smorse

Author's posts

Hospitals are fighting DSH payment cuts

America’s Essential Hospitals said it is working with lawmakers to stop $4 billion in cuts for 2020 from taking effect November 22.

The social determinants of health include behavioral issues that add to utilization and cost

MOBE works with the 5% of the commercial population that spends 20% of insurer dollars.

Blue Cross and Blue Shield of Illinois invests $1 million in housing

An estimated 80% of the homeless population has at least one chronic health condition.

Few Medicare Advantage insurers use new benefit flexibility to address the social determinants of health

Plans are hampered by current CMS policy and provider coding that often does not reflect social needs, Urban Institute report says.

Cigna expands Affordable Care Act plans in 19 markets across 10 states

The expansion into the ACA for Cigna and other insurers comes at a time when CMS reports declining unsubsidized enrollment.

Pelosi drug bill would give HHS Secretary Alex Azar authority to negotiate prices on 25 drugs

The maximum price that could be set is 1.2 times the average international market price.

Court rules in favor of hospitals on site neutral payments

The decision saves hospitals from a $760 million rate cut in 2020.

Rebates for brand-name drugs in Part D reduced growth in spending

Still, Medicare spent $2 billion more for brand-name drugs with rebates in 2015 than in 2011.

Hospitals face rising risk of sophisticated cyberattacks

To date, attacks that have led to patient data being exposed; Going forward, attackers will seek to disrupt hospitals’ operations, Moody’s says.

How Kaiser Permanente and Enterprise are investing in affordable housing

In high-priced areas in California, the partnership is working to keep affordable apartments from becoming the next million dollar condos.