Industry Updates

//Industry Updates

Hospitals Focusing on Overhauling Board Education

As hospitals around the nation are shifting from fee-for-service to value based care, hospitals are also looking to revitalize their hospital board. As the industry is getting on board with major changes and improvements, such as the focus on population health and alternative payment models, the hospital board needs to provide better insight and advice [...]

By | 2019-09-27T08:51:21+00:00 September 27th, 2019|Articles, Industry Updates|0 Comments

CMS Administrator Pushes Hospitals to Comply with Payment Policies

At an American Hospital Association meeting on Tuesday, Center for Medicare and Medicaid Services Administrator, Seema Verma, urged hospitals to comply with the payment policies being driven by the Trump administration. According to the CMS Administrator, the current industry's climate could see more challenging times, as the government is getting more involved in the healthcare [...]

By | 2019-09-11T10:48:04+00:00 September 11th, 2019|Articles, Industry Updates|0 Comments

ACA Exchanges Down 1.2 Million of Enrollment

In a report released by the Centers for Medicare and Medicaid Services, the enrollment in the health insurance exchanges under the Affordable Care Act has been down by 1.2 million of unsubsidized enrollment in 2018. Factors that can account for the massive drop in enrollees can be attributed to the increased price for premiums, which [...]

By | 2019-08-30T09:27:58+00:00 August 30th, 2019|Articles, Industry Updates|0 Comments

Majority of Short-Term Health Plans are Low Loss Ratios

In a study published by the National Association of Insurance Commissioners' 2018 Accident and Health Policy Experience, health insurance companies spend less on the dollar for their short-term health plans. These short-term health plans were recently given more access to by the Trump Administration last year. Compared to more extensive health plans offered on the [...]

By | 2019-08-09T12:14:38+00:00 August 9th, 2019|Articles, Industry Updates|0 Comments

Increase in Insurance Rebates Due to ACA Uncertainty

According to a report from the Kaiser Family Foundation, insurers who participate in selling health insurance plans in the Affordable Care Act (ACA) markets have collected more premiums than needed. The report estimates that insurers have collected an excess of $800 million in premiums and are expected to give these premiums back to consumers as [...]

By | 2019-05-09T10:45:20+00:00 May 9th, 2019|Articles, Industry Updates|0 Comments

More Physician-Led ACO’s are Leaving After ACO Reform

The Centers for Medicare and Medicaid Services (CMS) has been working to continually evolve and reform the Accountable Care Organizations (ACOs) program. A recent reform to the ACO program was the Pathways to Success Rule, which was enacted in late 2018, which focused on reforming the Medicare Shared Savings Program (MSSP). The Pathways to Success [...]

By | 2019-03-15T12:28:19+00:00 March 15th, 2019|Articles, Industry Updates|0 Comments

CMS Star Rating Model to be Reconsidered

The Centers for Medicare and Medicaid Services (CMS) is considering eliminating their current star rating model for a model that takes the average of scores, rather than their current model based on a latent variable model (LVM). The decision would not be quick, but would be enacted in 2020. The CMS' new stance on their [...]

By | 2019-03-04T09:49:31+00:00 March 4th, 2019|Articles, Industry Updates|0 Comments