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Eight states are following Massachusetts’ lead and trying to strike the right balance of slowing health care spending without causing too much pain to the industry.
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After 20 years and $200 billion in revenue, Humira — an injectable treatment for autoimmune conditions like rheumatoid arthritis — is losing its monopoly.
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Research shows that, even with health insurance, many people put off expensive surgery, medicine and tests because they can't afford the high deductibles or copays. A few states hope to change that.
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Health plans that require people to pay thousands of dollars up front cut costs in the first three years, a study finds. But no one knows if costs will rise later as people avoid preventive care.
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The hormone that controls blood sugar among diabetics is one of the oldest medicines used today. But more than 90 years after its discovery, a low-cost version is no longer available in the U.S.
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Insurers sometimes wrangle with patients and for months before paying a bill. A new six-month waiting period will give consumers time to resolve disputes and avoid having their credit ratings dinged.
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An unpublished government study from 2009 sounded alarm bells about the risk formula used to pay privately run Medicare insurance plans. Since then billions of dollars in waste have been documented.
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It's not exactly Priceline.com for knee replacements. But a website from the nonprofit Health Care Cost Institute could helping patients shop around for the best values.
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Some physicians can be in-network when working at one office but not when they are at another. Or they may belong to a medical group that is affiliated with your plan, but they don't participate.
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The Affordable Care Act made sure that hospitals scoring well on patient satisfaction surveys are paid more by Medicare. But some say that gives small, boutique hospitals an unfair edge.
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Last month, a study of Medicare data published in the journal JAMA Internal Medicine came out with a startling finding: The doctors earning the most from…
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Journalist Steven Brill's latest book critiques the Affordable Care Act, which he calls "unsustainable." In the next few years, "something is going to snap," he says. "We cannot pay for this."