One Big Beautiful Bill Act Complicates State Health Care Affordability Efforts

As Congress debates whether to extend the temporary federal subsidies that have helped millions of Americans buy health coverage, a crucial underlying reality is sometimes overlooked: Those subsidies are merely a band-aid covering the often unaffordable cost of health care. California, Massachusetts, Connecticut, and five other states have set caps on health care spending in…

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Weekend Reading

Trump drug price ultimatum.Baumol cost disease: Child care vs. pet care & health care vs. veterinary care editions.Jennifer Doudna interview on CRISPR.AMA on PBMs.Life 30,000 feet underwater.

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HealthCare.gov Insurers Denied Nearly 1 in 5 In-Network Claims in 2023, but Information About Reasons is Limited in Public Data

HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services and an even larger share (37%) share of claims for out-of-network services in 2023, a new KFF analysis finds. The analysis examines the main source of publicly available data on claims denials and appeals for individual-market plans available through the…More

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