The latest Kaiser Employer Health Benefits Survey found that nationally last year premiums for employer-sponsored health benefits rose by 3% for single coverage and 5% for family coverage. In comparison, wages rose 2.6% and inflation was 2.5%. As in previous surveys, premiums were highest in the Northeast. But in a really unfair twist (which also…

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Friday’s Medicaid Council meeting focused on rebalancing long term services and supports allowing more members to stay at home, if they choose, and improve quality of life. Recipients of LTSS services comprise 6% of Medicaid members but 43% of costs. On average community-based care is less costly. The comprehensive strategy that began with a 2013…

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New favorite quote – “If you have a dumb incentive system, you get dumb outcomes.” Charlie Munger, quoted by 46brooklyn A new analysis by 46brooklyn highlights the extra costs to Medicaid managed care programs of drug industry middlemen. Ohio’s Medicaid program pays $224 extra in markups to Pharmacy Benefit Managers (PBMs) hired by managed care…

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