Healthcare.gov Enrollment Count Drops by 3.8%
According to an update from Thursday from the Centers for Medicare and Medicaid Services (CMS), Healthcare.gov enrollment numbers drop compared to enrollment numbers in 2018. The update showed that 8.4...
View ArticleCMS Proposes Rule to Reduce ACA Premiums
On Thursday, the Center for Medicare and Medicaid Services (CMS) announced a proposed rule that aims to cut fees for those enrolled in the Affordable Care Act (ACA). This act can potentially eliminate...
View ArticleUninsured Rate at its Highest Since 2014
A new survey released by the Gallup National Health and Well-Being Index on Wednesday revealed that the number of uninsured American adults has increased from 10.9 % in 2016 to 13.7 % in 2018, which is...
View ArticleSlight Rate Increase in 2020 for Medicare Advantage Plans
The Centers for Medicare and Medicaid Services (CMS) had announce on Thursday the second part of their 2020 Medicare Advantage Advance Notice, which will increase the Medicare Advantage rates by 1.59%...
View ArticleNewly Drafted Medicare For All Proposes New Budget Model
On January 14, 2019, the House Democrats developed a draft for the approaching Medicare for All bill, which will suggests a new budget model. Initially, Senator Bernie Sanders had developed the...
View ArticleCMS Star Rating Model to be Reconsidered
The Centers for Medicare and Medicaid Services (CMS) is considering eliminating their current star rating model for a model that takes the average of scores, rather than their current model based on a...
View ArticleMore Physician-Led ACO’s are Leaving After ACO Reform
The Centers for Medicare and Medicaid Services (CMS) has been working to continually evolve and reform the Accountable Care Organizations (ACOs) program. A recent reform to the ACO program was the...
View ArticleIncrease in Insurance Rebates Due to ACA Uncertainty
According to a report from the Kaiser Family Foundation, insurers who participate in selling health insurance plans in the Affordable Care Act (ACA) markets have collected more premiums than needed....
View ArticleMajority of Short-Term Health Plans are Low Loss Ratios
In a study published by the National Association of Insurance Commissioners’ 2018 Accident and Health Policy Experience, health insurance companies spend less on the dollar for their short-term health...
View ArticleACA Exchanges Down 1.2 Million of Enrollment
In a report released by the Centers for Medicare and Medicaid Services, the enrollment in the health insurance exchanges under the Affordable Care Act has been down by 1.2 million of unsubsidized...
View ArticleCMS Administrator Pushes Hospitals to Comply with Payment Policies
At an American Hospital Association meeting on Tuesday, Center for Medicare and Medicaid Services Administrator, Seema Verma, urged hospitals to comply with the payment policies being driven by the...
View ArticleHospitals Focusing on Overhauling Board Education
As hospitals around the nation are shifting from fee-for-service to value based care, hospitals are also looking to revitalize their hospital board. As the industry is getting on board with major...
View ArticleCMS Achieved $739 Million in Savings from Medicare ACOs
The Centers for Medicare and Medicaid Services have reported savings from their Medicare Shared Savings Program. According to new agency data, the CMS has retained a savings amount totaling $739.4...
View Article2020 ACA Exchange Plans Premiums Decline 4%
Health insurance plans in the Affordable Care Act (ACA) exchange will experience a decline in premiums in 2020 although the health insurance marketplace will offer more plan choices. This will be the...
View ArticleHospital-Physician Consolidation Hurting Medicare Beneficiaries
According to a recent federal research study, Medicare beneficiaries are feeling the cost burden that is resulting from the consolidation of hospital systems and independent physician practices. These...
View ArticleACA Enrollment Growing, Stays Lower than Last Year’s Signups
According to the statistics from the Centers for Medicare and Medicaid Services, open enrollment signups is still growing, but is not as substantial as previous years’ enrollment. Currently, it is Week...
View ArticleACOs Looking to Drop Out from Shared Savings Program
In a survey from the National Association of ACOs, fifty six percent of risk-bearing ACOs stated that they are likely to drop out of the Medicare shared savings program. Most of these ACOs that are...
View ArticleThe CMS Provides Guidelines for Hospitals to Reopen
The Centers for Medicare and Medicaid Services (CMS) released on Sunday a set of guidelines on how hospitals are allowed to reopen for non-emergent non-COVID-19 healthcare amidst the COVID-19 pandemic....
View ArticleImpact of COVID-19 on Revenue Cycle
During this current COVID-19 pandemic, physician practices across the country are experiencing significant challenges that have sprung up quickly. Significant financial challenges have burdened many...
View ArticleACA Enrollment Could Increase by 1 Million Due to COVID-19
Due to massive job losses resulting from the COVID-19 pandemic, the Affordable Care Act (ACA) exchanges could be adding over 1 million new enrollees. The COVID-19 pandemic has caused job losses across...
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