Medicare & Medicaid

Dec 09 | Susan Morse

Final days of ACA open enrollment show 10% drop in signups

Open enrollment is ongoing as the Fifth Circuit Court of Appeals is expected to soon rule whether the ACA is constitutional.

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Dec 06 | Jeff Lagasse

Healthcare spending rises to $3.6 trillion in the U.S., driven partly by health insurance tax

After a slower growth rate in 2017, 2018 saw growth rates about equal to those of 2016, driven…

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Dec 04 | Jeff Lagasse

How changing Affordable Care Act rules affect health insurance premium costs

It's the unanticipated consequence of the 2017 cut of the ACA's cost-sharing reduction payments to…

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Dec 04 | Susan Morse

AHIP, BCBS Association support lawsuit against health insurance tax for Medicaid managed care

The tax is scheduled to go into effect in 2020.

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Dec 04 | Jeff Lagasse

Mayor Pete Buttigieg unveils plan to reduce inequities in healthcare access

Buttigieg would combat racial and gender bias in part by redirecting funding to under-resourced communities.

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Dec 02 | Susan Morse

Affordable Care Act open enrollment figures jump in Week 4

With less than two weeks to enroll, both the number of new and renewing consumers increased this year over last.

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Dec 02 | Jeff Lagasse

CVS Health to acquire IlliniCare Health in agreement with Centene

Centene will retain IlliniCare's Medicare-Medicaid Alignment Initiative business and its YouthCare foster care…

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Nov 26 | Susan Morse

CMS Innovation Center is testing direct contracting model

This model is part of a strategy to use the redesign of primary care as a platform to drive broader healthcare delivery system…

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Nov 26 | Susan Morse

To engage patients, understand their needs and wants

There is often a disconnect between what health plans provide and what patients want, according to Keith Roberts of Change Healthcare.

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Nov 22 | Susan Morse

ACA open enrollment picks up in week 3, but is still a 13% drop over last year

Week 3 of open enrollment sees 26% fewer signups than in 2017, when there were two additional days to enroll.

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Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

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Healthcare mergers and acquisitions in 2016: Running list While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

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