News & Events

  • The Affordable Care Act introduced numerous reforms aimed at helping small businesses provide health benefits for their employees—and it’s poised to take those reforms a step further next year by expanding the definition of small group to include mid-sized employers.

  • This webinar explored health plan strategies for improving pediatric preventive care by promoting Bright Futures guidelines through provider networks and directly to members.

  • We’ve all heard about the eye-popping price tags: cancer drugs that cost $14,000 a month, new hepatitis C drugs pegged at $84,000 for a course of treatment.

  • Each year millions of children miss screenings, immunizations and well visits despite the lifelong benefits of preventive care in childhood. The Affordable Care Act expands coverage of all preventive services recommended by the American Academy of Pediatrics in the Bright Futures guidelines.

  • Blue Cross Blue Shield of Massachusetts Foundation has published a report evaluating the evidence base for interventions to address the social determinants of health.

  • The emergence of new online tools—built by journalists, for journalists—has made it easier than ever to visualize health care data. With the power to build charts comes the responsibility to portray information accurately and in a way that enhances the story for your readers.

NIHCM

In anticipation of the Supreme Court ruling on the ACA, NIHCM Foundation is re-releasing a 2011 Expert Voices essay that describes the adverse selection death spiral that could result if the individual mandate is struck down and severed from the rest of the reform law.

Community Rating and Guaranteed Issue in the Individual Health Insurance Market by Dr. Anthony Lo Sasso examines data from states that adopted community rating and guaranteed issue requirements without mechanisms to keep lower risk individuals in the insurance risk pools. His analysis shows the adverse selection that arises in these circumstances, and he explains how this adverse selection can raise premiums, destabilize markets and even lead to market failure. Read more...

 
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