“Enrollees in some of the health law’s most popular plans will face high cost-sharing requirements that the pharmaceutical industry says could keep patients from getting the drugs they need.

Most silver plans in the online marketplaces, or exchanges, require patients to pay for prescription drugs as part of the plan’s deductible, while nearly all bronze plans do, according to a report from Breakaway Health prepared for the Pharmaceutical Research and Manufacturers of America (PhRMA), the drug industry’s trade group.”

“Two of the most controversial questions in health care reform are whether government-sponsored expansions of health insurance coverage like ObamaCare and RomneyCare save lives, and if so whether other policies could save more lives per dollar spent. “Changes in Mortality After Massachusetts Health Care Reform,” published today in the Annals of Internal Medicine, presents evidence suggesting RomneyCare may have saved lives, but at a very high cost.”

“As you may know if you’re a regular reader of The Apothecary, the left has systematically ignored the mountains of clinical evidence showing that the Medicaid program doesn’t actually make people healthier. Given that Obamacare is designed to achieve half of its coverage expansion via Medicaid, you can understand why: if Medicaid doesn’t make people healthier, a significant chunk of Obamacare is wasted money. But the other chunk of Obamacare—the one that expands coverage using subsidized private-sector coverage—could indeed have an impact on health outcomes. An important new study, following the health outcomes of Romneycare in Massachusetts, shows us how.”

“Over the past several years, a major debate has broken out among health policy watchers as to whether expanding insurance actually saves lives. About a year ago, I reported on a landmark study in Oregon that found no real improvement in physical health among those who had gained access to Medicaid.”

“Celeste Castillo, a Guatemalan immigrant, was invited to a news conference with Illinois Gov. Pat Quinn and Health and Human Services Secretary Kathleen Sebelius early last year to help promote enrollment in the country’s new health insurance marketplaces…Fourteen months later, the 57-year-old nanny was still uninsured.”

“In recent opeds for the Los Angeles Register and the Orange County Register, I explain how ObamaCare’s requirement that insurers cover people with pre-existing conditions at the same price as healthy people dramatically reduces the risks associated with not having health insurance, and therefore creates a perverse incentive for people to drop their coverage and wait until they get sick to re-enroll.”

How Obamacare pays off insurers.

“Around 900,000 Medi-Cal applicants statewide — 300,000 of them in Los Angeles County — are still awaiting final processing of their applications, state and local officials said Wednesday.”

“My mother is not one to seek attention by complaining, so her recent woeful Facebook post caught my eye: “The poor get poorer.” It diverged from the more customary stream of inspirational quotes, recipes and snapshots from her tiny cottage in Pierce County, Wash. The post continued: “I just received a notice: ‘In order to comply with the new healthcare law, your current health plan will be discontinued on December 31, 2013.'”

“Data provided to the committee by every insurance provider in the health care law’s Federally Facilitated Marketplace (FFM) shows that, as of April 15, 2014, only 67 percent of individuals and families that had selected a health plan in the federally facilitated marketplace had paid their first month’s premium and therefore completed the enrollment process.”