Health Care Delivery

Almost 6.5 million individuals using the federally facilitated Marketplace qualify for an average of $268 per person per month in advanced premium tax credits, according to a new report from HHS.

With a significant increase in their numbers on Capitol Hill, Republicans theoretically have more power to undo President Obama's healthcare overhaul, but they also have more responsibility for the results.

Sunday marked the beginning of the last week of open enrollment under the Affordable Care Act, and at last count, 9.9 million individuals had signed up for Marketplace covered, according to numbers from HHS.

A governor-appointed panel said expanding Medicaid via an alternative funding plan they developed would save Idaho $173 million over the next 10 years.

Medicaid expansion under the Affordable Care Act was dealt 2 swift blows in Republican-led states this week, first in Tennessee and again just a day later in Wyoming.

The National Association of Accountable Care Organizations has teamed up with physicians, hospitals, medical associations, and almost all Medicare Shared Savings Program accountable care organizations in the country to pen a 36-page letter to CMS.

Governor Bill Haslam's expansion plan had market-based elements, a way to cover the state's share, and a deal to leave early if it cost too much. But distrust of the federal government and the president in particular was too much to overcome.

Tennessee Gov Bill Haslam's plan to expand Medicaid under the Affordable Care Act died Wednesday in the state Senate after it was voted down by the Health and Welfare Committee.

In his blog post on FDAVoice, Peter Lurie MD, MPH, associate FDA commissioner for public health strategy and analysis, announced the introduction of a draft form and a draft guideline that can be used by a physician to request access to an experimental drug or biological product that is still under development.

The House passed a bill on Tuesday to repeal the Affordable Care Act for the first time in the new Congress, but Democrats appeared to show more zeal in defending the law than Republicans did in trying to get rid of it.

Supporters of the Affordable Care Act worry that the tax-filing season will generate new anger as uninsured consumers learn that they must pay tax penalties.

Although one of the central features of the Affordable Care Act was eliminating discrimination based on preexisting conditions, there is evidence insurers have found ways to dissuade high-cost patients from enrolling in their plans.

Lawmakers in Wyoming are working toward an agreement that would allow the state to accept hundreds of millions of federal dollars to expand the state's Medicaid program.

The Genetic Information Nondiscrimination Act (GINA) protects most consumers from losing health coverage or their job if they pursue genetic testing. But authors of a new article in The New England Journal of Medicine explore the implications of testing for life, disability and long-term care insurance.

Of the 944,000 people who could renew their coverage for 2015 through Covered California, the state's health insurance exchange, 94% stayed in the same plan that they were in last year.

Meeting enrollment goals for the Affordable Care Act proved the easy part for the HHS in 2015. The hard part will come March 4, 2015, when the US Supreme Court will hear a case that could eliminate financial subsidies for millions who signed up, putting their health coverage at risk.

The White House said a Republican lawsuit challenging its implementation of the 2010 healthcare law misunderstands the constitutional separation of powers and should be thrown out.

A new report by the Congressional Budget Office finds that, if left untouched, the Affordable Care Act is poised to become even more so.

Hospital leaders express the same concerns heard in Florida, Alabama, and elsewhere since the midterms: refusing to expand Medicaid to the working poor leaves thousands without coverage, and they still come to emergency rooms for routine care. The problem is, the Affordable Care Act assumed that expansion would be universal, and funds to care for the uninsured have dried up.

The launch of HealthCare.gov will likely always be remember for the numerous glitches and flaws that bogged down enrollment and the question of who is really to blame for the poor rollout remains.

More than one-third of silver plans offered on the federal health insurance Marketplace may be listing inaccurate or incomplete prescription drug cost-sharing information.

The proposed federal guidelines are currently open for feedback are calling for greater transparency with informed consent and CER, which might stifle innovation, according to some advocacy groups.

The Affordable Care Act's mandate to increase Medicaid reimbursement to primary care providers has improved access to care for Medicaid enrollees, according to analysis of early evidence published in the New England Journal of Medicine.

With a Republican House and Senate and a Democrat governor, Arkansas had a difficult time passing Medicaid expansion legislation, explained Joe Thompson, MD, former state surgeon general.

Newly elected Arkansas Gov Asa Hutchinson said he wants to continue the state's Medicaid expansion compromise through December 31, 2016, but he is keeping his options open for a new plan in the future.

A little-known side to the government's health insurance website is prompting renewed concerns about privacy, just as the White House is calling for stronger cybersecurity protections for consumers.

The founding mission of AJMC was to bring the best available and most relevant evidence regarding efficient clinical and managerial practice to a broad spectrum of healthcare stakeholders-a mission that remains unchanged to this day.

US healthcare executives say that despite repeated calls from Republican lawmakers for repeal of President Obama's healthcare law, the Affordable Care Act is too entrenched to be removed.

Obama administration officials have warned that ambitious experiments run by the health law's $10 billion innovation lab wouldn't always be successful. Now there is evidence their caution was well placed.

Covered California's leader says its decision is only fair to those insurers who took on the risk of a brand new marketplace in 2014. But the state's insurance commissioner says limiting choices is unfair to consumers.