Month: October 2011

Long-Term Care Gets the Ax

By Louise Radnofsky, The Wall Street Journal

The Obama administration said Friday it wouldn’t implement a long-term care insurance program that is part of the 2010 health overhaul, its first major reversal on its signature domestic achievement.

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Medicare Part D Doughnut Hole Chart

The Affordable Care Act, also known as health reform, closes the Part D doughnut hole—the gap in drug coverage during which people with Medicare must pay the full cost of their prescriptions out of pocket. Health reform phases out the doughnut hole by decreasing the beneficiary’s share of drug costs during the doughnut hole until it reaches 25 percent in 2020 for both brand-name and generic drugs. However, the phase-out works differently for brand-name and generic drugs. The charts illustrate how much the beneficiary will pay during the doughnut hole for both brandname and generic drugs through 2020, when the phase-out will be complete.

Click here to see the charts

GOP Presidential Hopefuls: Where They Stand On Health Care

Compiled by Marilyn Werber Serafini, Stephanie Stapleton, Lexie Verdon, Shefali Kulkarni, Jessica Marcy, Juan Gastelum and Karl Eisenhower, Kaiser Health News

At first glance, Rep. Michele Bachmann of Minnesota, businessman Herman Cain, former Utah Gov. John Huntsman, Rep. Ron Paul and Gov. Rick Perry, both from Texas, former Mass. Gov. Mitt Romney, and former Pennsylvania Sen. Rick Santorum seem virtually identical in their health policy platforms. They are unanimously opposed to last year’s health law, favor reducing federal investment in Medicare and expanding state flexibility in managing Medicaid.

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Panel Says U.S. Should Weigh Cost in Deciding ‘Essential Health Benefits’

By Robert Pear, The New York Times

WASHINGTON — The National Academy of Sciences said Thursday that the federal government should explicitly consider cost as a factor in deciding what health benefits must be provided by insurance plans under President Obama’s health care overhaul, and it said the cost of any new benefits should be “offset by savings” elsewhere in the health care system.

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Surgery Rate Late in Life Surprises Researchers

By Gina Kolata, The New York Times

Surgery is surprisingly common in older people during the last year, month and even week of life, researchers reported Wednesday, a finding that is likely to stoke, but not resolve, the debate over whether medical care is overused and needlessly driving up medical costs.

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Report on Medicare Cites Prescription Drug Abuse

By Robert Pear, The New York Times

WASHINGTON — Medicare is subsidizing drug abuse by thousands of beneficiaries who shop around for doctors and fill prescriptions for huge quantities of painkillers and other narcotics far exceeding what any patient could safely use, Congressional investigators say in a new report.

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Pre-existing Conditions Exclusions

When HealthCare Reform goes into full effect starting January 1, 2014 no healthplan, either sold privately or through the …

Health Insurance Exchange Markets: What You Need To Know

By Susan E. Matthews, Everyday Health Staff Writer MONDAY, September 30, 2013 — Congress may still be debating particulars …

Important healthcare benefit information for federal employees

  Federal Employee Health Benefits and Healthcare Reform As it stands today only those federal employees who are members …