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Ele Hamburger: Medicaid programs should be taking "a long hard look" at their drug policies under state and federal law

JJ Lee | Jun 6, 2016 | Washington

Ele Hamburger, one of the plaintiffs’ attorneys in the recent lawsuit against the Washington Health Care Authority, the state Medicaid agency, over its Hepatitis C drug policy, sat down with State of Reform to talk about the case which is already having national implications. In a May 27, 2016 ruling...[ Read More ]

Interview: Dr. Michael Belman, M.D., Medical Director of Payment Innovation, Anthem

Stephanie Wick | May 5, 2016 | California

Recently, Anthem Blue Cross of California reported that four medical groups within its Accountable Care Organizations (ACO) saved $14.8m in one year. Savings were attributable to a 7.7% reduction in inpatient days/1000 and almost 3% decline in outpatient length of stay. State of Reform sat down with Dr. Michael Belman,M.D., Medical Director of Payment Innovation at Anthem, to...[ Read More ]

Exclusive: Jason Gootee on Moda's departure from Alaska's individual market

| May 2, 2016 | Alaska

State of Reform's DJ Wilson sits down with Jason Gootee, Director of Alaska Sales and Service at Moda Health to discuss Moda's departure from the individual market. DJ Wilson:  Moda has announced that they will be leaving the Alaska Individual market, including the exchange marketplace, in 2017.  When did you...[ Read More ]

Interview: "The ineptitude and ineffectiveness of lawmakers in Juneau"

DJ Wilson | Feb 16, 2016 | Alaska

I caught up with Albert Fogle, the President-Elect of the Alaska Association of Health Underwriters (AAHU), Alaska’s voice for insurance brokers and agents. He is also an Employee Benefits Consultant at Northrim Benefits Group, and sits on AAHU’s Legislative Committee. I asked him about the state of health care reform...[ Read More ]

Exclusive: Lou McDermott on expanding the PEBB ACP in place for state employees

JJ Lee | Jan 28, 2016 | Washington

Lou McDermott, Director of the Public Employees Benefits Program (PEBB) joins State of Reform host DJ Wilson to talk about expanding the PEBB Accountable Care Program (ACP) in place for Washington state employees. McDermott also provides an update on the closed RFA process and enrollment.     DJ Wilson: Tell...[ Read More ]

Exclusive: Tech that's changing the way small group employers shop for health products

JJ Lee | Jan 15, 2016 | Washington

Peter Morris, Chief Executive Officer of TailorWell, sat down with State of Reform to talk about how the changing  expectations of small group employers regarding their health care spend is creating market demand for more transparency and customization. Morris predicted how Plan-Compare technology will continue to disrupt the traditional health...[ Read More ]

OCPP responds to questions on Basic Health Stakeholder recommendations

JJ Lee | Dec 7, 2015 | Oregon

The Oregon Center for Public Policy (OCPP), who has been working with stakeholders on the ground level to develop the state’s Basic Health Plan (BHP), reached out to State of Reform to answer questions and concerns regarding the program designed to cover those who fall into “eligibility gaps” due to...[ Read More ]

Shelley Rouillard, Director of DMHC, thoughts on Mergers and Acquisitions

JJ Lee | Dec 3, 2015 | California

In light of today's announcement by Cigna Corporation that it will be accepting Anthem, Inc.'s proposal for acquisition, State of Reform thought it timely to share thoughts by Shelley Rouillard, Director of the Department of Managed HealthCare in California. In her August interview, Rouillard commented on health plan mergers and...[ Read More ]