Julie Appleby

Julie Appleby appears in the following:

Idaho Insurer Moves Ahead With Health Plans That Flout Federal Rules

Thursday, February 15, 2018

Blue Cross of Idaho unveiled new health plans that break with federal requirements in several ways, including setting premiums based on applicants' health. What will the administration do?


VIDEO: Little-Known Middlemen Save Money On Medicines — But Maybe Not For You

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.


Drug Puts A $750,000 'Price Tag On Life'

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.


States Have Already Tried Versions Of 'Skinny Repeal.' It Didn't Go Well

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.


Senate's Health Bill Would Make Life Easier For Some Small Businesses

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.


Who Would Enjoy Tax Breaks Under The GOP Health Care Proposals?

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.


Get Set For Trump Revisions To Your Affordable Care Act Insurance

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?


What If You Could Take It With You? Health Insurance, That Is

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.


Health Savings Accounts Are Back In The Policy Spotlight

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?


Obesity-Linked Diagnoses On The Rise Among Kids And Teens

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.


6 Lesser-Known Obamacare Provisions That Could Evaporate

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.


Obamacare's Test Kitchen For Payment Experiments Faces An Uncertain Future

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?


Yes, It Is Possible To Get Your Flu Shot Too Soon

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.


Insurance Data Show A Surge In Spending On Opioid Treatment And Testing

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.


Many More People Seek Medical Help For Opioid Abuse

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.


Cardiac Rehab Saves Lives. So Why Don't More Heart Patients Sign Up?

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.


How FluMist Slipped From Preferred To Passe

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.


Changes For Colon Cancer Screening: 5 Things To Know Now

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.


More Generics And Negotiating Leverage Could Slow Medicare Drug Spending

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.


Medicare To Experiment With Tying Drug Costs to Effectiveness

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.