Key clinical point: The Trump administration took two apparently contradictory actions that could have major effects on the insurance marketplaces established under the Affordable Care Act.
Major finding: The administration issued guidance that makes it easier for states to work around some ACA requirements, including allowing the use of federal subsidies for plans that can reject people who have preexisting conditions. A proposed rule, however, allowed millions of people with job-based coverage to use tax-free money from their employers to buy individual plans on the health care exchanges.
A press statement issued on CMS.gov.
This Week's Must Reads
Remote area of Canada provides pool for genetic research, Scully M-F et al. Transfus Apher Sci. 2018 Dec;57(6):713-6
Can web tools replace pharmacokinetic analysis in hemophilia A?, Nagao A et al. Thromb Res. 2019 Jan;173:79-84
BSH issues recommendations for glucocorticoid use in ITP, Hill QA et al. Br J Haematol. 2019 Jan 4. doi: 10.1111/bjh.15735
RNA expression offers potential biomarker in hemophilia A, Niloofar N et al. Hematology. 2019;24(1):255-62
Caplacizumab speeds platelet normalization, Scully M et al. N Engl J Med. 2019 Jan 9. doi: 10.1056/NEJMoa1806311
Must Reads in Practice Management
Physician burnout linked to EHRs, Gardner R et al. J Am Med Inform Assoc. doi: 10.1093/jamia/ocy145.
Most physicians do not use telemedicine, Kane C et al. Health Affairs. 2018. doi: 10.1377/hlthaff.2018.05077
Health care spending slowed but fewer insured, Martin A et al. Health Affairs. 2018. doi: 10.1377/hlthaff.2018.05085
Open enrollment surge doubles plans selected , Centers for Medicare & Medicaid Services
Residents get less parental leave than faculty physicians, Magudia K et al. JAMA. 2018 Dec 11;320[22)]:2372-4; Varda B et al. JAMA. 2018 Dec 11;320:2374-7