Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Policy and Regulation News

How Presidential Nominees May Change World of the Health Payer

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The future of the healthcare industry hangs in the balance as the presidential nominees within the United States have their own plans for how to improve the consumer experience and the world of the health payer. Some of the most transformative...

Guaranteed Renewability Key to Replacing Affordable Care Act

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Even though President Barack Obama vetoed the Budget Reconciliation bill aimed at repealing the Affordable Care Act, there is still the potential that, if a Republican nominee wins the presidential election by the end of the year, new proposals...

AAI Asks DOJ to “Just Say No” to Health Insurance Mergers

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The latest news regarding the Aetna-Humana and Anthem-Cigna mergers revolves around a new letter sent to the Department of Justice Antitrust Division by the American Antitrust Institute. The letter states it concerns about the impending mergers...

UPDATE: House Passes Bill to Repeal Obama’s Affordable Care Act

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The House of Representatives voted 240 to 181 in favor of the Budget Reconciliation bill, which would repeal large parts of the Patient Protection and Affordable Care Act as well as take away funding from Planned Parenthood for one year, The...

Top 3 Recent Outcomes of the Affordable Care Act in 2015

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The Obama administration’s Patient Protection and Affordable Care Act has dealt with a multitude of opposition since its passage and this past year has been no different. There are still partisan politics at play when it comes to the healthcare...

Will the US Embrace the Affordable Care Act in Future Years?

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The Patient Protection and Affordable Care Act has had many obstacles in the way when revolutionizing the healthcare insurance field and broadening access to medical care for the US population. What does the future hold for the Affordable Care...

Is Employer Mandate in Affordable Care Act Constitutional?

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On Monday, the Association of American Physicians and Surgeons (AAPS) filed an amicus brief with the US Supreme Court that asks the justices to provide a writ of certiorari in a court case that claims the employer insurance mandate of the Patient...

The Senate Passes Bill to Repeal Chunks of Affordable Care Act

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On Thursday, the United States Senate voted 52 to 47 in passing a legislation that would gut major provisions within the Patient Protection and Affordable Care Act. This is the first time the Senate has approved such a bill and has the opportunity...

Could New Legislation Stop the Hikes in Generic Drug Prices?

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When it comes to containing healthcare costs, one of the biggest culprits of rising prices is the pharmaceutical industry, which has recently exhibited spikes in generic drug prices, according to a press release from the Healthcare Supply Chain...

Medical Loss Ratio Provision Led to $2.4 Billion in Rebates

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A new report shows that consumers have received more than $2.4 billion in premium rebates since 2011 because of the passage of the Patient Protection and Affordable Care Act. The Medical Loss Ratio provision under the Affordable Care Act gives...

Aetna’s Humana Acquisition Bringing Strong Opposition

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The complications between the free market of the health insurance industry tied with increasingly complex federal mandates over the last several years is coming to a head with the Humana acquisition by the insurer Aetna. According to a press...

Beneficiary Incentive Programs Advance Patient Engagement

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Did you know that between the years 1975 to 1985, average annual Medicare spending for each beneficiary rose from $472 to $1,579? This is an increase of 12.8 percent per year, according to The Commonwealth Fund. It is no surprise that healthcare...

Past Successes, Future Challenges of the Affordable Care Act

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The Patient Protection and Affordable Care Act was first passed into law in 2010. Over the last five years, there has been ongoing debate and political action taken to combat the Act and essentially destroy the legislation. The Supreme Court...

HEDIS Quality Performance Measures Assist Consumers, Insurers

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Healthcare payers attempting to improve their plans and coverage would be wise to address the quality performance measures set forth in the Healthcare Effectiveness Data and Information Set (HEDIS), which was developed and currently managed...

How the Affordable Care Act Failed Mental Healthcare Coverage

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The Patient Protection and Affordable Care Act was meant to spread healthcare coverage to all Americans across the states. Health insurance, however, must also incorporate coverage for mental health and psychiatric care. Has the Affordable Care...

Does Value-based Care Hurt Single Physician Practices?

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The healthcare industry has undergone a variety of reforms in the last several years and this may be leading to workflow difficulties for physicians. From meaningful use requirements and the ICD-10 transition to the provisions of the Affordable...

Three Steps to Address Healthcare Spending of New Technologies

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Healthcare spending accounts for a wide variety of procedures, services, and technologies adopted or offered by medical providers, payers, and patients. In recent years, the healthcare industry has also begun implementing new technologies and...

Issues Surround Health Insurance Marketplace despite ACA

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The health insurance marketplace underwent tremendous transformations with the passage of the Obama administration’s Patient Protection and Affordable Care Act. New regulations have required everyday citizens to purchase health insurance...

Insurance Mergers Will Not Benefit Consumers, AHA CEO Says

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Health insurance mergers continue to raise antitrust concerns for the American Hospital Association (AHA). On September 10, AHA President and CEO Rick Pollack testified before the House Judiciary Committee panel regarding the association’s...

AMA: Insurer Mergers Expand Market Power, Reduce Competition

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Healthcare mergers have been of great discussion as of late, as  Aetna announced its $37 billion acquisition of Humana, and Anthem its acquisition of Cigna. Although Aetna and Anthem officials state that these mergers will benefit the healthcare...

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