Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Healthcare Reform

Medicaid Reform Requires Outcomes-Based Innovation, Better Data

August 22, 2017 - Medicaid has steadily provided low-income patients with quality healthcare coverage and could further improve by addressing problematic areas through outcomes-based innovation and data analytics infrastructure, according to commentary published in JAMA. Former CMS Administrators Andy Slavitt and Gail Wilensky recognized that current policy debate at the federal level has threatened Medicaid...


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ACA “Skinny Repeal” Dies in Senate, Leaving Next Steps Uncertain

by Jennifer Bresnick

In the early hours of Friday morning, the Senate failed to pass its attempt at a “skinny repeal” of the Affordable Care Act, which would have eliminated the tax penalties associated with the individual mandate for insurance coverage...

Senate Nixes Better Care Reconciliation Act, But Isn’t Done Yet

by Jennifer Bresnick

After a nail-biting procedural vote on Tuesday afternoon that required Vice President Mike Pence to break the tie, the Senate continued its tumultuous afternoon by voting down the Better Care Reconciliation Act, which included deep cuts to Medicaid...

Tiebreaker Vote in Senate Opens ACA Repeal, Replacement Debate

by Thomas Beaton

In a 50-50 procedural vote, Vice President Mike Pence broke the tie as the US Senate voted to open debate for a future vote on American Health Care Act (AHCA), and the possible addition of amendments to the bill. After failing to garner...

CBO Score Finds 22 Million People Will Lose Health Coverage

by Thomas Beaton

UPDATE: GOP Senators delayed the vote on the BCRA until after the July 4th congressional recess.  The Congressional Budget Office (CBO) released their revised cost estimate on the new ACA repeal bill, the Better Care and Reconciliation...

AHIP: Congress Must Stabilize Payer Market, Consider Reforms

by Jesse Migneault

With passage of the AHCA, the insurance industry group AHIP has sent its response to congress and presented its recommendations for what direction to go in with healthcare reform The payer industry organization submitted recommendations in four...

AHCA CBO Score Predicts 23M Uninsured, Higher Out-of-Pocket Costs

by Jesse Migneault

The CBO report on the American Health Care Act (AHCA) found the bill would result in 23 million people losing insurance coverage over the next decade.  Other impacts of the bill include higher out-of-pocket costs for most patients and significant...

Single-Payer Healthcare Plan May Cost California $400 Billion

by Jesse Migneault

California’s proposed single-payer healthcare system would come with a $400 billion price tag, says a report from the state Senate on bill SB 562. The goal of the universal healthcare bill is two-fold: to tackle the issue of runaway premiums...

WI Medicaid Waiver Adds Drug Testing, Behavior Incentives

by Jesse Migneault

The Wisconsin Department of Health Services (DHS) will submit a section 1115 Medicaid waiver for the 2018 enrollment period that aims to add drug testing, healthy behavior incentives, and premium payments for certain beneficiaries. The waivers...

Two-Thirds of Physicians Disapprove of American Health Care Act

by Jesse Migneault

Two-thirds of physicians in a new Merritt Hawkins survey reported having a negative impression of the American Health Care Act (AHCA).  This includes 58 percent of physicians who have a “strongly” negative take on the newly...

Healthcare Orgs React to House Vote on American Health Care Act

by Jesse Migneault

The House vote to pass the American Health Care Act (AHCA) has drawn responses from across the healthcare industry.    The bill was passed 217-213, and immediately created a firestorm of commentary.  The passage of the bill...

NY Senate Considers Proposal for Single Payer Healthcare

by Jesse Migneault

Since the future of the Affordable Care Act (ACA) remains unclear, and GOP plans to repeal and replace have stalled, states are taking the lead in finding solutions to the rising costs of health care.  New York has joined California as the...

OK Legislature Keeps Interstate Health Insurance Bill Viable

by Thomas Beaton

A bill that would allow interstate health insurance options for Oklahoma residents is still on the table following a House committee vote. Senate Bill 478, or the Health Care Choice Act, would authorize Oklahoma’s Insurance Commissioner...

House GOP Renewing Interest in American Health Care Act

by Thomas Beaton

House Republicans are attempting to keep the American Health Care Act (AHCA) viable by adding a new amendment to the bill prior to Congress taking its spring recess. GOP lawmakers submitted an amendment to the House of Ways and Means Committee...

California Legislature to Review Single-Payer Healthcare Bill

by Thomas Beaton

California lawmakers have introduced  a single-payer healthcare bill that would provide all Californians comprehensive coverage with minimal out-of-pocket costs. The State Senate will review SB 562, or “The Healthy California Act,”...

Kansas Lawmakers Vote for Medicaid Expansion Under the ACA

by Thomas Beaton

UPDATE: Kansas Governor Sam Brownback has vetoed the legislation, calling Medicaid expansion "irresponsible and unsustainable." Kansas state lawmakers in the House and Senate have voted to approve Medicaid expansion under the Affordable...

House Votes to Boost Health Insurance Options for Businesses

by Thomas Beaton

The House of Representatives has voted 236-175 to move the Small Business Health Fairness Act of 2017 to the Senate in an effort to increase health insurance options for small businesses. The Act is designed to promote the growth of Association...

House GOP Leaders Pull American Health Care Act Before Vote

by Thomas Beaton

Before it could reach the House of Representatives for a vote, Republican party leaders pulled the American Health Care Act (AHCA). Because lawmakers could not agree on the structure or substance of the conservative healthcare framework, the...

House Reps Add Amendments to the American Health Care Act

by Thomas Beaton

House Republicans recently added 21 pages of  updates and changes to the American Health Care Act (AHCA) to push forward the potential Affordable Care Act (ACA) repeal and replace bill. Many of the legislation’s changes would make...

APMs, Health Data Exchange among Top Payer Reform Goals

by Thomas Beaton

The National Academy of Medicine (NAM) offered policymakers and stakeholders healthcare reform priorities, including alternative payment models (APMs) and health data exchange, that aim to lower overall healthcare costs and improve patient...

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