The single-payer health insurance proposal known widely as Medicare for All (M4A) cannot be enacted without first answering certain questions. Foremost among these is whether the public would support shifting more than $32 trillion in M4A’s first 10 years from private health spending, over which consumers retain some discretion, to federal health spending, over which…

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Updated CMS guidelines now require hospitals to post a list of their current “standard charges” on the internet in a machine-readable format — meaning the data can not only be read electronically but can also be imported or read into other databases.

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Expert witness Grace-Marie Turner of the Galen Institute said policies like the new Section 1332 guidelines aren’t meant to drive a stake into the Affordable Care Act, but rather give more discretion to states to tailor health care needs specifically for their own citizens. “Cost relief” is the driving force behind state discretion, Turner said. …

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CNN and NBC exit polling last November showed a huge Democratic advantage on health care. But socialized medicine wasn’t on the ballot. As for 2020, Democrats know people don’t want socialized medicine, so they have been calling it “Medicare for All” even though the prototype legislation ends Medicare along with private insurance. Consumers may be starting to figure this out.

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Optum Rx, one of America’s largest PBMs sent a letter to drug companies outlining several demands the companies must meet if they seek to lower list prices for their medicines. This would put another obstacles in the path of lowering drug prices. In it, Optum demanded: 1) at least seven quarters notice before a company reduces its list prices, and 2) equivalent rebates off of lowered prices as compared to existing prices.

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Gov. Brian Kemp unveiled legislation Wednesday that could remake health care for hundreds of thousands of Georgians. Or just a few. The Patients First Act would give the governor wide latitude to approve a range of options in pursuit of federal “waivers” with the aim of improving government-funded health care access for the poor and…

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HCCI’s annual reports examine year-over-year and 5-year cumulative trends in health care spending for individuals with employer-sponsored insurance, segmented by health care service category. Downloadable tables and interactive tools allow for further exploration of the data that power these reports. This year’s report found that average annual health care spending for individuals with employer-sponsored insurance…

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The Utah Legislature on Monday passed a bill to replace the voter-approved Medicaid expansion with a skinny expansion, a move that may encourage other states to seek similar scaled-back expansions with full federal funding. The Republican-controlled Utah Senate approved legislation passed by the state House of Representatives Friday that replaces the voter-passed expansion to adults with incomes…

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Galen Institute president Grace-Marie Turner testified before the House Energy and Commerce Committee on Feb. 13 about preserving consumer protections in health insurance while giving consumers more choices of affordable coverage. She focused on the administration’s Section 1332 guidance and the importance of the new rule allowing people to purchase temporary health insurance.

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Democrats and Republicans on the House Energy and Commerce Committee on Wednesday signaled they could band together to slap clear consumer warnings on short-term limited-duration health plans. Rep. Morgan Griffith (R-Va.) and Grace-Marie Turner, president of the conservative Galen Institute who defended the Trump administration’s expansion of short-term plans as a needed low-cost alternative to ACA…

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