Entries in Thayer, Claire (186)

Friday
Oct132017

Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition
 

Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week:

 

Trump to Issue Stop-Payment Order on Health Care Subsidies

In a brash move likely to roil insurance markets, President Donald Trump will "immediately" halt payments to insurers under the Obama-era health care law he has been trying to unravel for months.

The Associated Press

Friday, October 13, 2017

Trump’s Order Advances GOP Go-To Ideas To Broaden Insurance Choices, Curb Costs

The Trump administration Thursday advanced a wide-ranging executive order aimed at expanding lower-cost insurance options, allowing employers to give workers money to buy their own coverage and slowing consolidation in the insurance and hospital industries.

Kaiser Health News

Thursday, October 12, 2017

House Republicans Ramp Up Scrutiny of Providers in Drug Discount Program

House Republicans are intensifying scrutiny of a federal program that gives thousands of safety-net providers hefty discounts on prescription drugs but that they say doesn’t have effective tools to track where the savings are going.

Morning Consult

Wednesday, October 11, 2017

Long-Term Disability Insurance Gets Little Attention But Can Pay Off Big Time

“It won’t happen to me.” Maybe that sentiment explains consumers’ attitude toward long-term disability insurance, which pays a portion of your income if you are unable to work. Sixty-five percent of respondents surveyed this year by LIMRA, an association of financial services and insurance companies, said that most people need disability insurance.

Kaiser Health News

Tuesday, October 10, 2017

Overlooked By ACA: Many People Paying Full Price For Insurance ‘Getting Slammed’

Paul Melquist of St. Paul, Minn., has a message for the people who wrote the Affordable Care Act: “Quit wrecking my health care.” Teri Goodrich, of Raleigh, N.C., has the same complaint. “We’re getting slammed. We didn’t budget for this,” she said.

Kaiser Health News

Monday, October 9, 2017

 

These and more weekly news items on the business of healthcare are featured in the MCOL Weekend edition, along with the MCOL Tidbits, and more, for MCOL Premium level members.

 
Friday
Oct062017

Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition
 

Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week:

 

Trump Guts Requirement That Employer Health Plans Pay For Birth Control

The Trump administration is rolling back the Obama-era requirement that employer-provided health insurance policies cover birth control methods at no cost to women.

NPR

Friday, October 6, 2017

Association Health Plans: A Favorite GOP Approach To Coverage Poised For Comeback

Not even 24 hours after the latest “repeal and replace” proposal ran out of steam, Sen. Rand Paul (R-Ky.) ignited a new round of health policy speculation by predicting, during a cable news interview, impending Trump administration action on a longtime Republican go-to idea: association health plans.

Kaiser Health News

Friday, October 6, 2017

House passes GOP budget in key step for upcoming tax debate

The House on Thursday passed a $4.1 trillion budget plan that promises deep cuts to social programs while paving the way for Republicans to rewrite the tax code later this year. The 2018 House GOP budget reprises a controversial plan to turn Medicare into a voucher-like program for future retirees as well as the party’s efforts to repeal the “Obamacare” health law.

The Washington Post

Thursday, October 5, 2017

Bill to Rescue Children’s Health Program Hits Snag in House

Legislation to rescue the Children’s Health Insurance Program sailed through a Senate committee on Wednesday, but touched off a partisan conflict in the House, diminishing hopes that the popular program would be quickly refinanced.

The New York Times

Wednesday, October 4, 2017

Cigna says it won’t cover OxyContin prescriptions through employer plans

The health insurer Cigna on Wednesday announced it will no longer cover OxyContin prescriptions for customers on its employer-based health plans, the second major announcement in two weeks from an industry group billed as an effort to slow the opioid epidemic.

Stat News

Wednesday, October 4, 2017

These and more weekly news items on the business of healthcare are featured in the MCOL Weekend edition, along with the MCOL Tidbits, and more, for MCOL Premium level members.
 
Friday
Sep292017

Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

By Claire Thayer, September 29, 2017

Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week:

CMS adds open enrollment period, offers regulatory relief for payers and members in wake of hurricanes

CMS has announced special open enrollment periods for all Medicare enrollees and some federal health insurance exchange consumers in the wake of hurricanes Harvey, Irma and Maria, along with other disaster-related policies to help insurance companies in affected areas.

FierceHealthcare. Friday, September 29, 2017

Senators close to bipartisan deal on health exchanges: Schumer

Two U.S. senators from both parties are close to finalizing a bipartisan deal to shore up the health insurance exchanges created under Obamacare, the chamber’s top Democrat said on Thursday.

Reuters. Thursday, September 28, 2017

Price took military jets to Europe, Asia for over $500K

The White House approved the use of military aircraft for multi-national trips by Health and Human Services Secretary Tom Price to Africa and Europe this spring, and to Asia in the summer, at a cost of more than $500,000 to taxpayers.

Politico. Thursday, September 28, 2017

Health crisis in Puerto Rico: Few hospitals have power or fuel, but public health officials fear the worst is yet to come

Only 11 of Puerto Rico’s 69 hospitals have power or fuel, leaving the few hospitals that are open to handle a surge of injured patients and those who need care for chronic conditions.

Fierce Healthcare. Wednesday, September 27, 2017

Anthem Says No To Many Scans Done By Hospital-Owned Clinics

Tightening the screws on pricey imaging exams, health insurer Anthem will no longer allow many patients to get MRI or CT scans at hospital-owned outpatient facilities, requiring them to use independent imaging centers instead. NPR Wednesday, September 27, 2017

These and more weekly news items on the business of healthcare are featured in the MCOL Weekend edition, along with the MCOL Tidbits, and more, for MCOL Premium level members.

Wednesday
Sep272017

Provider Data Accuracy – Continued Challenges for Health Plans

By Claire Thayer, September 27, 2017

Inaccurate provider directories continue to pose challenges for health plans both in terms of removing barriers to patient care as well as the monumental task of keeping track of network providers and managing all data elements associated with a single provider record.  Not only is the data constantly changing, consider this: documenting this information takes time as a detailed record can track up to 380 distinct line items, including service locations, billing locations, payment locations, specialties, certifications, affiliations, office hours, and languages spoken.  Regulations have been enacted on both the federal and state level on required data elements and timeliness of maintenance requirements, with penalties for non-compliance and regulations that vary widely from state-to-state.

This weeks’ edition of the MCOL Infographic, co-sponsored by LexisNexis, focuses on increasing challenges for health plans with data reporting and maintenance of provider directories:

 

 

MCOL’s weekly infoGraphoid is a benefit for MCOL Basic members and released each Wednesday as part of the MCOL Daily Factoid e-newsletter distribution service – find out more here.

Friday
Sep222017

Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition

Friday Five: Top 5 healthcare business news items from the MCOL Weekend edition
 

Every business day, MCOL posts feature stories making news on the business of health care. Here are five we think are particularly important for this week:

 

Of Cassidy-Graham’s four co-sponsors, only one has the support of his governor

The latest Republican health-care bill gives significant power to the states. But several of the nation’s governors, including a handful of Republicans, aren't interested.

The Washington Post

Friday, September 22, 2017

CVS tightens restrictions on opioid prescriptions in bid to stanch epidemic

CVS Health announced Thursday that it was limiting the amount and strength of prescription opioid painkillers it provides to patients taking the drugs for the first time, a step intended to help curb opioid abuse.

Stat News

Thursday, September 21, 2017

Graham-Cassidy Health Bill Would Shift Funds from States That Expanded Medicaid

Senate Republicans' latest plan to overhaul the U.S. health care system ends with a massive shift of federal money from states that expanded Medicaid — and are largely dominated by Democrats — to those that refused to expand.

NPR

Thursday, September 21, 2017

Almost half of Americans favor single-payer healthcare system, poll finds

Congressional Republicans may be trying once again to repeal and replace the Affordable Care Act with a more market-based approach, but a new poll finds that almost half of Americans favor a plan more in line with the single-payer offering served up earlier this year by progressive Sen. Bernie Sanders.

Healthcare Finance News

Wednesday, September 20, 2017

Amazon in talks with PBMs over pharma supply chain

Amazon is reportedly communicating with pharmacy benefit managers about potential drug contracts, according to a Leerink Partners analysis cited by CNBC. Amazon has been hiring more healthcare leaders and expanding its drug and medical supply distribution in recent months, spurring rumors the online retailer is stepping into the pharmacy business.

Becker's Hospital Review

Wednesday, September 20, 2017

These and more weekly news items on the business of healthcare are featured in the MCOL Weekend edition, along with the MCOL Tidbits, and more, for MCOL Premium level members.