Proposed Medicaid Federal Match Penalty for States that Cover Undocumented Immigrants with Their Own Funds: State-by-State Estimates

This analysis examines the potential impacts of a provision in the House reconciliation bill that proposes reducing the federal matching rate for the Affordable Care Act (ACA) Medicaid expansion population from 90% to 80% for states that either provide health coverage or financial assistance to purchase health coverage to individuals who are not lawfully residing…

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How should you price new therapies when the standard of care is not cost effective?

Let’s say that there is a very severe disease—let’s call it horriblitis—with significant impacts on patient morbidity and mortality.  The only available treatment for horriblitis is drug called BlackPill.  BlackPill improves health outcomes by 1 QALY over best supportive care (BSC), but costs $500,000 over the patient’s lifetime.   While not cost effective by traditional standards,…

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California contrató a trabajadores de salud comunitarios para zanjar desigualdades, ahora da marcha atrás

A Fortina Hernández la llaman “la que lo sabe todo”. Durante más de dos décadas, esta trabajadora de salud comunitaria ha ayudado a cientos de familias del sureste de Los Ángeles a inscribirse en programas de ayuda alimentaria, ha informado sobre seguros médicos asequibles y ha ayudado con medicamentos para sus afecciones crónicas. Su frase…

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