News, Resources, and Events Tagged "Insurance"
Call for Papers: 2022 Jaharis Health Law Symposium, DePaul College of Law
The DePaul Journal of Health Care Law, Mary and Michael Jaharis Health Law Institute, and Center for Intellectual Property Law & Information Technology (CIPLIT®) are excited to…
Affordable Care Act Survives Latest Supreme Court Challenge
WASHINGTON — The Affordable Care Act on Thursday survived a third major challenge as the Supreme Court, on a 7-to-2 vote, turned aside the latest effort by Republicans to kill…
Inside the collapse of a disrupter: How Haven’s high hopes of redefining health care came to a crashing halt
The dissolution of Haven marks one of the most stunning collapses in modern health care history. The venture, led by Amazon, Berkshire Hathaway, and JPMorgan Chase, was heralded immediately as…
Video available now! Book Talk: Exposed: Why Our Health Insurance Is Incomplete and What Can Be Done about It
Online Viewing Check out the conversation on Twitter @PetrieFlom using #InsuranceExposed. Watch fully captioned video of the event. Event Description Reshaping health insurance is a divisive topic in American politics…
Insurers’ offers to cover COVID-19 treatment are expiring
If you need a COVID-19 test, that’s covered by insurance. It’s federal law. But when it comes to treatment, that’s another story. A lot…
No repeal, no replace
The promise to repeal and replace the Affordable Care Act, the sweeping health insurance law also known as Obamacare, regularly drew roars of approval at Trump campaign rallies. There was…
Stakes High For Democrats And Republicans In Bid To Rush ACA To Supreme Court
[...] The stakes could not be higher. Republicans, who originally rode their spirited criticism of President Barack Obama's signature health law to take control of Congress, suffered serious election defeats…
U.S. health system costs four times more to run than Canada’s single-payer system
In the United States, a legion of administrative healthcare workers and health insurance employees who play no direct role in providing patient care costs every American man, woman and child…
The Health 202: Obamacare is turning 10. But its cheerleaders are focused on the problems it didn't fix.
From the article: Christopher Robertson, a health law expert at the University of Arizona, told me he’d give the ACA “a solid B” because of its…
Judges Rule Individual Mandate Is Unconstitutional, But Kick Case Back To Lower Court For Review Of Severability
KHN Morning Briefing: Summaries of health policy coverage from major news organizations In a long-awaited decision, the Court of Appeals for the Fifth Circuit in New Orleans agreed with Judge…
ACA Insurers In The Supreme Court: Why Consumers Should Pay Attention
More than $12 billion is at stake for the nation's health insurers Tuesday when the Supreme Court hears a case involving the Affordable Care Act. For the federal government, the…
Exposed: Why Our Health Insurance Is Incomplete and What Can Be Done about It
A sharp exposé of the roots of the cost-exposure consensus in American health care that shows how the next wave of reform can secure real access and efficiency. The…
Is A Single Payer Health Care System Politically Feasible For The U.S.?
Even among those who agree that a single payer health care system in this country would be more efficient and cost effective, there's another debate. Is it politically feasible? …
Hospital Groups Sue to Block Price-Transparency Rule: Health-care providers say disclosure requirement pushed by Trump violates First Amendment
This article is behind a paywall. Harvard affiliates can access it via HOLLIS. Hospital groups sued to block a Trump administration rule forcing them to disclose secret rates, for the…
Optum To Provide More Than Half Of UnitedHealth’s 2020 Profits
[...] “With more than 50% of our earnings coming from Optum in 2020, it’s a good time to reflect on the accelerating impact diversification has had on the capacities of…
Health Law Workshop: Jacob T. Elberg: Corporate Health Care Enforcement at a Crossroads: Newly Available Data and the Need for Comprehensive False Claims Act Reform
Presentation Topic: "Corporate Health Care Enforcement at a Crossroads: Newly Available Data and the Need for Comprehensive False Claims Act Reform" About the Presenter Jacob T. Elberg is Associate Professor…
Judge temporarily blocks Trump order requiring would-be immigrants to prove they have health insurance
Immigration attorneys and health officials on Sunday said they still fear that a Trump administration order placing health insurance requirements on would-be immigrants will stymie family-based immigration and sow confusion…
Health Law Workshop: Nicholas Bagley: The ACA and Executive Power, Ten Years In
Presentation Topic: "The ACA and Executive Power, Ten Years In" The readings for this presentation are not available for download. About the Presenter Nicholas Bagley is Professor of Law at…
California To Make HIV Prevention Drugs Available Without A Prescription
California Gov. Gavin Newsom signed a bill on Monday that will make HIV-prevention drugs available without a prescription. It allows pharmacists to dispense both PrEP, or preexposure prophylaxis, and PEP,…
Trump administration plans to delay any changes if the ACA loses in court
If a federal appeals court invalidates the Affordable Care Act in the coming weeks, the Trump administration, which has consistently tried to overturn the law, might be expected to celebrate.…
Book Launch: Transparency in Health and Health Care in the United States
Description In June 2019, Cambridge University Press published Transparency in Health and Health Care in the United States. This volume, edited by Holly Fernandez Lynch, I. Glenn Cohen, Carmel Shachar, and…
Genetic testing, insurance discrimination and medical research: what the United States can learn from peer countries
From the abstract: While genetic testing may be the gateway to the future of medicine, it also poses challenges for individuals, especially in terms of differentiated treatments on the basis…
2019 Petrie-Flom Center Annual Conference: Consuming Genetics: Ethical and Legal Considerations of New Technologies
Couldn't join us for the conference? Join the conversation on Twitter with #DTCgenome! And check out many of our speakers' slide presentations and our "Consuming Genetics" blog symposium! The…
Providing Value and Redesigning Care for Serious Illness
Description The shift to value-based care presents opportunities to improve care delivery for advanced illness. This panel featured thought leaders who identified key challenges and shared their visions for a…
The Future of Health Care?: Medicaid Buy-In and State Trailblazing in Health Care
Learn more about the "State Medicaid Buy-In Tracker" map here. Description States can be laboratories of health reform. States like Massachusetts and Oregon expanded coverage during previous periods of federal…
Health as a Human Right, Medicare for All, and the Evolution of the American Health Care Debate
From the article: The United States famously does not have an explicit federal constitutional right to health. By contract, the “enjoyment of the highest attainable standard of health”…
Transparency in Health and Health Care in the United States
Read the full introduction online now! This edited volume stems from the Petrie-Flom Center’s 2017 annual conference, which brought together leading experts to reach better understandings of this health…
Health Law Workshop: Anya Prince
Presentation Topic: "Gene Therapy's Field of Dreams: If You Build It, Will We Pay?" This paper is not available for download. To request a copy in preparation for the…
An MD’s Take on Single-Payer Health Care
The ACA’s passage sparked a national dialogue about what type of health care works best for the United States. Having failed to repeal the ACA, the current administration…
Health Law Workshop: Zack Buck
Presentation Download the Presentation: "The Price of Universality: Sustainable Access and the Twilight of the ACA" About the Presenter Zack Buck specializes in health law, and his scholarship examines governmental…
Health Law Workshop: Matthew J. B. Lawrence
Presentation Download the Presentation: "The Social Consequences Problem in Health Insurance and How to Solve It" About the Presenter Matthew J. B. Lawrence is Assistant Professor of Law at Penn…
Drug Pricing Policy: HHS Introduces Step Therapy In Medicare Advantage
From the post: Last Tuesday, the Centers for Medicare and Medicaid Services (CMS) took its latest action in the area of drug pricing. CMS gave Medicare Advantage (MA) plans the…
The Trump admin has another pretty good, pretty modest plan to lower drug costs
From the article: “My concern is that once again, the administration’s rhetoric is out of step with its actual policy moves,” Sachs said. “The administration…
Here’s what’s behind the ads accusing Bob Hugin of ‘killing off cancer patients’
"They're resorting to tactics the FDA criticized. Under the guise of patient safety, this is really about preserving a monopoly position," said law professor Rachel Sachs, who teaches at…
Delinking Reimbursement
Introduction: Recently, scholars and policymakers on both sides of the aisle have become interested in the legal and regulatory structures surrounding pharmaceutical approval and reimbursement in this country. Scholars focusing…
Health Insurance’s Secondary Cost Problem: Market and Mandatory Solutions to Balance Billing and Other Symptoms
From the abstract: This Article identifies a fundamental problem with health insurance and, so, contemporary American health care. While competition pushes health insurers to minimize the primary costs of their…
The Future of the Affordable Care Act Following the Elimination of Cost-Sharing Reduction Payments
Michael Frakes is a Professor of Law at Duke Law School and a faculty research fellow at the National Bureau of Economic Research. He is generally interested in empirical research…
Will Value-based Care Save the Health Care System?
Couldn't join us for the event? Check out some of the panelists' slide presentations below! Description Value-based health care is one of the most pressing topics in health care…
The Trump administration just made another big move to reshape the healthcare system
From the article: "Short-term insurance plans will cherry pick healthy people, leaving ACA-compliant plans to cover a sicker pool with higher premiums," Levitt tweeted. "With the expansion in short-term insurance…
Digital Health @ Harvard Series: Health Care Costs and Transparency
Description Health spending continues outpace wages and GDP, while some new insurance designs transfer greater shares of that to patients’ own out of pocket costs. In this talk, Dr.…
Health Law Workshop: Allison K. Hoffman
Presentation Presentation: "Health Care’s Market Bureaucracy" This paper is not available for download. To request a copy in preparation for the workshop, please contact Jennifer Minnich at jminnich…
Contraceptive Coverage and the Balance Between Conscience and Access
From the article: When the Obama administration included contraception in the essential benefits package to be covered by employer-sponsored health insurance plans under the Affordable Care Act, it sought to…
What’s Next for the ACA?: A Lecture by Larry Levitt
Larry Levitt delivered a lecture on the future of the Affordable Care Act and health care in America. Larry Levitt is Senior Vice President for Special Initiatives at the Kaiser…
The Ethics of Health Care Reform: A Health Policy and Bioethics Consortium
Congress has been locked in debate over the last year about repealing the Affordable Care Act. There have been numerous controversies over the process used, as well as the outcome…
Academic Fellow Alum Matthew J. B. Lawrence Joins Faculty at Dickinson Law (Penn State)
Matthew J.B. Lawrence has joined the faculty of Penn State’s Dickinson Law as assistant professor of law. An expert in the fields of health law and administrative…
The Sean Pendergast Show with Dr. Glenn Cohen, Harvard Law Professor
Harvard Law Professor [I. Glenn Cohen (Faculty Director)] joins Sean to discuss a study he and a Harvard group did on player safety in the NFL, how the game can…
2017 Petrie-Flom Center Annual Conference: Transparency in Health and Health Care: Legal and Ethical Possibilities and Limits
Couldn't attend in person? You can still check out the conversation on Twitter: @PetrieFlom #transparencyinhealth! And check out many of the speakers' slide presentations below! Description Transparency is a…
Health Law Workshop: Kathryn Zeiler
Presentation Topic: "Communication-And-Resolution Programs: The Numbers Don’t Add Up" This paper is not available for download. To request a copy in preparation for the workshop, please contact Jennifer…
The Affordable Care Act: Past, Present, and Future: A lecture by William B. Schultz, General Counsel of HHS, 2011-2016
Enacting universal healthcare was a 65 year project, which cost two Presidents control of Congress and jeopardized their chance for reelection. From the time the Affordable Care Act was enacted in 2010…
Express Scripts CEO addresses drug pricing ‘misinformation’
[...] Typically, after dispensing drugs to patients, a drug manufacturer will write Express Scripts a rebate check. That timing can expose some patients, especially those with high deductibles, to the full…
Health Law Workshop: Brendan Maher
About the Presenter Brendan S. Maher is a Professor of Law and the Director of the independently endowed Insurance Law Center at UConn School of Law. A graduate of Stanford…
Fifth Annual Health Law Year in P/Review
Couldn't make it to the event? Check out some of the speakers' slides as well as the Health Affairs blog symposium! Description The Fifth Annual Health Law Year in…
Promoting healthcare innovation on the demand side
Abstract: Innovation policy often focuses on fortifying the incentives of firms that develop and sell new products by offering them lucrative rights to exclude competitors from the market. Regulators also…
How Donald Trump’s Health Secretary Pick Endangers Women
LOS ANGELES — With the selection of Representative Tom Price as secretary of health and human services, President-elect Donald J. Trump has taken a giant step toward undermining the health…
What’s Confusing Us About Mental Health Parity
The Mental Health Parity and Addiction Equity Act (MHPAEA) has been law since 2008. MHPAEA provided that health plans could not limit mental health or substance use disorder benefits in a…
President-Elect Trump’s Health Policy Agenda: Priorities, Strategies, and Predictions
The Petrie-Flom Center hosted a live web panel to address what health care reform might look like under President-elect Trump's administration. Expert panelists discussed the future of the Affordable…
PFC Spotlight: Student Fellow Alumnus Alexander Boni-Saenz
Alexander Boni-Saenz was a Student Fellow during the 2006-2007 academic year, while in his second year at Harvard Law School. For his Fellowship project, he researched long-term care insurance regulation…
Travel Abroad for Low-Cost Care: You could save money on cosmetic surgery, dental procedures and other treatments by traveling to another country.
From the article: Why the extra effort to court foreign patients? A couple of reasons, according to Patients With Passports (Oxford University Press), by I. Glenn Cohen: to make money …
Health Law Workshop: Elizabeth Weeks Leonard
Presentation Download the presentation materials: "Healthism: Health Status Discrimination and the Law" Jessica L. Roberts and Elizabeth Weeks Leonard, "Healthism: Health Status Discrimination and the Law" book proposal Jessica L.…
Book Launch: Nudging Health: Health Law and Behavioral Economics
In November 2016, Johns Hopkins University Press published Nudging Health: Health Law and Behavioral Economics, co-edited by Petrie-Flom Center Faculty Director I. Glenn Cohen, Executive Director Holly Fernandez Lynch, and Christopher…
Religion, Medicine, and Law: Can Current Conflicts Be Healed?: HLS Dean Martha Minow to Deliver 2016 George W. Gay Lecture
2016 George W. Gay Lecture Religion, Medicine, and Law: Can Current Conflicts Be Healed? Martha Minow Morgan and Helen Chu Dean and Professor of Law at Harvard Law School Thursday, November 3, 2016, 4:30 …
RECEIVE 30% OFF! Nudging Health: Health Law and Behavioral Economics
Abstract of the Introduction: This introductory chapter to the edited volume Nudging Health: Health Law and Behavioral Economics (I. Glenn Cohen, Holly Fernandez Lynch, Christopher T. Robertson, eds.) introduces the…
Student Fellow Alumna Lauren Taylor on the American Health Care Paradox: HMS Center for Bioethics Contemporary Authors in Bioethics Series
Lauren A. Taylor, MPH, MDiv will discuss her book, The American Health Care Paradox: Why Spending More is Getting Us Less. Commentator: John E. McDonough, DrPH, MPA, Professor of the…
PFC Spotlight: Academic Fellow Alumnus Michael Frakes
Michael Frakes was an Academic Fellow from 2009-2011, during which time he researched deterrence and medical malpractice law, culminating in a publication in the University of Chicago Law Review. Today,…
Is Medical Tourism Ethical?: Profile of I. Glenn Cohen's work as a Greenwall Foundation Faculty Scholar
Petrie-Flom Faculty Director I. Glenn Cohen served as a Greenwall Foundation Faculty Scholar, Class of 2015. The Greenwall Foundation recently published a profile of Cohen's project, "Is Medical Tourism Ethical?": …
EpiPen Maker Quietly Steers Effort That Could Protect Its Price
[...] The idea being advanced is simple: If the EpiPen makes the federal preventive list, most Americans would have no insurance co-pay when getting the product. That means they could obtain…
EpiPen’s Dominance Driven By Competitors’ Stumbles And Tragic Deaths
NPR recently called on Petrie-Flom Academic Fellow alumnus Nicholson Price to help explain how Mylan's Epi-Pen has come to dominate the market for epinephrine autoinjectors. From the article: The…
Big Data Neglects Populations Most in Need of Medical and Public Health Research and Interventions
Originally presented as a paper at the 2016 Petrie-Flom Center Annual Conference: Big Data, Health Law, and Bioethics. Check out the event website to watch video of this and other presentations! …
Bosses in the Bedroom: Religious Employers and the Future of Employer-Sponsored Health Care
Abstract: This chapter uses the controversy over mandated contraceptive coverage in employer health plans as a jumping-off point to do two things: (1) evaluate the proper scope of religion in the…
Health Insurance as Innovation Incentive
Excerpt from the article: In Prizing Insurance: Prescription Drug Insurance as Innovation Incentive, Rachel Sachs brings together the often disparate worlds of intellectual property theory and health insurance design, to…
Radical Redesign of Health Care and Its Implications for Policy: A Lecture by Donald Berwick, MD, Administrator of the Centers for Medicare and Medicaid Services (2010-2011)
Special Lecture and Reception to Open ASLME’s 39th Annual Health Law Professors Conference This event was free and open to the public. Opening Lecture and Reception hosted by…
Review: I Glenn Cohen, Patients with Passports: Medical Tourism, Law, and Ethics, Oxford University
From the review: Glenn Cohen’s Patients with Passports: Medical Tourism, Law, and Ethics offers a thorough examination of the growing practice of medical tourism, the legal regulations governing…
The Relationship Between Bioethics and U.S. Health Law: Past, Present, and Future
Abstract: This chapter explores the way bioethics is taught as part of U.S. health law. It begins with an overview of changes in several major textbooks in the field…
Contrived Threats v. Uncontrived Warnings: A General Solution to the Puzzles of Contractual Duress, Unconstitutional Conditions, and Blackmail
Abstract: Contractual duress, unconstitutional conditions, and blackmail have long been puzzling. The puzzle is why these doctrines sometimes condemn threatening lawful action to induce agreements but sometimes do not. This…
Prizing Insurance: Prescription Drug Insurance as Innovation Incentive,: New Article from Academic Fellow Rachel E. Sachs
Abstract: A problem perennially facing scholars of both intellectual property and health law is the need to incentivize appropriately the development of new pharmaceuticals. Although physicians have an arsenal of…
Promoting Healthcare Innovation on the Demand Side
Abstract: Innovation policy often focuses on the incentives of firms that sell new products. But optimal use of healthcare products also requires good information about the likely effects of products…
Harvard Medical School’s 2016 Bioethics Conference: Social Justice and Ethics Committees in Health Care: Core to our Mission or None of our Business?
Couldn't make it to the conference? Join the conversation on Twitter using #HMSABC! Description This multidisciplinary program was co-sponsored by the Center for Bioethics at Harvard Medical School and…
Health Law Workshop: Nathan Cortez
Presentation Download the Presentation: "Regulation by Database" About the Presenter Nathan Cortez is Associate Dean for Research and Associate Professor in Dedman School of Law at Southern Methodist University. He…
The Future of Health Law and Policy: The Petrie-Flom Center’s 10th Anniversary Conference Celebration
The Petrie-Flom Center celebrated its first decade and kicked off the next by looking at the future of health law and policy! The Center brought together Petrie-Flom and other prominent…
Christians Find Their Own Way to Replace Obamacare
From the article: [...] Rachel Sachs, academic fellow at the Petrie-Flom Center for Health Law Policy, Biotechnology and Bioethics at Harvard Law School, says some academics are concerned that the sudden…
Academic Fellow Rachel E. Sachs to Join Faculty at Washington University School of Law
We are pleased to announce that Petrie-Flom Center Academic Fellow Rachel E. Sachs has been appointed an Associate Professor at the Washington University in St. Louis School of Law. At…
Scalia’s death shakes contraception mandate, other high-profile court cases
[...] Legal analysts it’s not unusual to have different legal treatment from one area to the next. “States do things differently all the time,” said Holly Lynch,…
2015 Annual Conference: Law, Religion, and Health in America
Join the conversation on Twitter! @PetrieFlom #lawreligionhealth And check out many of the speakers' slide presentations below! Conference Description Religion and medicine have historically gone hand in hand, but increasingly…
After Hobby Lobby: What Is Caesar's, What Is God's?
Couldn't join us in person? Join the conversation on Twitter! @PetrieFlom #lawreligionhealth Pre-Conference Session As prelude to the 2015 Petrie-Flom Center Annual Conference, “Law, Religion, and Health in America,…
Predicting the sick through personal trails of health data
[...] "I think there is a lot of interest in the area right now, and it is a great coming together of the healthcare world and the computer science world, as…
Health Law Workshop: Rachel E. Sachs
Presentation Topic: "Rethinking the Incentives/Access Dichotomy: Prescription Drug Reimbursement as Innovation Incentive." This paper is not available for download. To request a copy, please contact Jennifer Minnich at jminnich…
NOW ONLINE: I. Glenn Cohen Discusses Modern Fertility Technologies and Benefits
Show Abstract: The birds and the bees are still important – but today's couples eager to start a family can also rely on Big Data to get them to…
King v. Burwell and the Future of the Affordable Care Act
Couldn't attend in person? Check out posts from several of our speakers responding to the Supreme Court's decision in the case, on the Health Affairs Blog. Links to…
Gender (Re)assignment: Legal, Ethical, and Conceptual Issues
Couldn't join us? Watch the available talks and the full Q & A online! Trans and intersex individuals face a series of legal, medical, and social challenges. This panel…
Academic Fellow Rachel Sachs featured in SCOTUSblog morning round-up
Petrie-Flom Academic Fellow Rachel E. Sachs' was featured in the Friday, March 6, SCOTUSblog morning round-up, which was understandably heavy on coverage of the arguments in the King v. Burwell case…
Opening shots fired in Obamacare Supreme Court battle
From the article: Congressman Paul Ryan and other influential Republicans sketched out plans Tuesday for how they'd deal with a Supreme Court ruling that cancels Obamacare's subsidies in…
Medical Tourism, Access to Health Care, and Global Justice
Abstract: Medical tourism – the travel of patients from one (the “home”) country to another (the “destination”) country for medical treatment – represents a growing business.…
Third Annual Health Law Year in P/Review collaborative blogging with Health Affairs
The Third Annual Health Law Year in P/Review was a big success! Video will be posted on our website shortly, but our presenters will be posting on their respective…
Third Annual Health Law Year in P/Review
Couldn't make it in person? Check out the individual sessions in the videos linked above and the collaborative blog series on the Health Affairs Blog (links below)! The Third…
Hatch op-ed being used to defend Obamacare in Supreme Court case
[...] In cases like these, it is fairly common for interested parties to “use whatever they can to flavor their arguments in the briefs,” said I. Glenn Cohen, a…
Interview with Faculty Director I. Glenn Cohen about “Patients with Passports”: Cohen paints a picture--a mural--of the many kinds of medical tourism
If your doctor won't recommend a medical procedure you want, you can go to another doctor. But would you travel to another country for the procedure? And how about…
No faith in health reform: Christians flock to the health-share model despite restrictions
[...] Under the health-care-sharing ministry model, before coverage kicks in, a household pays a monthly fee that "is matched with another's eligible medical bills," according to Christian Care Ministry's…
Law Professor Discusses Medical Tourism
When most people hear the word “tourism,” they immediately think of flocking to the sandy beaches of the Caribbean or exploring museums in a European city. For Harvard…
Health Law Workshop: Leemore Dafny
Presentation Download the Presentation Topic Paper: "More Insurers Lower Premiums: Evidence from Initial Pricing in the Health Insurance Marketplaces" (co-authors, Jonathan Gruber and Christopher Ody) About the Presenter Leemore S.…
Health Law Workshop: Anup Malani
Presentation Download the Paper: "The Insurance Value of Medical Innovation" About the Presenter Anup Malani is the Lee and Brena Freeman Professor at the University of Chicago Law School and…