Brian Haile

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MedCity Influencers

New guidance from HHS on tax credits and health insurance exchange glitches

The federal government just announced a new wrinkle in its ACA approach. HHS released guidance that may allow certain individuals who faced enrollment difficulties with Marketplaces to receive the tax credits and cost-sharing reductions. In short, the guidance allows certain Marketplaces to provide the credits and cost-sharing reductions retroactively, provided that an individual applied for […]

MedCity Influencers

February Obamacare enrollment report: Why HHS didn’t get Grinch’d

Last week, HHS released the latest enrollment report for the ACA’s Marketplaces. Thus far, about 3.3 million individuals have selected a qualified health plan on the new Marketplaces. Moreover, the federal Marketplace reports a 62 increase in plan selections in January compared to previous three months – with faster growth among younger consumers. Because previously-insured […]

Policy

Super Bowl 2014, taxes, ACA and the injured reserve list

We’ve been thinking a lot about taxes and health care, and our anticipation about Sunday’s Super Bowl 2014 game brought some things to mind. The Gridiron is many things to many people, and we generally take the risks in stride while we enjoy the excitement. Not everyone – and certainly not every player – is […]

MedCity Influencers

Why the White House Is right

Earlier this week, HHS released the initial enrollment figures for the new insurance marketplaces. While these numbers are low, the White House is absolutely correct: these early data are not in any way indicative of future enrollment. But the real reason that the White House is right is itself fascinating. Further, it points to larger […]

MedCity Influencers

Holiday spending may divert dollars away from Obamacare signups

The ACA’s rocky rollout may have lost a critical opportunity to enroll consumers when they have cash in their pockets. Beginning in November, many families begin to redirect their spending towards holiday purchases. Cash-strapped families simply won’t be able to find extra money to pay new insurance premiums during the holiday period. Thus, the glitches […]

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A Deep-dive Into Specialty Pharma

A specialty drug is a class of prescription medications used to treat complex, chronic or rare medical conditions. Although this classification was originally intended to define the treatment of rare, also termed “orphan” diseases, affecting fewer than 200,000 people in the US, more recently, specialty drugs have emerged as the cornerstone of treatment for chronic and complex diseases such as cancer, autoimmune conditions, diabetes, hepatitis C, and HIV/AIDS.