Julie Appleby appears in the following:
Wednesday, August 02, 2017
Many people have never heard of pharmacy benefit managers. They're the companies that help insurers decide what drugs to cover and how much you pay for them.
Tuesday, August 01, 2017
The high cost of Spinraza, a new and promising treatment for spinal muscular atrophy, highlights how the cost-benefit analysis insurers use to make drug coverage decisions plays out in human terms.
Thursday, July 27, 2017
Republican senators are warming to the idea of a scaled-back plan that would delete the Affordable Care Act's individual and employer mandates but leave much of the law intact.
Wednesday, July 12, 2017
Some small businesses buy their health plans through trade associations. The GOP health bills would make those cheaper. But that could also make employer-based insurance more expensive for others.
Friday, July 07, 2017
The GOP health bills would eliminate many of the taxes that help pay for coverage under the Affordable Care Act. Wealthy individuals stand to gain the most. And customers of tanning salons.
Thursday, April 13, 2017
The Trump administration has finalized a rule that will make big changes in Obamacare health plans and eligibility as soon as this summer. Will it stabilize the insurance marketplace, too?
Tuesday, February 28, 2017
A key part of GOP plans to reform health care may include making health care more portable. But it's not so easy to do.
Thursday, February 02, 2017
Republicans hope to expand the use of health savings accounts to encourage consumers to be more judicious in using their coverage. How do the accounts work?
Thursday, January 12, 2017
A new analysis of U.S. health insurance claims is worrisome, pediatricians say: More and more young people are being diagnosed with Type 2 diabetes, high blood pressure and sleep apnea.
Wednesday, January 11, 2017
Private rooms for pumping breast milk and expanded therapy coverage for children with autism are two of the less publicized mandates of the Affordable Care Act. Also, being able to choose your OB-GYN.
Wednesday, November 30, 2016
The Center for Medicare & Medicaid Innovation has explored payment changes that could cut health care costs and improve quality. But will the center survive in a new administration?
Thursday, September 15, 2016
The vaccine is already showing up in drugstores, but maybe wait until Halloween to get the shot, doctors say, especially if you're over 65 and want to be protected against flu this winter.
Monday, September 12, 2016
An analysis of insurance company payments finds that emergency room visits and lab tests were responsible for much of the overall spending related to treatment and testing for opioid use.
Monday, August 01, 2016
Insurance claims for medical services related to opioid dependence rose more than 3,000 percent between 2007 and 2014, a study finds, suggesting that opioid problems have gone mainstream.
Monday, July 18, 2016
Research shows exercise-based cardiac rehab programs help heart patients heal faster and live longer. But fewer than a third take part. Time and cost are the main barriers, doctors and patients say.
Monday, June 27, 2016
A CDC advisory panel concluded the nasal spray vaccine is so ineffective that it shouldn't be used by anyone during the 2016-2017 flu season. Until 2015, the spray was the top choice for kids.
Friday, June 24, 2016
A federal task force expanded the list of recommended colorectal cancer screening tests. Here's the lowdown on the tests and how they might be covered now and in the future by health insurance.
Thursday, June 16, 2016
The Medicare Payment Advisory Commission told Congress that rising drug costs helped push Medicare Part D spending up nearly 60 percent between 2007 and 2014. There are options to contain spending.
Wednesday, March 16, 2016
The goal is to rein in drug price increases while increasing the chance that patients will get the medication that works best for them. It's an idea that's getting increasing private-sector traction.
Monday, February 22, 2016
More women with breast cancer are choosing to have mastectomies over breast-sparing procedures. And nearly half of them don't spend a single night in the hospital but go home the same day, according to a federal analysis.
It's the latest study to show that treatment for breast cancer is shifting ...