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April 28, 2017 Subscribe Our Team Contact Us
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Today’s Rundown

  1. Anthem loses appeal of antitrust ruling against proposed Cigna merger
  2. Without the votes, Republicans delay action on ACA repeal again
  3. Court denies feds’ motion to consolidate Medicare Advantage whistleblower cases
  4. [Sponsored] Blair Uses Advanced Analytics to Increase Medicare Stars Rating to 4.5*
  5. Report: When it comes to their health benefits, millennials are a different breed
  6. Healthcare groups: Revised GOP health bill ‘even worse’

Featured Story

Anthem loses appeal of antitrust ruling against proposed Cigna merger

Friday, April 28, 2017 A federal appeals court has denied Anthem’s attempt to challenge a judge’s ruling that its proposed acquisition of Cigna violates antitrust law. The panel said Anthem failed to demonstrate that the deal could achieve the “extraordinary efficiencies” necessary to offset the effect of losing Cigna as a competitor in the already highly concentrated markets where it sells employer-based plans to national accounts.

Without the votes, Republicans delay action on ACA repeal again

Friday, April 28, 2017 Republicans failed to bring their revised healthcare bill to the House floor this week, dashing hopes that they could vote on the measure during President Donald Trump’s first 100 days in office.

Court denies feds’ motion to consolidate Medicare Advantage whistleblower cases

Friday, April 28, 2017 A district court judge has denied the federal government’s motion to consolidate two whistleblower cases it recently joined that accuse UnitedHealth of fraudulently inflating its Medicare Advantage risk scores.

[Sponsored] Blair Uses Advanced Analytics to Increase Medicare Stars Rating to 4.5*

Monday, April 24, 2017 Geneia’s advanced analytics coupled with its three-step process helps payers attain the coveted Medicare Stars rating of four or more stars. Read how.

Report: When it comes to their health benefits, millennials are a different breed

Thursday, April 27, 2017 A new report indicates that millennial workers interact with their health benefits differently than those from other generations, which suggests that health insurers and plan sponsors should take an innovative approach to engaging these customers. For example, millennials are more engaged than baby boomers and Generation Xers in picking a health plan.

Healthcare groups: Revised GOP health bill ‘even worse’

Thursday, April 27, 2017 If they didn’t like a previous Republican plan to replace the Affordable Care Act, leading groups that represent doctors, nurses and hospitals say a revised GOP health bill is “even worse.” Leaders of those groups are urging Congress not to pass a revised bill that represents Republicans’ second attempt to repeal and replace the ACA. “The amendment proposed this week would dramatically worsen the bill,” said Rick Pollack, president and CEO of the American Hospital Association.

News of Note

Among adults ages 18-64, the percentage who were chronically uninsured decreased from 16.8% in 2010 to 7.6% in the first nine months of 2016. CDC data (PDF) The 19 states that have not yet expanded Medicaid could reduce the number of uninsured by more than 4 million people collectively, while drawing down between $7.14-$7.75 federal dollars for each state dollar invested to finance their coverage, if they chose to do so. Urban Institute report Molina Healthcare CEO J. Mario Molina sent a letter to congressional Republicans warning that the insurer will withdraw from the Affordable Care Act marketplaces “immediately” if funding for cost-sharing reduction payments is halted. Axios article

Resources

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Sponsored By: DocuSign The U.S. Department of Justice has collected upwards of $17 billion in settlements from the healthcare industry since 2009, including more than $2 billion from a single life sciences company.

Events

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