Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Primers

Affordable Care Act Brought the Uninsured Rate to 9.1%

by Vera Gruessner

The Patient Protection and Affordable Care Act has made a tremendous impact on healthcare coverage among Americans. An extra 20 million people now have healthcare access  do due to the health insurance exchanges. The Centers for Disease...

Medicare Part B Drug Prescribing Model Benefits Beneficiaries

by Vera Gruessner

There has been a fair amount of controversy regarding Medicare Part B drug prescribing reforms. For instance, the Community Oncology Alliance (COA) has called for blocking the regulation changing Medicare Part B drug prescribing practices. The...

Healthcare Affordability Difficult for Marketplace Consumers

by Vera Gruessner

Healthcare affordability remains a top issue throughout the United States. The Henry J. Kaiser Family Foundation released a brief discussing how many Americans still have difficulty with healthcare affordability since the price of premiums and...

How the SMART Act Resolved Medicare Secondary Payer Issues

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) has released its final rule detailing a timeline for the expansion of the Medicare Secondary Payer Web portal, which must meet the requirements of the Medicare IVIG Access and Strengthening...

Supreme Court Leaves Zubik v. Burwell Case to Lower Courts

by Vera Gruessner

On Monday, the Supreme Court unanimously called for the lower courts to rule on the Zubik v. Burwell case and to find a compromise. This particular court case argues on whether employers, specifically religious nonprofit groups, should be required...

Court Sides with Republicans on Affordable Care Act Provision

by Vera Gruessner

Once again, the Patient Protection and Affordable Care Act is receiving criticism from the Republican-led House of Representatives. House Republicans had filed a lawsuit claiming that the Obama administration does not have the authority to provide...

Veterans Affairs Processes Only 66% of Claims in 30 Days

by Vera Gruessner

The Medicare program, Medicaid coverage, and the Children's Health Insurance Program are not the only public payers offering  assistance to the American people. Veterans Affairs (VA) also ensures that those in the military receive access...

Health Insurance Exchange Consumers Satisfied with Health Plans

by Vera Gruessner

Despite the fact that the House of Representatives and the Senate attempted to repeal the Affordable Care Act at the end of 2015, consumers seem to be satisfied with their healthcare coverage options after purchasing health plans on the health...

Do Medicare Part B Prescription Drug Changes Hurt Rural Hospitals?

by Vera Gruessner

The proposed changes to the Medicare Part B prescription drug program is finding opposition among multiple medical organizations. The Centers for Medicare & Medicaid Services (CMS) will need to address the problems in the new proposed rule...

Commercial Accountable Care Organizations Denied Tax Exemption

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) has undergone significant reforms in recent years in order to reduce wasteful healthcare spending and improve patient health outcomes around the country. Some of these changes include...

Did the Affordable Care Act Lower Medicare Spending?

by Vera Gruessner

The Affordable Care Act and other regulatory changes were meant to reform the healthcare industry and save costs on wasteful spending. Recent results coming from the Department of Health and Human Services (HHS) show that the Affordable Care...

13% of Midsize Employers Provide High-Deductible Health Plans

by Vera Gruessner

The health insurance industry has been changing due to the Affordable Care Act and other regulatory pressures from the Centers for Medicare & Medicaid Services (CMS). Rising healthcare costs along with the reforms taking place among payers...

Accountable Care Organizations Keep Growing Across US

by Vera Gruessner

The Patient Protection and Affordable Care Act led to the  development of the Medicare and Medicaid Innovation Center, which eventually brought the creation of accountable care organizations and the Medicare Shared Savings Program....

Healthcare Cost Variation Differs Twofold between States

by Vera Gruessner

Those who have spent time in a doctor’s office or emergency room may have seen that the prices of healthcare services tend to vary drastically among separate medical facilities. New findings from the Health Care Cost Institute (HCCI) shows...

How the ACA Increased Enrollment in Medicaid and CHIP Programs

by Vera Gruessner

Last Friday, the Centers for Medicare & Medicaid Services (CMS) released a report covering the state Medicaid and Children's Health Insurance Program (CHIP) eligibility and enrollment data for the month of February. This type of information...

MACRA Rule Revolutionizes the US Healthcare Payment System

by Vera Gruessner

Earlier this week, the Centers for Medicare & Medicaid Services (CMS) released a proposed rulemaking regarding the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The MACRA legislation has made a significant difference to the...

New Proposed MACRA Rule Renovates Information Technology Use

by Vera Gruessner

The Department of Health & Human Services (HHS) has proposed new rules regarding the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) which will essentially remove the meaningful use program and move forward in advancing health information...

CMS Rule Renovates Coverage beyond ACA’s Medicaid Expansion

by Vera Gruessner

The Medicaid program has greatly changed since the passage of the Obama administration’s Affordable Care Act. Most importantly, more than half of the states throughout the nation have implemented Medicaid expansion, which means that more...

40% Health Plans Sold via Health Insurance Marketplace Overlap

by Vera Gruessner

Various health plans sold through the health insurance marketplace may actually overlapped with Medicaid coverage. The Association for Community Affiliated Plans (ACAP) released a study that shows about 40 percent of issuers providing Qualified...

SNF Medicare Reimbursement Expected to Rise by $800 Million

by Vera Gruessner

Last week, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that changes the Medicare reimbursement policies at skilled nursing facilities for 2017. Essentially, the proposed rule further brings Medicare payments...

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