Legal immigrants face loss of Obamacare help, threatening insurance markets

New analysis from 46brooklyn Research raises questions about Cigna's role in setting #pharmaceutical prices, as its subsidiary Quallent Pharmaceuticals sells generics at prices that skew higher than many competing suppliers buff.ly/YZJjdmy #healthcare #healthpolicy #healthecon

How are states using #hospital price caps to save money? buff.ly/nyBc2hH #healthcare #healthpolicy #healthecon

Looking forward to this Health Affairs event on employers' and unions' perspectives on rising #healthcare prices and the role of middlemen buff.ly/Cf8kLDe #healthpolicy #healthecon #medsky

“Sixty-three thousand dollars for a broken ankle and a cut to the knee, with no head injury or internal damage... just to stay there overnight.” @kffhealthnews.org 

NASHP has released new site-neutral payment model legislation for states to adapt, addressing rising health care costs and payment differences across care settings. See the full post loom.ly/x38PoZY #HealthPolicy #HealthCareCosts

Looking forward to this Health Affairs event on employers' and unions' perspectives on rising #healthcare prices and the role of middlemen buff.ly/Cf8kLDe #healthpolicy #healthecon #medsky

UnitedHealthcare pays the physician groups it owns ~17% more than outside physician groups, according to new analysis of payers' rates in Transparency in Coverage (TiC) data buff.ly/XjCtbR4 #healthcare #healthpolicy #healthecon

November’s #LipidoftheMonth is a rare phospholipid with links to ferroptosis lipidmaps.org/updates/lipi...

Great ep. of @relentleshealth.bsky.social with Elizabeth Mitchell discussing why PBGH embarked on its big #healthcare cost and quality transparency project and how the findings are empowering employers with comparative price info buff.ly/VhXa290 #healthcare #healthpolicy #healthecon

We just dropped this fantastic episode with Elizabeth Mitchell from the Purchaser Business Group on Health (PBGH). It's a must listen for self-insured employers. Check out the show notes for a link to the PBGH Health Care Data Demonstration Project covering... cc-lnk.com/EP491

The North Carolina State Health Plan spends $4.5 billion annually covering the state's public employees. Fascinating case study in Health Affairs about how the North Carolina State Health Plan is trying to become a smarter, more active #healthcare purchaser buff.ly/5zTR21i #healthpolicy #healthecon

New Turquoise dashboard assesses 3 aspects of payers’ TiC files for hospitals and ambulatory surgery centers. This is exciting b/c TiC files are very valuable sources of comparative #healthcare price data, but the usability of the data remains challenging buff.ly/8XhUGRF #healthpolicy #healthecon

"Elevance plans to charge 10% administrative penalties, relative to the amount of claims, if health systems refer patients to out-of-network clinicians." I hope their directories are up to date! buff.ly/Cb4AmJz #healthcare #healthpolicy #healthinsurance

"A federal credit reporting law generally takes precedence over state measures barring medical debt and other items on consumer credit reports, the Trump administration said." via @bloomberg.com buff.ly/VcqPLVT #healthcare #healthpolicy

"Whatever political opposition existed around restricting #pharmaceutical prices via government intervention...seems to have largely disappeared. In other words, price controls are all the rage." buff.ly/MfvxAIN via @axios.com #healthcare #healthecon #healthpolicy

How government drug price controls became all the rage. www.axios.com/2025/10/24/d...

Employers pay ~$20,000 per year for #healthinsurance for employees with families. This isn't about companies' bottom lines. School districts, city governments, public universities are all employers. High #healthcare costs limit their ability to deliver public services bit.ly/4npgnnF #healthpolicy

"U.S. employers and workers are being squeezed by the steepest run-up in #healthinsurance costs in years, with average family premiums nearing $26,993 in 2025 and pressure building for even sharper increases in 2026, according to a recent KFF survey." #healthcare #healthpolicy

In his latest column, KFF’s @drewaltman.bsky.social discusses the obstacles employers face trying to control their health care costs — and why they’ve never been meaningful supporters of government cost-containment efforts. https://on.kff.org/4qmrfoV

For $27K, you could buy a new car — or insure a family of four for a year. New survey shows cost of job-based coverage jumps again. https://kffhealthnews.org/news/article/workplace-health-insurance-premiums-family-plans-kff-survey/

That's basically the price of a car, every year

More detail from Embold about how their quality data was used PBGH's recent project focused on employer #healthcare price and quality data and improving purchasing buff.ly/krkmRuP #healthpolicy #healthecon

I am so excited to see this work coming to fruition! PBGH worked with 5 large employers to analyze #healthcare claims, price, and quality data and to identify opportunities for savings and higher-value care. Learn how employers are using these insights at buff.ly/kJqyNre #healthecon #healthpolicy

California #hospitals are suing over the state’s efforts to curb #healthcare spending buff.ly/Z74OCkR #healthecon #healthpolicy

Very excited to see this coverage in Fierce Healthcare of PBGH's massive data project, which aims to make it easier for #employers to get their arms around what they're actually paying for #healthcare buff.ly/NmZXDkA #healthpolicy #healthecon

Cigna to pay $5.7M to settle 'ghost network' lawsuit over inaccurate provider lists buff.ly/dA3vdmi #healthcare #healthpolicy #healthecon #healthinsurance

AARP received $9 billion in royalties from UnitedHealthcare last year as part of an agreement to continue selling AARP-branded #Medicare products, part of a partnership dating to the 1990s, via @axios.com buff.ly/GpwSTaM #healthcare #healthpolicy

CMS just released an updated schema for the Transparency in Coverage (TiC) files. These are massive files that #healthcare payers are required to publish listing all of the insurers' negotiated rates with hospitals, physician groups, and other providers buff.ly/Befaptd #healthinsurance #healthpolicy

Reminder from @propublica.org that some people are more interested in punishing and having power over other people than they are in damn near anything else they claim to care about. "Georgia’s Medicaid Work Requirement Program Spent Twice as Much on Administrative Costs as on Health Care, GAO Says"

I'm very excited for tomorrow's webinar sharing insights from previously inaccessible data about health insurers' prices, alongside insights about #healthcare quality buff.ly/ylEQN45 #healthpolicy #healthecon

Survey of employers find many neglect even basic fiduciary obligations as #healthcare purchasers, which may explain their poor performance in controlling costs and ensuring quality pubmed.ncbi.nlm.nih.gov/40916515/ #healthpolicy #healthecon #erisa

New survey of employers who are involved in the National Alliance of Healthcare Purchaser Coalitions finds that those with more complete access to their #healthcare claims data are more likely to use direct contracting, centers of excellence, reference pricing, and tiered networks buff.ly/gJc58Wj

Interested in learning how employers are using #healthcare price and quality data to make smarter purchasing decisions? Join PBGH & the Peterson Center on Healthcare on Sept 24 at 12:30ET to hear from PBGH employer-members Boeing, Qualcomm, and the City and County of Denver

📌 Spotlight on September's #LipidoftheMonth could be a biomarker for one of the most common neurodegenerative diseases of aging👃 lipidmaps.org/updates/lipi...

Are earnings for apprenticeships really higher than earnings from college degrees? According to new analysis from @publicagenda.bsky.social, the idea that apprenticeship programs offer higher earnings than college degrees is misleading buff.ly/BDwPGE3 #highereducation #workforce

Trillium Health analysis found #hospitals accept different prices from different payers for the same procedure. E.g. Tufts Medical Center charges Aetna $95,989 for coronary bypass involving major complications or comorbidities & charges United $144,204 buff.ly/CG5obGU #healthcare #healthpolicy

Enterprising state legislators should be pushing bills that protect doctors and other clinicians against retaliation when they call out insurance company abuses. It's the right thing to do, and it's a good issue. open.substack.com/pub/healthca...

@academyhealth.bsky.social & co-plaintiffs announced today that the HHS has agreed to restore federal webpages removed from NIH, CDC, and FDA sites earlier this year bit.ly/463UVO8 #healthcare #healthpolicy #healthecon

Check out research from @publicagenda.bsky.social on how difficult is it for people with to find in-network mental #healthcare providers and how delays and challenges in accessing care affect people’s lives buff.ly/lEpqtnh #healthcare #healthpolicy #networkadequacy

"New York state officials have negotiated a corrective action plan agreement with... MVP Health Plan after having trouble finding any mental health care providers in the plan's directory who were accepting new patients." #healthcare #healthpolicy #networkadequacy buff.ly/jRA4pe4

For the first time in its history, Health Datapalooza will proceed without federal officials on the main stage, via @academyhealth.bsky.social buff.ly/cZu3vwD #healthpolicy #healthcare

Only 16 percent of college students live on campus. 25 percent live with their parents.

20 percent of all undergraduate college students are parents. 9% are single moms buff.ly/5R3VdoZ

43% of college students are community college students buff.ly/5R3VdoZ

Those of us who went to a selective college for four years on a leafy campus are the outliers, not the norm

Medicaid, Medicare and individual coverage sold through ACA exchanges dominate #healthcare policy conversations today. But in a survey of small and medium business owners, only 12% said they were confident that they would still be able to offer #healthinsurance coverage in 3 years buff.ly/2pjODoA

The National Suicide Hotline For LGBTQ+ Youth Went Dead. States Are Scrambling To Help, via @kffhealthnews.org buff.ly/cwlXGtE?

"With upfront prices, employers and unions can design a benefit where workers get the best quality, lowest price care, and share savings in the form of reduced premiums and higher wages," via Senator Robert Marshall in @statnews.com buff.ly/SN6flYN #healthcare #healthpolicy #healthecon

Many employers neglect basic fiduciary obligations to their employees, which may explain the poor performance #healthcare plans in controlling costs & providing access care, suggesting many employers may be vulnerable to ERISA lawsuits buff.ly/p3IXWcY #healthinsurance #healthpolicy #healthecon