Colorado's standardized health-insurance plan, known as the Colorado Option, is changing how consumers interact with insurance, according to a new report tracking the plan's development since 2013. Today, an increasing number of Coloradans are choosing the plan, largely because of its value.
Erica Pike, director of policy and government relations for the Colorado Academy of Family Physicians, explained many insurance plans offered after the Affordable Care Act was rolled out in Colorado did not cover comprehensive preventive services, which frustrated doctors.
"And so, looking for a way to incentivize and design a plan that centered primary care was something that we were really hopeful for," she said.
After lawmakers passed House Bill 1232 in 2021, the Colorado Option was developed with extensive input from consumers, insurers, health providers, rural communities and other stakeholders. In addition to offering preventive care, other primary goals for the new plan were to make insurance easier to understand and more affordable, and to improve health outcomes for historically disadvantaged communities.
Jen is a consumer with diabetes who was cited in the report compiled by the Colorado Consumer Health Initiative. She said choosing a Colorado Option plan made the most sense, in part because Continuous Glucose Monitoring coverage was available with a zero-dollar co-pay in the schedule of required benefits.
"It covered the most prescriptions, and did not require step therapy for Ozempic. And it indicated that I would probably, with prior authorization, be able to stay on the insulins I was on," she said.
This year, more than 93,000 Coloradans enrolled in Colorado Option plans, more than doubling last year's enrollment and representing more than a third of all enrollments through Connect for Health Colorado. More insurers are also offering plans, providing much-needed competition in 12 counties.
The Colorado Division of Insurance is scheduled to hold public hearings on the plans later this year if insurers do not meet premium reduction targets, and will evaluate the plan's progress in both affordability and health equity in 2026.
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Ohio lawmakers are exploring ways to address the state's looming retirement crisis.
According to The Pew Charitable Trusts, if the personal retirement savings situation remains unchanged, Ohio could expect to see a more than $11 billion increase in state spending over the next two decades.
House Bill 501 would create a Joint Legislative Study Committee tasked with studying retirement options for small businesses and state-facilitated workplace programs to improve access to retirement savings.
Amy Milam, associate state director of outreach and advocacy for AARP Ohio, said people are more likely to save for their golden years when they can do so by having a percentage of their paycheck deducted.
"In Ohio, we have 42% of Ohio's private sector workers -- that's roughly 1.8 million people -- who do not have access to a retirement savings plan through their employer," Milam reported.
Nationwide, around 64% of Hispanic workers, and 45% of Asian American workers lack access to an employer-provided retirement plan. According to an AARP report, almost three of four workers with less than a high school diploma lack a work-based retirement plan, a much higher percentage than those with a bachelor's degree.
Milam added more than a dozen other states have created partnerships with employers to offer state-sponsored plans to give employees access to Individual Retirement Accounts.
"Giving employees a simple way to save for retirement on the job means that fewer Ohioans will need to rely on public assistance later in life," Milam emphasized. "Which will benefit the individual and will also benefit the state by saving taxpayer dollars."
In some states, investment companies have pushed back on state-sponsored plans, seeing them as competition. But a 2023 survey by AARP found 92% of Ohio business owners support legislation creating a public-private retirement savings option for workers.
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UPDATE: A response has been added from the Alliance for Automotive Innovation. (2:02 p.m. PDT, May 14, 2024)
A new study showed the flame retardants used in the seats of many cars emit toxic gases, and recommended the federal government reevaluate its flammability standards.
Researchers at Duke University and the Green Science Policy Institute in Berkeley studied the air and foam from 101 cars model year 2015 and newer, and found traces of two carcinogens on California's Prop. 65 list of harmful chemicals.
Robert Herrell, executive director of the Consumer Federation of California, called on the National Highway Traffic Safety Administration or state officials to act.
"We would hope that the relevant federal authorities would take a look at this," Herrell urged. "They have indicated that they're aware of this study, they're reviewing it. In some cases, California chooses not to wait necessarily for the feds to act, and we can try to act ahead of that."
The Alliance for Automotive Innovation said in a statement, "Automakers are committed to sustainability and include approved flame retardants in all passenger vehicles to meet the flammability standards required by the federal government to reduce...deaths and injuries to motor vehicle occupants caused by vehicle fires."
The study, in the journal Environmental Science & Technology, found the chemicals are released into the air two to five times more often in the summer when the car is hot. It recommended people park in the shade, air out their cars before getting in and avoid using the recirculated air feature in their vehicles.
Herrell noted his group fought to get the government to require furniture manufacturers to phase out similar flame retardants.
"Historically, the auto industry has really lagged behind on safety and consumer protection issues," Herrell asserted. "More often than not, they've been sort of dragged kicking and screaming into the modern age."
The flame retardants at issue do not prevent burning but they slow a fire's progression. Many fires starting inside cars begin with a dropped cigarette, so some experts have suggested the feds update flammability standards with a new anti-smoldering requirement, which could be met without the use of these types of chemicals.
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Supply chain disruptions mean consumers who need prescriptions filled in Indiana and around the country are running into roadblocks.
Parents and caregivers have limited options, as the availability of generic medications is running low. There are several causes: Inoperable manufacturing plants cause production delays and back orders pile up. A key pharmaceutical ingredient needed to make a certain medicine has been discontinued, causing additional problems.
Veronica Vernon, assistant professor of pharmacy practice at Butler University, called the situation dire.
"We're seeing one of the worst cases of prescription drug shortages that we've seen in recent years," Vernon observed. "Unfortunately, this is a cause for concern because you go to the pharmacy and expect them to have the medication in stock, and they don't."
Vernon acknowledged pharmacists cannot guarantee patients when a certain medication will be delivered. She advised parents and caregivers to schedule refills up to two weeks in advance to make sure they will be ready on time, if the pharmacy can even get the medication.
According to Singlecare.com, atorvastatin, sold under the brand name Lipitor, was the most prescribed drug in Indiana last year. It's used to lower cholesterol.
The shortages affect both brand name and generic drugs. Vernon suggested keeping good lines of communication open with your pharmacist and asking if there are any negative health risks tied to taking a generic, if one is available.
"One of the most important things you can do is to always keep a list of your current medications with you," Vernon recommended. "And also keep a record of what you've tried in the past. When my patients experience a shortage, I'll say let's try this other medication that's in the same class is expected to have the same effect. Have you tried that before?"
Statista.com estimated the total market for generic drugs worldwide was estimated at $412 billion in 2022 and the figure is expected to increase to more than $600 billion by 2030.
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