Fitch Ratings predicts the U.S. healthcare sector will be stable in 2019, but don’t expect the pressure on pricing and profit margins to let up any time soon.
The CMS has accepted Vanderbilt University Medical Center’s correction plan to maintain its Medicare contract, after threatening to pull it for failures around the 2017 wrongful death of a patient.
The share of Americans without health coverage will undoubtedly tick up next year for the first time in nearly a decade. This dubious achievement arrives just as the U.S. economy is nearing full employment. This shouldn’t be happening.
Prominent New York City health systems are selling an insurance company and third-party administrator that state regulators last year found had engaged in a scheme to funnel hundreds of millions of dollars back to the hospitals.
Many more eHealth customers opted for short-term insurance plans over unsubsidized Affordable Care Act-compliant plans during the first half of the ACA open enrollment period for 2019 coverage than during the previous open enrollment.
Massachusetts’ attorney general put conditions on the merger, including a seven-year price cap, participation in MassHealth, and $71.6 million in investments supporting healthcare services for low-income and underserved communities in Massachusetts.
The CMS has issued four new examples on how states can use 1332 waivers to customize health insurance offerings. But a former agency official warns that use of any of the new flexibilities outlined could result in litigation.