Affordable Care Act

Legal Battle Over Affordable Care Act Subsidies Heats Up

by Ryan Mcaskill

King v. Burwell could affect the health insurance of millions in 37 states if the ACA is found at fault. The Affordable Care Act has been shackled with political and legal unrest since originally being...

Why is the Value-Based Care Adoption Rate Low?

by Ryan Mcaskill

A new AJMC study examined the challenges that physicians face when it comes to creating value-based care. One of the hottest trends in 2014 has been the increased focus on value-based care platforms...

HHS Announces $665 Million in ACA Healthcare Funding

by Ryan Mcaskill

The State Innovation Model initiative aims to help design and test new healthcare payment and service delivery model. The Department of Health and Human Services (HHS) is helping healthcare shift to...

How Effective is the Medicaid Drug Rebate Program?

by Stephanie Reardon

Rebate program saved Medicaid an average of $15 billion annually. The Affordable Care Act (ACA) will soon be reducing Medicaid reimbursement. A recent survey was conducted by the Office of Inspector...

HHS Distributes $36.3M in Affordable Care Act Funding

by Ryan Mcaskill

Health center quality improvements including EHRs, chronic disease management and preventive care focus of ACA funding. One of the goals of the Affordable Care Act and other forms of healthcare reform...

CMS Proposed Rule to Improve Payment Parameters for 2016

by Ryan Mcaskill

A new focus on transparency, accountability and the availability of information is created by a new CMS proposed rule. Healthcare payment provisions will be getting a new focus on affordability and...

Hospital Sector Embraces Consolidation Over ‘Mega-Mergers’

by Ryan Mcaskill

A new study found ACO-style agreements are growing in 2014 instead of blockbuster mergers that were seen in 2013. Throughout 2013 in the hospital sector, a theme emerged known as the...

Accountable Care is Not a New Concept

by Ryan Mcaskill

The term Accountable Care Organization was coined in 2006 but the history of accountability in healthcare in much longer. One of the hottest trends in the healthcare landscape is accountability....

DSH system Could See Reduction in CMS Funding

by Ryan Mcaskill

The Affordable Care Act and congressional action could drop DSH funding by as much as $35.1 billion by 2024. Disproportionate Share Hospitals serve a significantly disproportionate number of low-income...

Patient Satisfaction Grows With Accountable Care Organizations

by Ryan Mcaskill

A new study found that beneficiaries are more satisfied with their care following a year with Accountable Care. One of the biggest changes to healthcare in the last few years, has been the growth of...

2.3% Medical Device Tax Won’t Heavily Impact Healthcare Buyers

by Jennifer Bresnick

The controversial medical device tax will not significantly upset the market for manufacturers or healthcare organizations, a new report says. The 2.3% medical device tax rolled up into the Affordable...

Top Providers of Medicare Advantage, Drug Coverage Listed

by Ryan Mcaskill

With the Affordable Care Act’s open enrollment just around the corner, more consumer than ever before are looking to get coverage, some for the first time. Industry experts are advising...

Consumer Activity Recommended for ACA Open Enrollment

by Ryan Mcaskill

Open enrollment for individual health care coverage under the Affordable Care Act for 2015 is a month away. Starting November 15,2014 and ending December 15, 2014, the second open-enrollment period will...

Are Providers Updating Patients on ACA and Financial Risks?

by Elizabeth Snell

The Affordable Care Act (ACA) not only gives the opportunity for more individuals to find quality health insurance at the right price, it also requires patients to take more financial responsibility in...

Health Spending and Job Creation Continues Growth

by Ryan Mcaskill

With more Americans getting insured, health care spending and industry job creation is growing to meet the demand. According to the numbers from the Bureau of Economic Analysis (BEA), the health care...

Examining the Revenue Cycle Post-Affordable Care Act

by Ryan Mcaskill

The healthcare revenue cycle has experienced significant change since the Affordable Care Act (ACA) passed. Many facilities sudden found themselves facing constraints on payer contracts and...

Affordability, Access and Quality Proof ACA Is Working

by Ryan Mcaskill

Last month, U.S. Department of Health and Human Services (HHS) secretary Sylvia Burwell penned a blog post that argues the Affordable Care Act is working and the evidence is clear. To see it though,...

Former HHS Official Files Lawsuit, Claims ACA Violations

by Elizabeth Snell

The Affordable Care Act’s (ACA) rate-review provision states that insurers must submit proposed premium rate increases of 10 percent or more to federal authorities. Additionally, insurers need to...

Industry Experts Express Concern Over CMS Open Payments Data

by Ryan Mcaskill

Last week, the Centers for Medicare & Medicaid Services (CMS) released the first set of Open Payment data. Created as part of the Sunshine Act, the initial round of information details 4.4 million...

CAGW criticizes CMS, Marilyn Tavenner for ACA expenditures

by Elizabeth Snell

Last week, Citizens Against Government Waste (CAGW) stated that the Centers for Medicare & Medicaid Services (CMS) had a “dismal record on financial accountability” and also knocked...