Monthly Archives: August 2018

 ACA’s Health Insurance Tax to cost $16B, lead to higher premiums “Currently, a federal moratorium on the tax is in place, but the hold is expected to expire in 2019.  If the tax is reinstated, both the public and private insurance markets are likely to feel an impact” Read More Here

Ask David Waters, CEO of a Boston-area not-for-profit organization called Community Servings, about America’s high-cost patients. He doesn’t talk about medications. He doesn’t talk about trips to the emergency department or high-priced procedures. He talks about what they need to eat. “For too long, nutrition has been—this is my own opinion—sort of the poor stepchild […]

The Medicaid Transformation Project:  Health leaders taking action on national healthcare overhaul “Seventeen health systems in 21 states, comprising 280 hospitals, and a number of other healthcare industry stakeholders, are collaborating on an ambitious, long-term project to identify, develop, and scale financially sustainable digital solutions that improve the health of underserved individuals and families in […]

Cultivating a  culture of patient engagement in health care “In a hurry to engage patients in all things health care, managers, clinicians and researchers have largely ignored the significance of cultivating a culture that genuinely encourages and supports patient engagement at all levels. In particular, although we have discovered a plethora of ways to engage […]

Utilization review, formularies, medication—they are still the stuff of managed care. It’s the reason that managed and care, when together, are still dirty words in many circles. But managing care in the still-young 21st century now also means managing people, not just their health care—and what they eat, where they live, and how they get around. Managed care […]

CMS to tighten oversight of states’ Medicaid demonstration project costs “The CMS has issued a guidance indicating that it will initiate tighter analysis of Medicaid waiver demonstration project costs to make sure that states are meeting budget-neutral goals” Read More Here  

Kentucky’s Medicaid administrative costs jumped by more than 40 percent after the adoption of controversial work requirements for some able-bodied recipients – that’s according to a new report out this week by Wall Street credit rating agency Fitch. In a press release, the agency worries that direct costs for Medicaid work requirements could “limit savings from enrollment […]