteClinic — a darling of health care reform when it introduced retail clinics a decade ago — is running strong despite retailers and family doctors copying its storefront brand of care. A new market report found that MinuteClinic still is the nation’s top provider of retail clinics with 549 in operation (Olson, 1/26).

Georgia Health News: State Discusses Ideas On New Medicaid Design
David Cook, commissioner of the Department of Community Health, told reporters in a media briefing that while people often have a negative impression of managed care, they generally agree with its principles of coordinating a patient’s treatment. The Georgia Hospital Association recently criticized the state’s current HMO-like set-up. It called instead for a Medicaid system similar to North Carolina’s “patient home” model, which is run by physicians, not insurers (Miller, 1/26). 

Bangor Daily News: Bill Seeks To Limit Higher Prices For Specialty Drugs
In an effort to control spending, some insurers are passing along more costs for expensive drugs to consumers and employers. … A bill sponsored by Rep. Stacey Fitts, R-Pittsfield, would prevent private insurers from charging Maine consumers more for specialty drugs than for other medications. The bill, LD 1691, would not apply to government-subsidized plans or self-funded health insurance used by some employers (Farwell, 1/26).

Modern Healthcare: N.Y. Hospital To Settle False Claims Charges
Cayuga Medical Center, a 209-bed hospital in Ithaca, N.Y., will pay about $3.6 million to settle False Claims Act allegations with the U.S. attorney general in New York. The attorney general’s office alleges that the hospital had “improper physician recruitment agreements” with some referring physicians, and then submitted those false claims to Medicare and Medicaid from July 2004 to December 2006 (Lee, 1/26).

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Posted in Uninsured.

Hospitals asking for payment upfront: generally ok with me

Hospitals in Northern New Jersey (and no doubt elsewhere) are a lot more likely these days to collect patient payments upfront rather than waiting to bill and collect later. Although it sounds a bit cold-hearted, it’s not a bad idea if done properly. In particular if a hospital can determine upfront what a patient’s co-pay or deductible is, it’s reasonable to try to collect it when the patient is there. That avoids the substantial costs of collection and dramatically boosts the percentage of patients who pay. In theory it may also lower the rates a hospital can accept from insurance companies, which ultimately could translate to lower premiums when there is less cost shifting from those who don’t pay to those who do.

As I write this I’m well aware of the problems such a policy can cause including deterring people from needed care, increasing anxiety at a time of heightened stress, delaying clinical triage, and getting the amounts owed wrong. The biggest issue is the first one –for example even an insured patient may not have the $1000 or $2000 co-payment or deductible on hand. But that also shouldn’t necessarily be the hospital’s problem. Rather that’s an issue for the plan sponsor (often an employer), state or federal policy.

I do worry about big institutions such as hospitals acting inappropriately aggressively toward patients, but this problem already exists with post-treatment payments. If anything, taking care of the bill up front may reduce the interest and fees that can pile up, especially when a collection agency gets involved.

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Posted in healthcare bill, Reform.

Hospitals asking for payment upfront: generally ok with me

Hospitals in Northern New Jersey (and no doubt elsewhere) are a lot more likely these days to collect patient payments upfront rather than waiting to bill and collect later. Although it sounds a bit cold-hearted, it’s not a bad idea if done properly. In particular if a hospital can determine upfront what a patient’s co-pay or deductible is, it’s reasonable to try to collect it when the patient is there. That avoids the substantial costs of collection and dramatically boosts the percentage of patients who pay. In theory it may also lower the rates a hospital can accept from insurance companies, which ultimately could translate to lower premiums when there is less cost shifting from those who don’t pay to those who do.

As I write this I’m well aware of the problems such a policy can cause including deterring people from needed care, increasing anxiety at a time of heightened stress, delaying clinical triage, and getting the amounts owed wrong. The biggest issue is the first one –for example even an insured patient may not have the $1000 or $2000 co-payment or deductible on hand. But that also shouldn’t necessarily be the hospital’s problem. Rather that’s an issue for the plan sponsor (often an employer), state or federal policy.

I do worry about big institutions such as hospitals acting inappropriately aggressively toward patients, but this problem already exists with post-treatment payments. If anything, taking care of the bill up front may reduce the interest and fees that can pile up, especially when a collection agency gets involved.

Share


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Posted in healthcare bill, Reform.

Hospitals asking for payment upfront: generally ok with me

Hospitals in Northern New Jersey (and no doubt elsewhere) are a lot more likely these days to collect patient payments upfront rather than waiting to bill and collect later. Although it sounds a bit cold-hearted, it’s not a bad idea if done properly. In particular if a hospital can determine upfront what a patient’s co-pay or deductible is, it’s reasonable to try to collect it when the patient is there. That avoids the substantial costs of collection and dramatically boosts the percentage of patients who pay. In theory it may also lower the rates a hospital can accept from insurance companies, which ultimately could translate to lower premiums when there is less cost shifting from those who don’t pay to those who do.

As I write this I’m well aware of the problems such a policy can cause including deterring people from needed care, increasing anxiety at a time of heightened stress, delaying clinical triage, and getting the amounts owed wrong. The biggest issue is the first one –for example even an insured patient may not have the $1000 or $2000 co-payment or deductible on hand. But that also shouldn’t necessarily be the hospital’s problem. Rather that’s an issue for the plan sponsor (often an employer), state or federal policy.

I do worry about big institutions such as hospitals acting inappropriately aggressively toward patients, but this problem already exists with post-treatment payments. If anything, taking care of the bill up front may reduce the interest and fees that can pile up, especially when a collection agency gets involved.

Share


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Posted in healthcare bill, Reform.

Massachusetts Health Reforms: Uninsurance Remains Low, Self-Reported Health Status Improves As State Prepares To Tackle Costs [Web First]

The Massachusetts health reform initiative enacted into law in 2006 continued to fare well in 2010, with uninsurance rates remaining quite low and employer-sponsored insurance still strong. Access to health care also remained strong, and first-time reductions in emergency department visits and hospital inpatient stays suggested improvements in the effectiveness of health care delivery in the state. There were also improvements in self-reported health status. The affordability of health care, however, remains an issue for many people, as the state, like the nation, continues to struggle with the problem of rising health care costs. And although nearly two-thirds of adults continue to support reform, among nonsupporters there has been a marked shift from a neutral position toward opposition (17.0 percent opposed to reform in 2006 compared with 26.9 percent in 2010). Taken together, Massachusetts’s experience under the 2006 reform initiative, which became the template for the structure of the Affordable Care Act, highlights the potential gains and the challenges the nation now faces under federal health reform.

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Posted in healthcare bill, Reform.

Massachusetts Health Reforms: Uninsurance Remains Low, Self-Reported Health Status Improves As State Prepares To Tackle Costs [Web First]

The Massachusetts health reform initiative enacted into law in 2006 continued to fare well in 2010, with uninsurance rates remaining quite low and employer-sponsored insurance still strong. Access to health care also remained strong, and first-time reductions in emergency department visits and hospital inpatient stays suggested improvements in the effectiveness of health care delivery in the state. There were also improvements in self-reported health status. The affordability of health care, however, remains an issue for many people, as the state, like the nation, continues to struggle with the problem of rising health care costs. And although nearly two-thirds of adults continue to support reform, among nonsupporters there has been a marked shift from a neutral position toward opposition (17.0 percent opposed to reform in 2006 compared with 26.9 percent in 2010). Taken together, Massachusetts’s experience under the 2006 reform initiative, which became the template for the structure of the Affordable Care Act, highlights the potential gains and the challenges the nation now faces under federal health reform.

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Posted in healthcare bill, Reform.

Massachusetts Health Reforms: Uninsurance Remains Low, Self-Reported Health Status Improves As State Prepares To Tackle Costs [Web First]

The Massachusetts health reform initiative enacted into law in 2006 continued to fare well in 2010, with uninsurance rates remaining quite low and employer-sponsored insurance still strong. Access to health care also remained strong, and first-time reductions in emergency department visits and hospital inpatient stays suggested improvements in the effectiveness of health care delivery in the state. There were also improvements in self-reported health status. The affordability of health care, however, remains an issue for many people, as the state, like the nation, continues to struggle with the problem of rising health care costs. And although nearly two-thirds of adults continue to support reform, among nonsupporters there has been a marked shift from a neutral position toward opposition (17.0 percent opposed to reform in 2006 compared with 26.9 percent in 2010). Taken together, Massachusetts’s experience under the 2006 reform initiative, which became the template for the structure of the Affordable Care Act, highlights the potential gains and the challenges the nation now faces under federal health reform.

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Posted in healthcare bill, Reform.

Care for Seniors Saps WellPoint Profit

WellPoint Inc.’s profit fell 39% as high medical costs for seniors continued taking a toll, bucking a trend of generally light costs seen elsewhere in the managed-care sector.
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Posted in healthcare bill, Reform.