How do the Affordable Care Act and Medicare interact?

BY Philip Moeller Stuart – Texas: I am unable to work and have been receiving disability since 2006. I am not yet 60 years old. When the Affordable Care Act began in 2014, I enrolled in an individual plan through the marketplace and was granted a subsidy because of my income. When I r
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Busted: GAO Finds Payments To Insurers Under Affordable Care Act Are Illegal

By Seth Chandler The General Accountability Office, the government’s non-partisan watchdog agency, issued a ruling today holding that the Obama administration’s diversion of billions of dollars from the United States Treasury to insurers selling individual policies on the ACA Exchange
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Aetna to subsidize Apple Watch for health monitoring

By Morgan Haefner  Health insurer Aetna will subsidize Apple Watches for select large employers and individual policyholders during November’s open enrollment as a healthy living initiative. The Hartford, Conn.-based insurer said it is the first major healthcare company to subsi
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Selling Obamacare: Millennials get pitch on Twitch for health insurance sign-ups

By Dan Mangan It’s game-on in a new effort to get millennials to buy into Obamacare — and strengthen the financial performance of health insurance plans. Federal officials on Tuesday revealed a strategy that relies on popular social media platforms and college campuses to encour
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Register Now for The Phia Group’s October 2016 Webinar!

How Low Can You Go? Managing Specialty Drugs, Reducing Overall Pharmacy Spend, and Unraveling the Mystery Behind PBMs Thursday, October 27th, 2016 1:00 PM (EST) to 2:00 PM Join Us – Register Now! Pharmacy Benefit Managers, or PBMs, are an important factor in the cost and value o
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“Recoupment or Embezzlement? Cross-plan offsets in the crosshairs”

By Andrew Silverio When a self funded employee benefit plan, or indeed any payer of health benefits, overpays a benefit claim to a medical provider, it is often a tall task to later secure refunds.  This is especially true when the payment, even if clearly an “overpayment” pursuant to
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Obamacare’s future at stake in election

PBS NEWSHOUR One big issue at stake in this election is President Obama’s signature domestic achievement: the Affordable Care Act. While Hillary Clinton wants to preserve and expand the law, Donald Trump would replace it with a series of smaller measures. From Arizona, special corresp
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Mylan CEO defends price hikes during heated EpiPen hearing: 5 takeaways

By Mackenzie Bean Members of Congress grilled Mylan CEO Heather Bresch with questions about the high price of EpiPens during her Wednesday hearing with the House Committee on Oversight and Government Reform, according to The New York Times. The committee questioned Ms. Bresch on every
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Medicare EpiPen spending outpaces prescription growth: Kaiser report

Reuters NEW YORK (Reuters) – U.S. government spending on Mylan Inc’s <MYL.O> EpiPen in the Medicare program for seniors and the disabled rose 1,151 percent from 2007 through 2014, while the number of EpiPen users grew 164 percent, the Kaiser Family Foundation said on
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Obamacare Doesn’t Cost More Than Other Health Insurance, Report Finds

By Maggie Fox Obamacare may have come under fire for rising health insurance premiums, but plans offered by employers, which cover far more people, are rising even faster, a new report shows. On average, premiums for “benchmark” plans offered on the state and federal gover
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