The health reform law doesn't need more evidence at this point of what a disaster it is, but the New York Times carries an article revealing that consumers in rural areas are going to pay a particularly high price when they go shopping for health insurance on the non-functioning exchanges.
Health Systems International, a company which assists payers in avoiding fraud and inappropriate provider reimbursement, has acquired The Reclaim Group, which provides similar services.
WellTok, a population health management and wellness company, announced that it has acquired IncentOne, which was an early pioneer in providing incentives for wellness and care management programs.
A Wisconsin startup called Wellbe has gotten $1.4 million in initial capital for a software tool that helps patients as they go through episodes of hospital-based care.
As a concession to single-payer advocates, the reform law created public coop plans as an alternative, but an article in the Washington Post finds that they are flailing, with many in financial trouble and likely to default on billions of dollars in loans.
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Express Scripts apparently intends to drop a number of brand-name drugs from its national formulary, which may reflect a new trend in aggressiveness to control spending.
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.