Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Healthcare Policy

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 that...

Precision Medicine is a ‘Whole New Ballgame for Insurers’

by Vera Gruessner

Recently, President Barack Obama has announced a national “Moonshot” program to put an end to cancer as a whole. Vice President Joe Biden has been appointed the main leader of this project, a White House news release stated. A total...

Health Insurance Company Couldn’t Lay Claim to Personal Assets

by Vera Gruessner

The health payer industry has seen its share of legal battles when it comes to keeping businesses afloat financially. One particular health insurance company – the National Elevator Industry Health Benefit Plan – paid $120,000 in...

Medicare Spending May Increase $500 Billion over Next Decade

by Vera Gruessner

The Congressional Budget Office (CBO) has released information showing growing deficits that are expected to increase by more than $100 billion in 2016 and expand to $1 trillion by 2022. The Committee for a Responsible Federal Budget released...

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 University’s...

How Paid Sick Leave Could Reduce Patients’ Financial Burden

by Vera Gruessner

One of the most looming issues within the healthcare industry has been the medical debt that many citizens around the nation incur if they are struck with a serious acute or chronic illness. A report published in the Journal of the American Medical...

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 transformative...

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 proposals...

CMS, AMA Delve into Past and Future of Healthcare Market

by Vera Gruessner

Yesterday, representatives from the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association came together to provide an overview of the current healthcare market in a presentation called “A Discussion with...

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, The...

Medicaid Expansion Brought More Cancer Screenings among Women

by Vera Gruessner

Several years ago, the Supreme Court ruled that state Medicaid expansion under the Patient Protection and Affordable Care Act is to be optional for each region. This led a large number of states to forego expanding their Medicaid program for...

The History and Evolution of CHIP and the Medicare Program

by Vera Gruessner

When the medical industry including diagnostics and treatment became more complex and sophisticated in the early 1900s, everyday citizens began to see a surge in the costs for healthcare services. With more complicated procedures, treatment for...

Top 3 Recent Outcomes of the Affordable Care Act in 2015

by Vera Gruessner

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?

by Vera Gruessner

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...

New Framework for MACRA’s Alternative Payment Models Released

by Vera Gruessner

Earlier this year, the federal government passed the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA), which reforms the Medicare program by abolishing the Sustainable Growth Rate (SGR) formula, developing a more effective value-based...

Is Employer Mandate in Affordable Care Act Constitutional?

by Vera Gruessner

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...

Prescription Drug Spending Growth Skyrocketed 13% in 2014

by Vera Gruessner

In 2014, the rise of prescription drug spending hit 13 percent while overall healthcare spending growth increased by 5 percent. This steep rise is causing concern among both federal agencies like the Centers for Medicare & Medicaid Services...

Top 4 Policy Changes Affecting the Health Payer Market in 2015

by Vera Gruessner

The last year has had a huge impact on the health payer market as well as the entire healthcare industry from providers and educational institutions to the federal government and the patient community. Below we will outline the top four policy...

Why Value-based Care Needs Clinical Decision Support Tools

by Vera Gruessner

Ever since new legislation such as the Affordable Care Act or the Health Information Technology for Economic and Clinical Health (HITECH) Act were passed, the healthcare industry has been reforming and moving toward value-based care. There are...

Will Health Insurance Exchange Remain Intact Despite Hurdles?

by Vera Gruessner

What will happen to the health insurance exchange created by the Patient Protection and Affordable Care Act? Will it continue on as originally planned by the Obama administration? Or will new legislation and the decisions of insurance companies...

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