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April 27, 2017 Subscribe Our Team Contact Us
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Today’s Rundown

  1. Trump administration’s latest word on funding for ACA subsidies not enough for insurers
  2. Revised healthcare bill wins over Freedom Caucus, but still faces tough road ahead
  3. Report: Insurers use data to drive value-based contracts, identify gaps in care
  4. [Sponsored] Blair Uses Advanced Analytics to Increase Medicare Stars Rating to 4.5*
  5. Pre-ACA, preexisting conditions long vexed states, insurers

Featured Story

Trump administration’s latest word on funding for ACA subsidies not enough for insurers

Thursday, April 27, 2017 Though the Trump administration has agreed to temporarily fund cost-sharing reduction payments, some groups—including health insurers—aren’t particularly impressed.

Revised healthcare bill wins over Freedom Caucus, but still faces tough road ahead

Thursday, April 27, 2017 Though the latest version of an Affordable Care Act repeal and replacement bill now has the official support of the Freedom Caucus, the same changes that won them over may make it tougher for the bill to reach the president’s desk. What’s more, several Republicans have begun to question whether a budget reconciliation measure is actually the best way to repeal the ACA.

Report: Insurers use data to drive value-based contracts, identify gaps in care

Wednesday, April 26, 2017 Health plans are taking a broad approach to health data, using a massive repository of digital records to drive value-based contracts, predict patient conditions and improve population health. A new report released by the National Pharmaceutical Council and Avalere identified seven ways health insurers are using patient data and analytics.

[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.

Pre-ACA, preexisting conditions long vexed states, insurers

Thursday, April 27, 2017 From Kaiser Health News: Before the ACA, states had differing approaches to handling preexisting conditions. Pennsylvania, for example, was typical. Until the ACA mandated that insurers treat sick and healthy people equally, buying insurance seemed as lawless as the Wild West.

News of Note

Under a bill signed Wednesday by Gov. Terry McAuliffe, Virginia will join five other states and the District of Columbia in requiring insurance companies to cover 12 months of birth control at a time. The Washington Post article (sub. req.) A measure that would establish government-run universal healthcare in California cleared its first legislative hurdle Wednesday when it passed the state’s Senate Health Committee. Los Angeles Times article Anthem has filed a preliminary injunction to block Cigna from terminating their merger agreement when it expires on April 30. Law360 report (reg. req.) Blue Cross and Blue Shield of Minnesota is paying a $45,000 penalty to state regulators in response to allegations the insurer failed to make a timely update to its online provider directory. Star Tribune article

Resources

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[Whitepaper] Streamline Regulatory Compliance in Life Sciences with Digital Transaction Management

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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