Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Affordable Care Act

Sanders’ Universal Healthcare Coverage May Have Pitfalls

by Vera Gruessner

In the coming Presidential election, health payers have plenty to consider, as most candidates propose significant policy changes from universal healthcare coverage to repealing the Patient Protection and Affordable Care Act. One candidate...

Will Health Insurance Mergers Stifle Market Competition?

by Vera Gruessner

Health insurance mergers and acquisitions have been a major topic within the payer industry lately. While companies that have pushed through with their mergers cite their potential cut of competition as a way to lower prices for the end...

HHS Pursues Higher Enrollment on Health Insurance Exchanges

by Vera Gruessner

The Department of Health and Human Services (HHS) is pleased with the most recent enrollment numbers in the Affordable Care Act’s health insurance exchanges. Department of Health and Human Services Secretary Sylvia M. Burwell stated...

The Affordable Care Act could Decrease Chronic Disease Rates

by Vera Gruessner

Needless to say, healthcare reform and the Affordable Care Act have revolutionized many avenues of the health payer industry. The individual mandate along with Medicaid expansion and federal tax subsidies on the health insurance exchanges...

HHS Cites Affordable Care Act Led to Prescription Drug Savings

by Vera Gruessner

Yesterday the Department of Health and Human Services (HHS) announced that millions of Medicare beneficiaries continue to see benefits from the Affordable Care Act especially with regard to their savings with prescription drugs....

12.7 Million Americans Enrolled in Health Insurance Exchanges

by Vera Gruessner

The last day to sign up for 2016 medical coverage during the open enrollment period through the state and federal health insurance exchanges was January 31 and the Department of Health and Human Services (HHS) announced in a press release...

70% of Uninsured Texans Find Medical Coverage Costs too High

by Vera Gruessner

The Rice University's Baker Institute for Public Policy and the Episcopal Health Foundation (EHF) found in a new report that nearly seven out of ten uninsured Texans cite the high costs of medical coverage as the reason for lacking...

23% of Voters Find Affordable Care Act ‘Extremely Important’

by Vera Gruessner

The Henry J. Kaiser Family Foundation released the January Kaiser Health Tracking Poll last week showing that the Affordable Care Act did not make it past 23 percent of those surveyed stating that it’s ‘extremely...

How Health Insurance Exchange Database Handles Enrollment

by Vera Gruessner

The health insurance exchange system set up through healthcare.gov needs to be a robust technological platform in order to manage the vast amount of information and high enrollment numbers associated with the insurance marketplace. The...

Enrollment through Health Insurance Exchange Continues to Rise

by Vera Gruessner

The deadline to apply for healthcare coverage through the federal health insurance exchange – healthcare.gov – is this Sunday, January 31. Currently, approximately 8.9 million people have either enrolled in a health insurance...

Affordable Care Act Brings Greater Health Coverage to Texas

by Vera Gruessner

The Patient Protection and Affordable Care Act may have done its job in one particular state with regard to expanding health coverage options and providing federal subsidies on the health insurance exchange. A study from Rice...

Co-ops on Health Insurance Exchanges Need Greater Surveillance

by Vera Gruessner

The Patient Protection and Affordable Care Act has influenced greater health coverage among American citizens through establishing state health insurance exchanges. However, when creating this platform, a number of Democratic congressmen...

Medicaid Managed Care Spending Rose to $107 Billion in 2014

by Vera Gruessner

One area in which the federal government has put in excessive amounts of funds is the managed care arena. The reasoning may be due to the growing elderly population of baby boomers. The US Government Accountability Office released a report...

How Presidential Nominees May Change World of the Health Payer

by Vera Gruessner

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...

Guaranteed Renewability Key to Replacing Affordable Care Act

by Vera Gruessner

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...

Top 3 Difficulties Facing State Health Insurance Exchanges

by Vera Gruessner

Once the Patient Protection and Affordable Care Act was passed into law, a tide of legal challenges came crashing against the legislation. In particular, the state and federal health insurance exchanges faced several differing...

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

by Vera Gruessner

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,...

3 Policy Challenges Health Insurance Exchanges Face

by Vera Gruessner

Health insurance exchanges have faced a number of legal challenges in recent months, as some key provisions of the Patient Protection and Affordable Care Act have found opposition. Last June, the Supreme Court ruled on the King v. Burwell...

Why State Medicaid Expansion May be Worthwhile for All

by Vera Gruessner

When the Supreme Court ruled that Medicaid expansion under the Patient Protection and Affordable Care Act is voluntary among the states, this set a precedence that allowed individual states to play partisan politics and withhold from...

The Impact of Medicare Advantage Plans, ACOs, Payment Reform

by Vera Gruessner

Now that the New Year is upon us, the Medicare program may be undergoing some significant changes that could affect patients and healthcare services. One ongoing transformative characteristic is the rise in enrollment in Medicare Advantage...

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