Jeff Lagasse

Author's posts

Average ACA benchmark premiums up 3.4%

Average Affordable Care Act benchmark premiums have increased 3.4% for the 2023 coverage year according to a new analysis from the Robert Wood Johnson Foundation. 
It also found that premiums are greatly affected by the number of insurers competing in …

Valley Health System debuting ‘smart rooms’ to improve patient care

Staying in a hospital room is no one’s idea of a good time. But staying in a smart room – as envisioned by Valley Health System – could improve the experience.

Feds predict Medicare Hospital Insurance Trust Fund will run dry by 2031

A number of federal agencies – including the U.S. Department of the Treasury, Departments of Health and Human Services and Labor, the Centers for Medicare and Medicaid Services, and the Social Security Administration – have determined that the Medicare…

CMS updates 2024 hospice payment rate in proposed rule

The Centers for Medicare and Medicaid Services has issued a proposed rule that would update Medicare hospice payments and the aggregate cap amount for fiscal year 2024 to be more in line with existing statutory and regulatory requirements.

BSBSA pushes for better data collection around race, gender

The Blue Cross Blue Shield Association (BCBSA), partnering with the National Minority Quality Forum (NMQF), has released recommendations for improving and standardizing data collection methods around race, ethnicity, and language (REL) and sexual orien…

Hospital finances beginning to stabilize, though margins still down, finds Kaufman Hall

Hospital margins are still struggling, but they’re beginning to stabilize, according to Kaufman Hall’s National Hospital Flash Report for March.
Margins in February were down slightly from the previous month, representing the eighth straight month in w…

Top Stories: Ohio AG’s lawsuit accuses PBMs of raising drug prices

The attorney general of Ohio is accusing pharmacy benefit managers of illegally driving up drug prices. What are the details? We’ll examine that and other issues in this week’s Top Stories, including Better Therapeutics’ recent layoffs, and clinicians …

Bipartisan legislation takes aim at Medicare Advantage upcoding

New legislation introduced in the Senate by Bill Cassidy (R-LA) and Jeff Merkley (D-OR) seeks to curb overpayments to Medicare Advantage plans by imposing changes to MA risk adjustment.

Centene appoints Tanya McNally to SVP, Chief People Officer

Insurer Centene has appointed Tanya McNally to the role of senior vice president and chief people officer, the company announced this week.
As chief people officer, McNally will lead the Human Resources function and “drive strategies to optimize employ…

HIMSS23: Clinical history data key to quality care

Is big data too big? Next month, Kristen Mclaughlin and Nitin Gupta will attempt an answer.