Searching Content indexed under Insurance by Eric Klein ordered by Published Date Descending.
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"May You Live In Interesting Times" – Some Healthcare Predictions For The Trump Administration's First Year
What does the election of Donald Trump mean for the healthcare industry, the Affordable Care Act (ACA) and current healthcare market trends?
United States
15 Nov 2016
Maryland Co-Op Claims Risk Adjustment Formula Discriminates Against Smaller Insurers
Maryland's Evergreen Health Cooperative has filed for an injunction against the federal government to halt payment by the Consumer Operated and Oriented Plan of the $22 million it owes to CareFirst BlueCross BlueShield...
United States
1 Jul 2016
The Next Rx: New Medicare Part D Initiative Advances Role Of Medication Management In Reform
Medicare Part D's Medication Therapy Management (MTM) program intends to optimize clinical benefits and avoid drug-related problems among eligible beneficiaries.
United States
19 Oct 2015
The Supreme Court Holds That Medicaid Providers Cannot Sue To Enforce Federal Reimbursement Rate Standards
On March 31, 2015, the U.S. Supreme Court issued its decision in Armstrong v. Exceptional Child Center, Inc...
United States
21 Apr 2015
HHS Launches New Payment And Delivery Model To Improve Oncology Care
Cancer care is notoriously complex, intensive and costly. With more than 1.6 million people diagnosed with cancer each year, there is a strong impetus towards reforming service delivery.
United States
3 Mar 2015
Effects Of The New Federal Spending Package On The Health Sector
In mid-December, President Obama signed into law a $1.1 trillion spending bill known as the "Consolidated and Further Continuing Appropriations Act, 2015" or "Cromnibus."
United States
12 Jan 2015
The National Association Of Insurance Commissioners Weigh In On Issues Of Network Adequacy
Network adequacy has become a matter of increased scrutiny during these early years of ACA implementation.
United States
9 Dec 2014
Tying Health Spending To The Economy: What Does It Mean For The Future?
Politicians, researchers, and other stakeholders have long recognized the importance of a slowdown in health spending in the U.S.
United States
31 Jul 2014
CMS Seeks To Update Payment Rates And Eligibility Certification Requirements In Proposed Rule For Medicare Home Health Services
On July 7, CMS published a proposed rule updating Medicare’s Home Health Prospective Payment System payment rates for 2015.
United States
22 Jul 2014
The Future Of DSH Payments?
According to CMS, the federal government disburses $11.5 billion annually in disproportionate-share hospital (DSH) payments to states.
United States
25 Jun 2014
Innovation Health: A Joint Venture Approach To Payer-Provider Integration In Virginia
In 2012, Aetna and Inova, a not-for-profit health system in Virginia, formed a joint venture health plan: Innovation Health.
United States
1 May 2014
New Data Shows Higher Healthcare Costs In Second Half Of 2013 – Is This A Result Of The Affordable Care Act?
Will insurance expansion and industry consolidation result in higher healthcare costs and further stress the economy and the healthcare industry?
United States
28 Apr 2014
Oscar, A New, Venture-Backed Health Insurance Company, Seeks To Compete Against Industry Giants
The ACA is driving innovation at all levels of the healthcare system, creating opportunities for small start-ups to compete with industry giants.
United States
28 Apr 2014
Colorado Pilots An Integrated Model For The Medicare And Medicaid Dual-Eligible Population
CMS announced that Colorado will join its Financial Alignment Initiative to pilot a fee-for-service model for people enrolled in both Medicare and Medicaid.
United States
17 Mar 2014
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