Monday, April 8, 2013

Featured Report:Most individual plans missing reform's essential benefits



This Week's Healthcare Online News
The Washington Post
Tens of thousands could be kicked off Medicaid in historically generous states
Apr,06,2013
by+ N.C. Aizenman

At a time when most states are preparing to expand their Medicaid programs in line with the new health-care law, tens of thousands of people in states with historically generous Medicaid coverage could soon be kicked off the rolls.
In Wisconsin, officials want to to take advantage of the law to shift nearly 100,000 low-income people from the health insurance program for the poor into subsidized private plans.
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Med City News
Advocates say feds not spending enough on promoting federal insurance exchanges
Apr,07,2013
by:+Jenny Gold

When President Lyndon B. Johnson wanted to enroll seniors for the new Medicare program he had just signed into law, the story goes that his administration sent out workers on dog sleds to reach people in the remote Alaskan tundra.
"The Forest Service even had rangers looking for hermits in the woods," recalled the late Robert Ball, Johnson’s Social Security commissioner, in a documentary on Medicare’s 40th anniversary.
The plan to insure as many as 27 million Americans under the federal health law beginning this fall will be the biggest expansion of health coverage since that launch. Millions will be eligible to shop for insurance in the new online marketplaces, which open for enrollment Oct. 1 with the coverage taking effect Jan. 1.
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Fierce Health Payer
Most individual plans missing reform's essential benefits
Apr,5,2013
By:+Dina Overland

Most of the individual health plans that insurers sell don't meet reform law standards that go into effect next year, according to a study published in the journal Health Affairs. The gap in coverage comes from essential health benefits, including maternity care, and mental health and substance abuse services, that insurers must provide starting next year. The new individual plans "will offer a lot more financial protection," lead author Jon Gabel told CNN Money. "Combined with a ban on medical underwriting, the individual insurance market in a post-health reform world will sharply contrast with the market of past decades," the study states.
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Fierce EMR
Barriers impede provider use, endorsement of PHRs
Apr,05,2013
by:+Marla Durben Hirsch

The low adoption rate of personal health records by consumers may be caused in part by problems that providers are having with the systems, according to a new study published in the Journal of Medical Internet Research.
PHRs provide a benefit to providers, as well as to patients, in the "ecosystem," and provider endorsement of PHRs may be an important factor in patients' use of PHRs and of positive patient outcomes. The researchers, from the Veteran's Administration, sought to determine how providers' experiences with PHRs related to patient use. They conducted extensive interviews with 30 providers using the My HealtheVet PHR and secure messaging system.
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