Policy and Legislation
Many health systems lag on strategies to take advantage of new open enrollment on health insurance exchanges that could help offset declining revenues from fewer admissions and more care moving outside of the hospital.
The Centers for Medicare & Medicaid Services issued a final rule on Medicaid payments to disproportionate share hospitals last week, cutting approximately $1.1 billion from the program over the next two fiscal years.
The Internal Revenue Service has issued final regulations to implement the ACA requirement that every individual have basic health insurance coverage, qualify for an exemption, or make a "shared responsibility" payment when filing a federal income tax return, beginning in 2014.
One area in which Congress has acted in a bipartisan manner is in crafting a permanent solution to the “doc fix,” the sustainable growth rate formula.
The Affordable Care Act is the law of the land and is undeniably changing the landscape of healthcare in the United States. It is forcing hospitals, physicians and payers to restructure the manner in which healthcare is delivered, services coordinated and costs more effectively managed.
National health spending will accelerate in 2014, as more individuals will be able to access health insurance under the Affordable Care Act.
This short video, sponsored by the Colorado Regional Care Collaborative Organization (RCCO) and produced by Health2 Resources, shows how Colorado healthcare leaders are driving transformation in the area through community engagement.
The federal Commission on Long-Term Care released its policy recommendations last week but did not reach a consensus on how to pay for these often expensive services.
The Medicare Payment Advisory Commission is looking into ways that Medicare can strengthen accountable care organizations and the shared savings program to make them more effective for providers and patients, including improving benchmarks, adding more risk and getting beneficiaries more involved.
Doctors are told that the value-based care model will allow them to foster closer relationships with their patients, have greater access to clinical and pricing data and let them see fewer patients but earn more money but they are leery of the model.