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Grandmothered ACA Plans Receive Transition-Relief Extension

ACA Times

Department of Health and Human Services’ Center for Medicare and Medicaid Services (CMS) has extended the period of non-enforcement for certain non-compliant health policies under the Affordable Care Act through the end of 2020. 2 minute read: The U.S.

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Report: Telemedicine Reimbursement Limitations Cost Millions, ‘Impede Expansion’

care innovations

million in telehealth claims per year “did not meet Medicare requirements,” the Office of Inspector General (OIG) at the Department of Health & Human Services (HHS) has thrust new light upon America’s byzantine telemedicine reimbursement policies and the limitations they place on the expansion of value-based care.

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Will Consumers Cross the Cost-and-Trust Chasm Between Prescription Drugs and Hospitals?

Health Populi

A recent study on politics and health care spending in the U.S. published by the National Bureau of Economic Research found a close link between electoral politics and Medicare: that is, between legislative processes in the U.S. In the words of NPR, “Hospitals are the largest individual contributor to health care costs in the U.S…

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ACO Lessons Learned: Revisiting the Timing of Downside Risk

E-CareManagement

The editor and publisher of Accountable Care News have been generous in allowing me to republish my article from the November 2014 issue. The issue is being revisited in major 2014 MSSP reg revisions which are in process. Click here to download a.pdf copy of the article. It’s in-depth — about 2,000 words.

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Technology, Aging and Obesity Drive Healthcare Spending, BEA Finds

Health Populi

Some key findings from this study were that: The fastest-growing spending conditions between 2013 and 2014 were infectious disease, mental illness, and diabetes. The second chart indicates healthcare spending by category in billions of dollars and annual rate of growth.

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How Digital Health Can Stimulate Economic Development

Health Populi

With “Economy” embodied in the law’s name, a rationale for including HITECH in ARRA was, in part, to help stimulate the nation’s economy beyond the revenues of health IT companies many of whom, in the short-term, directly benefited from the law. Some historical perspective is useful for context.

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Medical costs projected to increase 6% by 2020, says PwC

Henry Kotula

Thirty-eight percent of large employers offered a worksite clinic in 2019, up from 27 percent in 2014. For payers, it becomes important to benchmark the prices paid commercially against a common reference point such as Medicare.