Telehealth and the Future of Health Care Access in California

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1. California Hospital Networks Are Narrower In Marketplace Than In Commercial Plans, But Access And Quality Are Similar [Exchange Coverage] Do insurance plans offered through the Marketplace implemented by the State of California under the Affordable Care Act restrict consumers’ access to hospitals relative to plans offered on the commercial market? And are the hospitals included in Marketplace networks of lower quality compared to those included in the commercial plans? To answer these questions, we analyzed differences in hospital networks across similar plan types offered both in the Marketplace and commercially, by region and insurer. We found that the common belief that Marketplace plans have narrower networks than their commercial counterparts appears empirically valid. However, there does not appear to...
2. Hospital Closures Had No Measurable Impact On Local Hospitalization Rates Or Mortality Rates, 2003-11 [Access To Care] The Affordable Care Act (ACA) set in motion payment changes that could put pressure on hospital finances and lead some hospitals to close. Understanding the impact of closures on patient care and outcomes is critically important. We identified 195 hospital closures in the United States between 2003 and 2011. We found no significant difference between the change in annual mortality rates for patients living in hospital service areas (HSAs) that experienced one or more closures and the change in rates in matched HSAs without a closure (5.5 percent to 5.2 percent versus 5.4 percent to 5.4 percent, respectively). Nor was...
3. Health on $0 Budget. Like, Actually $0 October 3, 2023 By Leanne Vogel October 3, 2023 Today’s episode is a real heart-to-heart,......
4. Republicans Would Extend Obamacare Subsidies If the Supreme Court Strikes Down State Exchange Payments––But With Lots of Conditions The Republicans should offer an unconditional subsidy extension if the Supreme Court strikes them down Wisconsin Senator Ron Johnson (R) has offered a plan to extend the Obamacare state exchange subsidies into 2017 if the Supreme Court strikes them down this summer. The Republican Senate leadership is supporting his bill. But Johnson has some pretty big conditions: Existing subsidies in the...
5. Hodgkin’s lymphoma: Treatment can have late sequelae In Hodgkin's lymphoma -- cancer of the lymph nodes -- nine out of ten patients survive the disease, thanks to the highly effective treatments that are now available. Depending on the type of treatment given, however, there may be late sequelae, researchers report. These authors studied the question of which types of treatment were more likely to be followed by the development of secondary malignant neoplasia, and they quantified the risk of such an event as a function of the treatment received....