Health Law Workshop: Rachel Sachs

Monday, April 13, 2015 5:00 PM
Health Law Workshops
2014-2015
Griswold Hall, Room 110
1525 Massachusetts Ave., Cambridge, MA

Presentation Title: "Prescription Drug Reimbursement as Innovation Incentive" Rachel Sachs is an Academic Fellow at the Petrie-Flom Center. She earned her…

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Health Law Workshop: Leemore Dafny

Monday, November 10, 2014 5:00 PM
Health Law Workshops
2014-2015
Griswold Hall, Room 110
1525 Massachusetts Ave., Cambridge, MA

Download the Presentation Topic Paper: "More Insurers Lower Premiums: Evidence from Initial Pricing in the Health Insurance Marketplaces" (co-authors, Jonathan Gruber…

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Medical Costs Up to 20% Higher at Hospital-Owned Physician Groups, Study Finds

Los Angeles Times, October 22, 2014
by Chad Terhune

Raising fresh questions about healthcare consolidation, a new study shows hospital ownership of physician groups in California led to 10% to 20% higher costs overall for patient care. The UC…

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How Medicare ‘Self-Referral’ Thrives on Loophole

Wall Street Journal, October 22, 2014
by John Carreyrou and Janet Adamy

Self-referral has become common practice among many U.S. physician groups, which refer anything from lab services to MRIs to entities from which they benefit financially. That wasn’t the intention of…

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More Insurers Put Spending Limits on Medical Treatments

NPR, October 21, 2014
by Michelle Andrews

To clamp down on health care costs, a growing number of employers and insurers are putting limits on how much they'll pay for certain medical services such as knee replacements,…

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Prisons Balk at Sovaldi’s $84,000 Cost for Hepatitis C Treatment

San Francisco Chronicle, October 20, 2014
by Stephanie M. Lee and Joe Garofoli

In San Francisco’s jails, no inmates with hepatitis C are receiving Sovaldi, the breakthrough pill that can cure most patients in an unprecedented amount of time. In California’s prisons, the…

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Obamacare and the Midterms

The Economist, October 18, 2014

"My insurance was cancelled because of Obamacare. Now the out-of-pocket costs are so high, it’s unaffordable,” said Julie Boonstra, a cancer patient, in an ad attacking Gary Peters, a Democrat…

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The Biggest Backlog in the Federal Government

Washington Post, October 18, 2014
by David A. Fahrenthold

In an obscure corner of the federal bureaucracy, there is an office that is 990,399 cases behind. That is Washington’s backlog of backlogs — a queue of waiting Americans larger…

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What About Ebola’s Impact on Insurers?

CBS, October 14, 2014
by Bruce Kennedy

Along with all the concerns regarding the ongoing Ebola epidemic, here's one many people probably haven't considered: What about health care and life insurance costs if the disease were to…

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Will ‘Son of Sovaldi’ Cause State Medicaid Programs to Erect High Hurdles?

Wall Street Journal, October 13, 2014
by Ed Silverman

How might state Medicaid programs cope with a new and equally expensive hepatitis C treatment from Gilead Sciences? A new report released just as the FDA late last week approved Harvoni,…

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A Benefit For Rural Vets: Getting Health Care Close To Home

NPR, October 13, 2014
by Quil Lawrence

[...] To make it easier for vets to get care, the VA started a program called Access Received Closer to Home, or ARCH. A trial program began three years ago in…

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Got Insurance? You Still May Pay A Steep Price For Prescriptions

Kaiser Health News, October 13, 2014
by Julie Appleby

[...] Even with insurance, some patients are struggling to pay for prescription drugs for conditions such as cancer, arthritis, multiple sclerosis or HIV/AIDS, as insurers and employers shift more of…

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U.S. Finds Many Failures in Medicare Health Plans

New York Times, October 12, 2014
by Robert Pear

Federal officials say they have repeatedly criticized, and in many cases penalized, Medicare health plans for serious deficiencies, including the improper rejection of claims for medical services and unjustified limits on coverage…

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Price Tags on Health Care?

Kaiser Health News, October 9, 2014
by Martha Bebinger

Without much fanfare, Massachusetts launched a new era of health care shopping last week. Anyone with private health insurance in the state can now go to his or her health insurer’s…

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Why Americans are Drowning in Medical Debt

The Atlantic, October 8, 2014
by Olga Khazan

After his recent herniated-disk surgery, Peter Drier was ready for the $56,000 hospital charge, the $4,300 anesthesiologist bill, and the $133,000 fee for orthopedist. All were either in-network under his insurance or…

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Federal Officials Unveil Streamlined Marketplace Website

Kaiser Health News, October 8, 2014
by Julie Appleby

Consumers using the federal healthcare.gov website when open enrollment begins next month should expect a faster website with a shorter application form and features making it easier to use on…

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Wal-Mart Adds In-Store Program to Help Customers Compare Insurance Offerings

Washington Post, October 6, 2014
by Sarah Halzack

Wal-Mart announced Monday that it will dive deeper into the health-care market, unveiling an initiative to allow customers to compare and enroll in health insurance plans in thousands of its…

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The Cost of Cancer Drugs

60 Minutes, October 5, 2014
by Lesley Stahl

Cancer is so pervasive that it touches virtually every family in this country. More than one out of three Americans will be diagnosed with some form of it in their…

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Costs Can Go Up Fast When E.R. Is in Network but the Doctors Are Not

New York Times, September 28, 2014
by Elizabeth Rosenthal

[...] Patients have no choice about which physician they see when they go to an emergency room, even if they have the presence of mind to visit a hospital that…

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Fighting to Honor a Father’s Last Wish: To Die at Home

New York Times, September 25, 2014
by Nina Bernstein

[...] While Joseph Andrey’s daughter battled the health care system, a national panel appointed by the federally funded Institute of Medicine was preparing a sweeping critique of how the system handles just…

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HHS: Health Law Brings Down Hospitals’ Uncompensated Care Costs

Kaiser Health News, September 25, 2014

As part of a report released Wednesday, Obama administration officials cited evidence that hospitals are projected to save $5.7 billion in uncompensated care costs as previously uninsured patients gain coverage through the health law. The…

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Obamacare’s Small Business Exchanges Offer Cheaper Health Coverage, Study Shows

Washington Post, September 24, 2014
by J.D. Harrison

During the lead-up to the rollout of the health care law a year ago, President Obama was adamant that new insurance marketplaces for small businesses would provide a start-to-finish online…

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Avoid the Rush! Some ERs Are Now Taking Appointments

NPR, September 23, 2014
by Anna Gorman

[...] Hospitals around the country are competing for newly-insured patients, and one way to increase patient satisfaction, they figure, might be to reduce the frustratingly long wait times in the…

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Terminally Ill, But Constantly Hospitalized

NPR, September 21, 2014
by Fred Mogul

[...] "New York City continues to lag in serious ways with regards to providing patients with the environment that they want at the end of life," says Dr. David Goodman, who…

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How Catholic Insurance Companies Outsource Contraceptive Coverage

NPR, September 17, 2014
by Julie Rovner

Catholic and other religious hospitals and universities have been arguing in federal court for much of the past two years that they shouldn't have to offer or facilitate birth control…

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A New Way Insurers are Shifting Costs to the Sick

ProPublica, September 17, 2014
by Charles Ornstein

Health insurance companies are no longer allowed to turn away patients because of their pre-existing conditions or charge them more because of those conditions. But some health policy experts say…

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Health Law’s Election Impact is Dimming

Wall Street Journal, September 16, 2014
by Beth Reinhard and Laura Meckler

Though Republicans continue to hammer away at the Affordable Care Act, the health-insurance law is losing some of its punch in the 2014 campaign. Polls show that voters don't see…

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No Time To See The Doctor? Try A Virtual Visit

Kaiser Health News, September 16, 2014
by Anna Gorman

Patients looking for convenient medical appointments can now see UCLA Health System doctors using their cell phones, computers or tablets. It’s part of an ongoing effort at UCLA and elsewhere…

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Fate of Children’s Insurance Program Is Called Into Question at Senate Hearing

New York Times, September 16, 2014
by Abby Goodnough

A Senate hearing on Tuesday set the stage for a coming debate over whether the federal government should continue financing a popular health insurance program for lower-income children who are…

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Health Law Workshop: Anup Malani

Monday, September 15, 2014 5:00 PM
Health Law Workshops
2014-2015
Griswold Hall, Room 110
1525 Massachusetts Ave., Cambridge, MA

Download the Paper: "The Insurance Value of Medical Innovation" Anup Malani is the Lee and Brena Freeman Professor at the University…

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Subsidy Formula Makes Some Policies Costlier for the Young

Philadelphia Inquirer , September 14, 2014
by Robert Calandra

Young adults are paying as much or more in premiums for the cheapest bronze plans purchased on the Affordable Care Act marketplace as people ages 54 to 64, according to…

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Flaw In Federal Software Lets Employers Offer Plans Without Hospital Benefits, Consultants Say

Kaiser Health News, September 12, 2014
by Jay Hancock

A flaw in the federal calculator for certifying that insurance meets the health law’s toughest standard is leading dozens of large employers to offer plans that lack basic benefits such…

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Measuring the Impact of States’ Obamacare Decisions

Washington Post, September 11, 2014
by Jason Millman

The early story of the Affordable Care Act can be challenging to generalize sometimes because so much of it depends on decisions made at the state level — both before…

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Obamacare Has Reduced the Uninsured Rate for Virtually Everyone - Except Kids

Washington Post, September 9, 2014
by Jason Millman

By now, the evidence seems pretty clear that Obamacare has reduced the ranks of the uninsured across virtually every demographic since the start of the law's coverage expansion in January. Except for…

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Rural Enrollment Presents Continuing Health Law Challenges

Kaiser Health News, September 8, 2014
by Shefali Luthra

[...] Americans living in rural areas will be a key target as states and nonprofit groups strategize how to enroll more people in health law insurance plans this fall. Though…

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Health Law Gets Reprieve As Appeals Court Agrees To Rehear Key Case

NPR, September 4, 2014
by Julie Rovner

The controversial federal court decision that threatened the future of the Affordable Care Act is no more. The full District of Columbia Court of Appeals Thursday agreed to rehear Halbig v.…

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Will Textualism Kill Obamacare?

The New Yorker, September 3, 2014
by Jeffrey Toobin

The Affordable Care Act is heading for another near-death experience in the Supreme Court. In July, a divided panel of the U.S. Court of Appeals for the D.C. Circuit issued…

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CVS Stores Stop Selling All Tobacco Products

New York Times, September 3, 2014
by Rachel Abrams

[...] The rebranding even comes with a new name: CVS Health. The decision to stop selling cigarettes is a strategic move as pharmacies across the country jockey for a piece…

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Doctors Are Shifting Their Business Models

Los Angeles Times, August 31, 2014
by Lisa Zamosky

[...] Being a doctor in private practice today is more complicated than it used to be, with growing financial pressures, more government regulation, greater oversight by insurers, rapid developments in…

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Expansion of Mental Health Care Hits Obstacles

New York Times, August 28, 2014
by Abby Goodnough

[...] The Affordable Care Act has paved the way for a vast expansion of mental health coverage in America, providing access for millions of people who were previously uninsured or…

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The Obscure Part of Obamacare That Takes On Executive Pay

Washington Post, August 27, 2014
by Jason Millman

We all know Obamacare is a pretty big law, with plenty of obscure provisions that don't get much attention. For one, the law targets big executive pay packages at health…

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New Head of Healthcare.gov is Connecticut’s Counihan

Kaiser Health News, August 26, 2014
by Jeff Cohen

Kevin Counihan, the head of Connecticut's health insurance marketplace, will be the new CEO of healthcare.gov, the website that 36 states use to sell insurance under the Affordable Care Act,…

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Federal Officials Order Medicaid to Cover Autism Services

Kaiser Health News, August 26, 2014
by Michelle Andrews

[...] In July, the Centers for Medicare & Medicaid Services announced that comprehensive autism services must be covered for children under all state Medicaid and Children’s Health Insurance Program plans, another federal-state program…

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With Coverage Through Obamacare, Transgender Woman Opts for Surgery

Kaiser Health News, August 25, 2014
by Anna Gorman

Among the less-talked-about implications of the Affordable Care Act is the relief it is providing to many transgender people, many of whom are low-income and who have struggled to obtain…

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Administration Offers New Tweak to Birth Control Rule

Washington Post, August 22, 2014
by Jason Millman

The Obama administration, still facing legal challenges to its requirement that employer health plans provide no-cost birth control to female employees, outlined a new policy Friday to ensure that female…

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Medicare to Start Paying Doctors Who Coordinate Needs of Chronically Ill Patients

New York Times, August 16, 2014
by Robert Pear

In a policy change, the Obama administration is planning to pay doctors to coordinate the care of Medicare beneficiaries, amid growing evidence that patients with chronic illnesses suffer from disjointed, fragmented care.…

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Has Health Law Helped Young People Get Mental Health Treatment?

NPR, August 15, 2014
by Maanvi Singh

Mental health issues like depression, anxiety and substance abuse often start in adolescence, then peak in young adulthood. But for young people who don't have steady jobs or stable paychecks,…

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16% Of Large Employers Plan To Offer Low-Benefit ‘Skinny’ Plans Despite ACA: Survey

Kaiser Health News, August 13, 2014
by Jay Hancock

Nearly one company in six in a new survey from a major employer group plans to offer health coverage that doesn't meet the Affordable Care Act's requirements for value and…

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Over 300,000 Must Prove Eligibility or Lose Health Care

New York Times, August 12, 2014
by Abby Goodnough

WASHINGTON — More than 300,000 people who bought subsidized health insurance under the Affordable Care Act could lose it next month if they do not provide proof that they are living in…

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Washington’s $10 Billion Search For Health Care’s Next Big Ideas

Kaiser Health News, August 11, 2014
by Jay Hancock

The Affordable Care Act was supposed to mend what President Barack Obama called a broken health care system, but its best-known programs — online insurance and expanded Medicaid for the…

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