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  • National health expenditures represented nearly 18 percent of the U.S. gross domestic product (GDP) in 2015, while efforts to limit cost growth continue to be central objectives for public and private payers alike. Dissemination of research on the evidence base for clinical practice is an important strategy for persuading policymakers, providers, and patients that some things in medicine are not worth doing: they create too much risk, have unacceptable side effects, lack adequate effectiveness, and even, occasionally, that they are too costly for the benefits they confer. Evidence on the latter is derived from cost-effectiveness studies that allow comparison of the value for money of an intervention or program when compared to one or more alternative health-promoting interventions. The use of cost effectiveness analysis (CEA) in U.S. policy-setting environments has a checkered history given perceptions that the methodology lacks transparency, that it is applied to some interventions and not others, and......
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  • Only one insurer is offering coverage in 32 percent of the counties in the United States, which together include 21 percent of the nation’s population. In five states—Alabama, Alaska, Oklahoma, South Carolina, and Wyoming—there is only one insurer participating in the state’s online marketplace. Given the current political, regulatory, and financial uncertainty, there is a very real possibility that some counties may have no marketplace insurers for 2018. On March 29, 2017, Senators Lamar Alexander and Bob Corker (both Republicans from Tennessee) put forth a proposal to address this situation. The proposal is similar, but not identical, to legislation proposed by Senator Alexander and seven other Republican Senators in 2016. In addition to this bill, other recent ACA-related developments include a FAQ on permissible consumer information gathering by agents and brokers, an interim order in one of several risk corridor payment litigations, and OIG plans to investigate the effect of the......
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  • Shobha
    Shobha created a new blog post, Find your exercise style
    Find your exercise style
    •   Health
    •   Thursday, 30 March 2017
    My husband, Jay, and I turn into super nerds on our brisk morning walk. We sport decidedly uncool but comfy clothes and sneakers, clock the times when we leave and return, count our steps, sometimes break into a run for interval training, and alternate routes in the neighborhood — all while flailing our arms (okay, that’s just me), gabbing away (me again), laughing, and analyzing the issues of the day. It’s fun — like a mini date — and it’s always interesting. The routine suits us. And that comfortable fit is key to sustaining an exercise program. “Finding an activity you enjoy is an incentive to keep doing it,” explains Madhuri Kale, a physical therapist at Harvard-affiliated Brigham and Women’s Hospital. If you’re not entirely crazy about your exercise routine, try another. Think about activities that appeal to you, and consider their pros and cons. The following ideas will help you find......
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  • 12 things you miss from California
    •   Travel
    •   Thursday, 30 March 2017
    1. Ideal weather. A post shared by Scott Sporleder (@spoart) on Oct 28, 2016 at 10:37am PDT With a mild climate around the state, it’s easy to forget that this is not the case everywhere else in the country. A winter on the East Coast or in the Midwest will make you grateful for all that California sunshine. A summer in the South will make you realize that the Golden State is pretty blessed in the weather department. Even the beautiful Pacific Northwest comes with a little too much rain for our taste. 2. Fresh produce. A post shared by Guilia Piscitelli (@gugifruit) on Aug 27, 2016 at 2:24pm PDT With Central California having ideal soil to grow a wide variety of crops, Californians are spoiled with fresh fruits and veggies year-round. Farmers’ markets are the best places to see these seasonal displays, where you can get your weekly produce haul......
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  • Anshika
    Anshika created a new blog post, Decipher the phonetic symbols
    Decipher the phonetic symbols
    •   Travel
    •   Thursday, 30 March 2017
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