Medicare & Medicaid
Hospitals could be staring down bigger competition, declining volume and shrinking margins as organizations such as OptumCare stake a bigger claims in the provider space.
Readmissions cost the healthcare system an estimated $17 billion annually and the majority are avoidable.
If approved, the state would extend Medicaid benefits under the Affordable Care Act, while enacting the Trump Administration's policy for able-bodied recipients to work.
The policy would hinder healthcare access provided by Medicaid to those struggling with substance use and mental health disorders, they told Azar.
Expanding third-party coverage leads to people doing more things that are intrinsically goods for their health, improving not only outcomes but overall healthcare spend, data shows.
The study contradicts assertions by some hospitals that the new payment system and changes to the 340B drug discount program would bring drastic cuts to reimbursement.
Researchers pinpointed success with comprehensive asthma education conducted by dedicated educators as part of a broader strategy to reduce readmissions among patients with the condition.
Scoring adjustments, quality measures, lack of sociodemographic consideration are major concerns for the group, who wants application deadline moved back.
Insured population, however, is expected to shrink from 91.1 percent in 2016 to 89.3 percent in 2026 thanks to the repeal of the individual mandate, study shows.
Companies will offer a new plan with prescription drug coverage in select markets beginning in 2019.