IN THIS ISSUE

Peter Wehrwein

A desire for more control and the ACA seem to be fueling the long-term trend.

Joseph Burns
Coverage kicks in if someone has a major illness like a heart attack or stroke. And because critical illness policies are a voluntary benefit, they help employers cut costs to avoid the Cadillac tax on health benefits.
Legislation & Regulation
Richard Mark Kirkner

Lindy Kennedy
Fla. Safety Net Hospital Alliance

Free-market advocates question state say-so over major hospital projects. They have a strange bedfellow.

ACO Update
Robert Calandra

ACOs are providers while MA plans are insurers. Still, CMS’s Next Generation ACOs have a familiar look and feel.

Viewpoint
Richard Stefanacci, DO

Richard Stefanacci, DO

The hope is that reducing the per capita cost of health care by combining these stakeholder roles should remove volume as an incentive and excess charges as a temptation.
Plan Watch
Frank Diamond

UnitedHealthcare, Aetna, and Humana all lose money, but Cigna’s CFO says that’s just the price for getting started in a new market.

Cancer Watch
Peter Wehrwein

Ethan Basch, MD
UNC

Cancer patients talking to doctors doesn’t work very well: Half of all symptoms go unreported. Computerized systems and email prompts may do a better job.

Tomorrow’s Medicine
Thomas Morrow, MD

Alirocumab, evolocumab, and sebelipase alfa further fuel the discussion about just how to go about covering exciting, but costly, high-priced agents.

Snapshot

Percent of U.S. health care spending by 7 core health consumer segments