Noteworthy News

Archive for Affordable Care Act

 

Feds to Target Urban Areas for Health Insurance Open Enrollment

As part of a campaign to encourage more Americans to obtain health insurance during the open enrollment period of the federal insurance marketplace and state marketplaces, the Centers for Medicare & Medicaid Services has identified 15 large urban markets where it intends to focus a great deal of effort on encouraging people to obtain health insurance. Those markets are: Atlanta, GA Charlotte, NC Chicago, IL Dallas-Fort Worth, TX Detroit, MI Houston, TX Miami-Fort Lauderdale, FL Northern New Jersey Orlando-Daytona-Melbourne, FL Philadelphia, PA Phoenix, AZ Salt Lake City, UT San Antonio, TX Louis, MO Tampa-St. Petersburg, FL These areas are being [&hellip

Hospital Bad Debt Up in Ohio

While uncompensated care is down, bad debt is up at Ohio hospitals. According to a new report from the Ohio Hospital Association, hospital bad debt rose in that state from $1.04 billion in FY 2013, when the state had not expanded its Medicaid program, to $1.23 billion in 2014, after Medicaid expansion had begun. Why? The increase was “…spurred by the growth in high deductible health plans,” the report states. At the same time, what the association calls “charity care” fell from $1.03 billion to $809 million. Increased bad debt as a result of the purchase of high-deductible health insurance [&hellip

Medicaid Expansion Improved Hospital Finances

Hospitals in states that expanded their Medicaid programs as provided for in the Affordable Care Act experienced increased Medicaid revenue, reduced uncompensated care costs, and higher profit margins compared to hospitals in states that did not expand their Medicaid programs. These findings for 2014 come from the new study “Association Between the 2014 Medicaid Expansion and US Hospital Finances” published by the Journal of the American Medical Association. Find that study here

Medicare’s Primary Care Demonstration Shows Promise

Medicare’s Comprehensive Primary Care Initiative produced encouraging results during its second year: 95 percent of the participating medical practices met their quality requirements and four out of the seven participating regions generated nearly $58 million in savings and will share those savings with Medicare. In addition, the 481 participating medical practices reduced their overall admissions and readmissions rates, scores well on patient satisfaction surveys and quality measures, and surpassed national benchmarks in a number of areas, including preventive health measures. The program will expand in 2017 with 14 new regions participating in Comprehensive Primary Care Plus, an enhanced version of [&hellip

Post-Reform “Churn” Less Than Expected

When the Affordable Care Act passed, observers were worried about health insurance “churn”: people moving from one health insurer to another at frequent intervals. But early indications are that this churn, while real and a challenge, is not nearly as great as anticipated. According to a 2015 survey of low-income adults in three states, churning is taking place less often than expected as people move from uninsured to privately insured to Medicaid-insured and then back again. The leading causes of churn so far have been people obtaining insurance, changing jobs, losing Medicaid eligibility or marketplace subsidies, and inability to continue [&hellip

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