Category: FierceMarkets

Payer Roundup—Medicaid expansion a priority in Maine, likely in Kansas

Voters decided to expand Medicaid in Idaho, Nebraska and Utah via ballot initiatives last week. Gubernatorial elections in two other states have major implications for expansion as well.

ACA had ‘no adverse impact’ on workers’ hours and wages: report

Back when the Affordable Care Act first introduced new mandates for individuals and employers, critics predicted businesses would respond by cutting workers’ pay and giving them fewer hours. According to a recent report by the Urban Institute, those fe…

HHS planning new bundled payment models with mandatory participation on the table

While both voluntary and mandatory bundled payment models have the potential to advance value-based care, mandating participation provides HHS the most information about what works, said Secretary Alex Azar.

CMS floats new network-adequacy requirements for Medicaid managed care programs

The Trump administration wants to give states more freedom to states overseeing Medicaid managed care and ease network-adequacy standards. Part of a proposed rule released by the Centers for Medicare & Medicaid Services (CMS) on Thursday would allow st…

CMS proposes additional oversight of ACA exchanges, including abortion coverage

The agency wants to prevent people who are enrolled in Medicare from also enrolling in exchange plans, and it also wants to bill consumers separately for the portion of premiums that would go toward abortion services.

Trump administration finalizes rules allowing religious and ‘moral’ objections to birth control coverage

A year after a court blocked a federal rule that created “moral” exemptions for birth control coverage, the Trump administration published new rules with similar “conscience protections” for employers. 

What the 2018 midterm elections mean for healthcare: predictability

The midterm elections’ major implication for the healthcare industry? Some much-needed predictability. 

Humana reports $901M in Q3 earnings, attributing growth to prevention

Making the most of technology and addressing social determinants of health improved the customer experience for members and cut costs, said CEO Bruce Broussard.

Premier acquires Cedars-Sinai Medical Center spinout Stanson Health in $51.5 million deal

Charlotte, North Carolina-based Premier Inc. will acquire health tech company Stanson Health in a $51.5 million deal expected to close by the end of the year.

Democrats take the House, giving the ACA a safety net for now

Democrats took control of the House of Representatives on Tuesday night, capturing 26 seats, while Republicans maintained a firm grip on the Senate, adding two seats.