Public Policy Roundup

NCQA gives an overview of the best national, state and private health care items of the week. Here are our choices for the weekly Public Policy clips today.

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Margaret O 'Kane of NCQA made the "most influential 100 list" of modern health for the 11th year.

Aetna leaves 11 of 15 ACA Marketplace s after warning that if DoJ fought his Humana merger.

Southern states and rural counties are most affected by withdrawals from the ACA Plan leaving some with only one plan.

Kaiser Permanente says that he is "absolutely" committed to the ACA's plans, and that he makes slight margins on these.

A report from RWJF says that the strategies to repair the Medicare Advantage woes of 1990 could help ACA Marketplaces.

Most people who still do not have post-ACA coverage are Latino, <$ 16K, under 35 or working for a small business.

The Obama administration plans to sensitize significantly eligible ACA people who paid fines because they were not insured.

CMS will test a tool comparing networks ACA plan on primary care, pediatrician and hospital in 6 states.

ACA coverage increased prescription drug use while reducing consumer spending.

CMS wants to stop providers directing Medicare / Medicaid patients to ACA plans to get more compensation.

JAMA op-eds say that COAs based on physicians without hospitals could better prevent costly hospital care.

Cost of PCSK9 cholesterol drugs would need to be reduced by more than 2 / 3ds for drugs to be cost-effective.

AHIP says orphan drugs with high price increases are commonly used to treat non-rare conditions.

Payments of pharmaceutical laboratories to physicians are associated with the more regional prescription of brand name drugs in Part D.

CMS published 2014 Data Usage of Part D by the drug, cost and clinician, the top expenditures were on the Gilead hepatitis C drug.

Consumer advocates say that FDA is too comfortable with drug makers in efforts to accelerate the marketing of drugs.

ACP countries have issued policy options, including a value-based insurance design, to address cost-sharing burdens .

Physicians' practice habits, not patient characteristics, lead to overuse of unapproved cancer care .

ASCO and AAHPM published a joint directive on integrating palliative care with treatment in oncology.

The use of feeding tubes in advanced care homes of patients with dementia fell by half over 15 years.

More than 15 million Americans received some sort of medical care via the telemedicine last year.

Lack of diversity in genetic studies may lead to misdiagnosis of risk for non-whites.

Minorities have fewer knee replacements but more complications and deaths in the hospital thereafter.

87% of registered Medicaid are satisfied with their benefits and 83% of their access to care.


RWJ has documented that states with higher ratios of social service on health expenditures had better results.

Pinal County, Arizona may not have ACA plans for 2017 after Aetna announced its withdrawal from the state.

California now has 72% of people without health insurance in 2013.

The Governor of Illinois signed a law requiring hospitals to be better prepared to treat septic shock.

Louisiana achieved 74% of its Medicaid Expansion goal in 2 months with 278K new enrollees.

Louisiana campaigns reduced Medicaid's ED use by 10.2% and increased their use of HIT by 23%

The Mississippi Medical Society passed a resolution supporting the expansion of the ACA's coverage.

New Hampshire wants to add new work and cost-sharing requirements to its Medicaid extension.

New York makes requests for coordinated prevention of population health in targeted communities.

Medicaid Managed Care Plans of Ohio earned a middle or higher grade in the state's second annual bulletin.

Rhode Island Medicaid director Anya Rader Wallack leaves after 10 months of work.


Small and medium-sized enterprises leave fully insured schemes for workers.

Employers see savings and increased productivity by offering telemedicine services .

Employers and unions seek to enter into direct contracts for health system contracts.

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<p data-recalc-dims= Paul Cotton is the director of federal affairs. He is working on health reform and other initiatives to improve the quality of health care. Previously, he was a representative of the AARP Senior Legislative Lobbying Congress and the Administration on Medicare, Medicaid, CHIP, Health Reform, and Quality Improvement Issues. He has also worked at the Center for Medicare & Medicaid Services as an auditor and director of policy presentation at the Office of Legislation, and as a journalist for publications including the Journal of the American Medical Association. .


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