Entries in Thayer, Claire (146)

Friday
Jan132017

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:

 

U.S. House Republicans to vote on Obamacare repeal

Reuters reports: U.S. House Republicans moved ahead on Friday with legislation aimed at dismantling Obamacare, despite concerns about not having a replacement for the healthcare program and the potential financial cost of repealing President Barack Obama's landmark law.

Reuters

Friday, January 13, 2017

 

Trump’s HHS Nominee Got A Sweetheart Deal From A Foreign Biotech Firm

Kaiser Health News reports: When tiny Australian biotech firm Innate Immunotherapeutics needed to raise money last summer, it didn’t issue stock on the open market. Instead, it offered a sweetheart deal to “sophisticated U.S. investors,” company documents show.

Kaiser Health News

Friday, January 13, 2017

 

CVS slashes price of substitute EpiPen auto-injectors to $109.99

Stat News reports: CVS Health announced Thursday morning that it has cut the price of two-packs of epinephrine auto-injectors to $109.99 — roughly the price that brand-name EpiPen shots were selling for eight years ago, before their escalating price became a hot political issue.

Stat News

Thursday, January 12, 2017

 

Sylvia Burwell urges need for Medicare to have drug price negotiating power

Healthcare Finance News reports: Giving Medicare authority to negotiate drug prices is the best way to keep those spiraling costs under control for the program's recipients, departing Health and Human Services Secretary Sylvia Burwell said Monday.

Healthcare Finance News

Tuesday, January 10, 2017

 

UnitedHealth Group to Buy Outpatient Surgery Chain for $2.3 Billion

The New York Times reports: UnitedHealth Group, one of the largest and most diversified health insurance companies in the United States, said on Monday that it planned to buy Surgical Care Affiliates, a chain of outpatient surgery centers, for about $2.3 billion. The deal is expected to close in the first half of 2017.

NY Times

Monday, January 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
Jan062017

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:

 

Walgreens CEO: Obamacare Replacement Shouldn't Be To 'Detriment' Of U.S.

Forbes reports: Whatever the Republican Congress and Donald Trump's White House create to replace the Affordable Care Act, Walgreens Boots Alliance hopes it “will not be to the detriment of [U.S.] citizens,” the company’s top executive said Thursday.

Forbes

Friday, January 6, 2017

 

Only 20 Percent Of Americans Support Health Law Repeal Without Replacement Plan

Kaiser Health News reports: The Republican strategy of repealing the Affordable Health Care Act before devising a replacement plan has the support of only one in five Americans, a poll released Friday finds.

Kaiser Health News

Friday, January 6, 2017

 

Medicare Failed To Recover Up To $125 Million In Overpayments, Records Show

Kaiser Health News reports: Six years ago, federal health officials were confident they could save taxpayers hundreds of millions of dollars annually by auditing private Medicare Advantage insurance plans that allegedly overcharged the government for medical services.

Kaiser Health News

Friday, January 6, 2017

 

Ryan Says Obamacare Replacement Bill Will Be Done in 2017

Morning Consult reports: House Speaker Paul Ryan says legislative work on repealing and replacing the Affordable Care Act will be completed this year, but exactly when the transition takes place on insurance exchanges is still to be determined.

Morning Consult

Thursday, January 5, 2017

 

Commonwealth Fund study finds parallels in uninsured rate decline, other economic gains and ACA implementation

Healthcare Finance News reports: The vast majority of adults who enrolled for health insurance during the first open enrollment period would likely not have held coverage without the Affordable Care Act expansions, finds a new study from the Commonwealth Fund.

Healthcare Finance News

Thursday, January 5, 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. 

Thursday
Dec222016

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:

 

Medicare Penalizes Hospitals In Crackdown On Antibiotic-Resistant Infections

NPR reports: The federal government has cut payments to 769 hospitals with high rates of patient injuries, for the first time counting the spread of antibiotic-resistant germs in assessing penalties.

NPR
Thursday, December 22, 2016

 

Cleveland Clinic CEO Toby Cosgrove named as contender for Trump's VA pick

Modern Healthcare reports: Cleveland Clinic CEO Dr. Toby Cosgrove was among prospective cabinet picks who met with President-elect Donald Trump on Tuesday. Cosgrove is reportedly a contender to lead the Veterans Affairs Department.

Modern Healthcare
Wednesday, December 21, 2016

 

Senate report shows Martin Shkreli is just as bad as you think he is

USA Today reports: Staggering hikes — in some cases higher than 5000%— in prices of prescription drugs threaten the health and economic stability of Americans who can't afford vital medicines, a congressional report warned Wednesday.

USA Today

Wednesday, December 21, 2016

 

Health Exchange Enrollment Jumps, Even as G.O.P. Pledges Repeal

The New York Times reports: About 6.4 million people have signed up for health insurance next year under the Affordable Care Act, the Obama administration said Wednesday, as people rushed to purchase plans regardless of Republican promises that the law will be repealed within months.

The New York Times
Wednesday, December 21, 2016

 

Women Doctors May Be Better For Patients’ Health

Kaiser Health News reports: When a patient goes to the best hospital, he or she usually hopes for a doctor who is knowledgeable and experienced. Something else to wish for? A woman physician.

Kaiser Health News
Monday, December 19, 2016

 

 

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
Dec162016

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:

 

 Feds Extend Healthcare.Gov Deadline To Dec. 19, Citing Late Rush

USA Today reports: Federal regulators Thursday night extended the midnight deadline for Affordable Care Act insurance by four days, as consumers fought to get through to call center operators and log onto Healthcare.gov to buy insurance that takes effect Jan. 1.

USA Today, December 16, 2016

 

G.O.P. Plans to Replace Health Care Law With ‘Universal Access’

The New York Times reports: House Republicans, responding to criticism that repealing the Affordable Care Act would leave millions without health insurance, said on Thursday that their goal in replacing President Obama’s health law was to guarantee “universal access” to health care and coverage, not necessarily to ensure that everyone actually has insurance.

The New York Times, December 16, 2016

 

CMS debuts new ACO model for dual-eligibles

The federal government has introduced a new accountable care organization model aimed at working with states to provide better quality, lower cost care for people enrolled in both Medicare and Medicaid.

Fierce Healthcare, December 15, 2016

 

Obama administration blocks states from cutting off grants to Planned Parenthood

The Washington Post reports: The Obama administration took steps Wednesday to block states from cutting off federal family planning grants to Planned Parenthood, finalizing a rule that is to take effect just days before the inauguration of President-elect Donald Trump.

The Washington Post, December 14, 2016

 

Aetna CEO takes stand to defend deal with Humana

In his turn on the witness stand in the Aetna-Humana antitrust trial, Aetna CEO Mark Bertolini sparred with Justice Department lawyers about the central debates surrounding the acquisition—including whether the deal will deliver on its promised efficiencies.

Fierce Healthcare, December 13, 2016

 

 

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.

 

Tuesday
Dec132016

The State of Provider Directory Accuracy

By Claire Thayer, December 13, 2016

Despite a federal mandate for all plans in the health insurance marketplace be required to have current and accurate provider directories, many health plan enrollees are finding that when it comes time to call a provider for their specialty visit or find a new primary care physician willing to take new patients, the information in the directory is often out of date or missing vital information.

We’ve posted a couple of infographics on this topic, one on the Accuracy of Health Provider Directories which outlined data points that CMS requires health plans to monitor and maintain on a monthly basis and the State of Provider Directory Accuracy Across the U.S. which outlined provider penalties that could be incurred for inaccuracies.

Last week, The New York Times published an in-depth article, Insurers’ Flawed Directories Leave Patients Scrambling for In-Network Doctors, highlighting from the consumer perspective just how frustrating the experience can be when you’re the patient shopping for health coverage and trying to find a physician willing to accept new patients.

While health plans participating in the health insurance marketplaces were to be subjected to penalties for directory inaccuracies starting in 2016, research by the New York Times found that while many directories are still incomplete, inaccurate or missing information, so far no plans have been fined or kicked off the enrollment sites for having poor doctor directories, said Aaron Albright, a spokesman for the Centers for Medicare and Medicaid Services, which would enforce the rules. A Health and Human Services Department survey of Medicare plans for those 65 and older that was released in October found errors in nearly half of the listings in doctor directories .

Last week, the MCOL Infographoid, co-sponsored by LexisNexis Health Care, offered a deeper look at the provider directory requirements on a state by state basis in the State of Provider Directory Accuracy, highlighted below:

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.