Affordable Care Act

Should Smokers Pay More for Health Insurance?

Mar 6, 2013

Under the Affordable Care Act, health insurers will be able to charge smokers up to 50% more than non-smokers for health insurance. Fair or not, a Politico article points out how difficult that policy might be to enforce - and not simply because smokers could lie. For instance:

The Affordable Care Act (ACA) is one of the biggest things to hit health care in decades. And you might already have started to feel its effects on your own health care - from no-cost preventative services to the ability to keep kids on your health insurance plan longer.

Deloitte to build RI's health insurance exchange

Jan 24, 2013

Rhode Island has selected Deloitte Consulting to build its online health insurance exchange. It’s the next step in the state’s effort to get the exchange up and running by October.

Interesting story from the American Medical Association’s news wire today about the growing number of medical students who are opting to pursue careers in family medicine. Students matched with family medicine residencies are up 14%this year from 2008, the writer reports (based on information from the national residency matching program).

RI submits health insurance exchange “blueprint”

Dec 13, 2012

The Ocean State has sent the federal government – ahead of schedule – what it’s calling a “blueprint” for the state’s health benefits exchange. The blueprint is a collection of draft documents, the exchange’s creators say, that reflect the state’s best thinking to-date on how the exchange should work. Its submission is a key milestone for states developing their own exchanges.

We’re checking in on our Future Docs Sarah and Peter, whom we’re following all year to learn more about becoming a doctor in today’s changing health care landscape. They’re half way through their second year of medical school now, and they’re already grappling with career decisions and the realities of a hospital’s sickest patients.

Round-up of post-election coverage on Obamacare

Nov 8, 2012

There have been lots of great stories in the last day or so about what President Obama’s reelection means for health care reform under the Affordable Care Act – otherwise known as Obamacare. A few of my favorites are linked below.

A new study in the journal Academic Medicine provides one of the first looks at a program created by the Affordable Care Act in 2010 to train more primary care doctors. It’s a pretty different model than the traditional one, where the government, through Medicare, makes payments to teaching hospitals to help fund graduate medical education (like a residency program for doctors-in-training).

Health benefits exchanges in the spotlight…literally

Sep 17, 2012

States that have chosen to make their own online marketplaces for health insurance are moving ahead, some more quickly than others. And there’s no time to lose: these exchanges have to come online in 2014, under the Affordable Care Act timeline. (Here’s an update on where states are with their exchanges.)

Affording end of life and long term care

Sep 10, 2012

A new study in the Journal of General Internal Medicine finds that nearly a quarter of Medicare recipients spend more than their total household assets on out-of-pocket health care costs in the last five years of their lives. That’s in co-payments, home health care, things Medicare doesn’t cover.

Focus on Safety-Net Hospitals

Aug 6, 2012

There’s an interesting new issue out of the journal Health Affairs about the many challenges facing the nation’s “safety net” health care providers (such as big urban hospitals and others providing a  lot of so-called “uncompensated care.”). But, according to the issue’s editor, there are other stories, too:

“Meanwhile, other articles in this issue delineate the great strides that many safety-net providers have made in system integration and care coordination—in essence, preparing themselves to be leaders in delivering care and managing population health.”

CBO Estimates Health Reform Will Cost Less Than Thought

Jul 24, 2012

The Congressional Budget Office and the Joint Committee on Taxation have just released new estimates of what President Obama’s Affordable Care Act will cost, and the numbers are less than previously thought. From the CBO Director’s Blog:

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