More insurers are expected to offer individual health plans on more Affordable Care Act exchanges for 2019. The big question is whether they will expand into rural counties.
Category: Modern Healthcare
CMS risk-adjustment payment freeze to hit high-cost insurers hardest
The CMS’ suspension of the ACA’s risk-adjustment payments will hit large insurers the hardest, but the timing and rollout has drawn sharp condemnation for causing more individual market turmoil for 2019.
Trump administration freezes risk adjustment payments
The Trump administration is halting billions of dollars of payments to insurers under the Affordable Care Act’s risk-adjustment program, a move that further disrupts the insurance market and could lead to more premium increases next year.
Editorial: How to end the financial toxicity of specialty drugs
The high prices for specialty drugs are forcing physicians, patients and their families to factor in financial toxicity when choosing an appropriate therapy.
U. of Tenn. Medical Center admits drug addicted patients under strict conduct rules
The University of Tennessee Medical Center in Knoxville requires addicted patients admitted for medical treatment of drug-use associated infections to submit to tough new conduct rules.
Health systems save money using digital tools for scheduling appointments, administrative work
Health systems are putting leading-edge digital tools to the test by applying them to administrative tasks which, if all goes according to plan, machines are better at anyway.
Innovative opioid policy at Providence Regional a model for others
Nurse leaders at Providence Regional Medical Center in Everett, Wash., say they launched their written partnership agreement with drug-addicted infection patients four years ago in their 30-bed close-observation unit, a medical-surgical floor for…
CFO Roundtable: What keeps CFOs up at night? Rising labor costs, for starters
It’s no surprise that labor costs are top of mind for chief financial officers. But with historically low unemployment numbers, that budget line item looms even larger as organizations try to figure out new strategies to not just recruit, but, more…
Healthcare lawyers tout surge in care transactions as transformational
Whether and how all the deal-making in healthcare actually translates into better care and lower spending is left a little vague by the lawyers handling them.
Kentucky ruling throws doubt on future of Medicaid work requirements
The question now is whether the CMS will reconsider its waiver approvals or risk more lawsuits and potential derailment of work requirements.
