Medicaid Acceptance by Healthcare Providers Drops to 1-out-of-3 By Kev Coleman HealthPocket, February 26, 2015 When HealthPocket first investigated Medicaid acceptance in 2013, it found that only 43% of the healthcare providers examined were formally listed as accepting Medicaid. Since the original 2013 study, Medicaid enrollment has continued to rise as the Affordable Care Act […]
Market Guide for Healthcare Payers’ Core Administrative Processing Systems By Constance Sjoquist Gartner, January 28, 2015 Payer CIOs need to enhance, append or replace their existing core administrative systems to more effectively compete in an increasingly complex healthcare environment. Vendors are developing newer or re-engineering existing solutions to meet this demand. Market Direction Historically, the […]
Taxpayers Following ACA Rules, Refunds Take a Hit H&R Block, February 24, 2015 So far in the 2015 tax season, H&R Block (NYSE: HRB), the world’s largest consumer tax services provider, is seeing a majority (52 percent) who enrolled in insurance via the state or federal Marketplaces paying back a portion of the Advance Premium […]
Research says hospital consolidation isn’t a cure-all for health care By Tim Vogus, Associate Professor of Management at Vanderbilt University The Conversation, February 23, 2015 In his new book, America’s Bitter Pill, Steven Brill dives deep into the history of the Affordable Care Act (ACA) and how it was passed. He concludes that, although providing […]
CMS pitches 1.1% boost to Medicare Advantage payments By Bob Herman Modern Healthcare, February 20, 2015 The CMS has proposed increasing health insurers’ Medicare Advantage payment rates by 1.05% for 2016, a move that kicks off a 45-day dogfight in Washington before the rates are cemented. The base rate was an 0.95% average decrease, but […]
Why High Risk Pools (Still) Won’t Work By Jean P. Hall The Commonwealth Fund, February 13, 2015 As the new Congress convenes and the Supreme Court prepares to hear arguments in the King v. Burwell case challenging tax subsidies for insurance purchased through the federally facilitated marketplaces, proposals to repeal and replace the Affordable Care […]
Report Back from the 4th Annual Students for a National Health Program (SNaHP) Summit The 4th annual SNaHP summit took place on Saturday, February 14, 2015, on the medical campus of the University of Illinois-Chicago. More than 170 medical and health professional students from over 50 schools gathered to discuss single payer, develop their activism […]
In The Debate About Cost And Efficacy, PCSK9 Inhibitors May Be The Biggest Challenge Yet By William Shrank, Alan Lotvin, Surya Singh, and Troyen Brennan Health Affairs Blog, February 17, 2015 Health care reform is intended to lower costs, but they are still rising, albeit less steeply than in the past. Moderation is not however […]
Out of Pocket, Out of Control By The Editors Bloomberg View, February 16, 2015 Obamacare’s goal to expand access to health care has been only half a success: More Americans have insurance, but a rise in cost sharing means fewer can use it. Copayments — those predetermined charges you pay at the doctor’s office — […]
A Five-Year Assessment of the Affordable Care Act By John P. Geyman International Journal of Health Services, February 10, 2015 Abstract The Affordable Care Act (ACA) was enacted in 2010 as the signature domestic achievement of the Obama presidency. It was intended to contain costs and achieve near-universal access to affordable health care of improved […]
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