Key clinical point: Federal health authorities have proposed new ways to calculate premiums in Affordable Care Act health insurance exchanges and new rules on coverage of abortion services.
Major finding: Critics say the proposal could leave more people uninsured. The Centers for Medicare & Medicaid Services says the changes would lower premiums and give enrollees the option to choose a plan that doesn’t offer abortion services.
Study details: The proposal's regulatory impact statement notes that the change could reduce enrollment in health insurance products through the federal exchanges by 100,000 people in each of the years from 2020 through 2023.
Disclosures: The rule was proposed by the Centers for Medicare & Medicaid Services, Department of Health and Human Services.
Federal Register (84 FR 227)
This Week's Must Reads
Case studies shed light on treatment for rare form of MCL , Mori S et al. Clin Lymphoma Myeloma Leuk. 2019 Feb;19(2):e93-7.
Histopathological clues for differentiating follicular lymphomas, Servitje O et al. J Cutan Pathol. 2019;46:182-9.
Single agent daratumumab is not an option in B-cell lymphomas, Salles G et al. Clin Lymphoma Myeloma Leuk. 2019 Jan 2. doi: 10.1016/j.clml.2018.12.013.
Ibrutinib combo advances in CNS lymphoma, Grommes C et al. Blood. 2019;133(5):436-45.
Best frontline options for advanced follicular lymphoma, Shah NN et al. Clin Lymphoma Myeloma Leuk. 2019 Feb;19(2):95-102.
Must Reads in Practice Management
Over half of Americans support Medicare for All, Kaiser Family Foundation Health Tracking Poll – January 2019
Uninsured rate could rise with proposed premium calculator, Federal Register (84 FR 227)
No difference in financial distress with counseling intervention , Kircher SM et al. J Oncol Pract. 2019 Jan 9. doi: 10.1200/JOP.18.00270.
Many believe tumor profiling will benefit present treatment, Marron et al. JCO Precis Oncol. 2019 Jan 22. doi: 10.1200/PO.18.00176.
Physician mothers with extra caregiving at home at higher risk, Yank V et al. JAMA Internal Medicine. 2018 Jan 28. doi: 10.1001/jamainternmed.2018.6411.