In the midterms, Republicans tried to walk back their opposition to guaranteed issue, while health care worked as an issue for Democrats.
Which is not to say that health plans will not attempt some innovative things on their own. One such innovation: an addiction recovery medical home.
The labor market is tight (an un-employment rate of under 4%) and the Cadillac tax is still a can kicked down the road.
The PBM unit of the health giant CVS decided that any new drug exceeding $100,000 per quality-adjusted life year (QALY) may be excluded from the formularies that are maintained by its clients. Patient groups (with the backing of pharma) say that the measure is discriminatory.