Healthcare Reform Blog

Fresh U.S. healthcare insights from expert analysts on Healthcare Reform, ACOs, Exchanges, Medicaid, Medicare, regional and national trends…and much more

Carolyn McMeekinContributor: Carolyn McMeekin
Topics: ACA, healthcare reform, Medicaid, ACO, exchanges

Five years ago, DRG analysts gathered in a conference room and watched as healthcare reform in the United States became a reality.

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Posted on: 3/23/2015 10:27:02 AM


Joyce CaruthersContributor: Joyce Caruthers
Topic: Medicaid, Healthcare Reform, Health Insurance Exchanges, Hospital reimbursement

Industry insiders predicted an increase in Medicaid enrollment in states that did not expand Medicaid eligibility under healthcare reform, but so far, that forecast hasn’t panned out.


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Posted on: 9/26/2014 3:46:31 PM


Ric GrossContributor: Ric Gross
Topic: Medicaid, Arkansas, Indiana, Michigan

In the full-speed ahead Republican battle against Obamacare’s expansion of Medicaid, some GOP-heavy states have taken an off-ramp straight into their own version of Frankenstein’s laboratory. There, states have taken the Medicaid program, tinkered with it, and added enough ancillary parts to expand the program while still trying to appease the party base. Not an easy task, as regardless of the finished product, some villagers will always be carrying torches.
Read more.
Posted on: 8/14/2014 11:38:02 AM


Contributer: Sheri Sellmeyer
Topics: Exchanges, uninsured, Medicaid

The latest data on healthcare exchange enrollment underscore a troublesome fact for Republicans: These online marketplaces are quite popular in some very red states.
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Posted on: 7/29/2014 5:24:26 PM


Bill MelvilleContributor: Bill Melville
Topics: Affordable Care Act, Halbig v. Burwell, Medicaid, Health insurance exchanges


A case with the ability to turn the Affordable Care Act on its ear finally went mainstream. Halbig v. Burwell has been coming so long that it was originally filed under a different name (Halbig v. Sebelius). It took its time, but the case led to a 2-1 appellate court decision that has brought the long-running debate over health insurance exchanges to a boil.
Read more.
Posted on: 7/24/2014 9:49:41 AM


Chris SilvaContributor: Chris Silva
Topics: Medicaid, Anthem Blue Cross and Blue Shield of Virginia, Virginia Premier Health Plan, Amerigroup, Coventry Health Care of Virginia, Aetna

Virginia is at a stalemate over whether or not to expand Medicaid—a dispute so acrimonious that the state government could be headed for a shutdown. The looming debate has had an impact on the state’s Medicaid carriers, all of which have seen increases in enrollment in recent years. Read more.
Posted on: 6/23/2014 9:35:21 AM


Bill MelvilleContributor: Bill Melville
Topics: Medicaid, Exchange Innovation

When the state of Arkansas broached its private model for Medicaid expansion, it held up as a potential roadmap for partnerships between states hesitant to expand their Medicaid programs. But the second-state to follow that course, Iowa, is emerging as the bellwether for market innovation.

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Posted on: 3/17/2014 11:25:41 AM


Ric GrossContributor: Ric Gross
Topic: Medicaid, ACA, Exchanges

Drama. Intensity.  Emotions reaching a boiling point. Characters with murky motives. Debates about how things are going to end. While this sounds like a description of HBO’s hit television drama “True Detective,” it also aptly describes the Medicaid expansion debate still raging across multiple states. “True Medicaid”? Not sure if that’s a TV show anyone wants to air, but it certainly is not lacking for lead characters.
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Posted on: 3/10/2014 4:40:44 PM


Jacqueline CavnarContributor: Jacqueline Cavnar
Topics: Affordable Care Act, Provider reimbursement, Medicaid

Po-tay-to or po-tah-to? Single payer or social welfare? There is always more than one side to an argument, especially when the debate is about healthcare.

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Posted on: 1/13/2014 2:10:32 PM


Bill MelvilleContributor: Bill Melville
Topics: ACA, Exchanges, Medicaid, Obama

In President Obama’s Oct. 21 address on the Affordable Care Act and persistent enrollment glitches for the new marketplaces, it was tempting to say the White House gathered all the people for the Rose Garden speech (about 10) who successfully signed up through healthcare.gov to stand behind the president.

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Posted on: 10/21/2013 4:51:55 PM


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MichelleLa_Vone_2014_Headshot_MDB3015_81x99web.jpgContributor: Michelle LaVone
Topics: Retail Clinics, Healthcare Reform, Medicaid Expansion, Care Coordination, Population Health Management, Clinical Integration

In a move mirroring a nationwide trend, New Orleans’ leading health system, Ochsner Health, entered into a clinical affiliation with CVS Health in April 2015. The affiliation allows the organizations to share patient information via electronic health records, an exchange that encourages physician and pharmacist collaboration on chronic disease management and medication adherence.
 
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Posted on: 6/18/2015 9:26:04 AM


Ric GrossContributor: Ric Gross
Topics: Arkansas, Indiana, “Medicaid expansion”, Michigan, “Patient Protection” and “Affordable Care Act”

When the Patient Protection and Affordable Care Act passed five years ago, on March 23, 2010, it dramatically changed the Medicaid landscape across the United States—just not in the way lawmakers intended.

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Posted on: 3/24/2015 10:26:26 AM


Carolyn McMeekinContributor: Carolyn McMeekin
Topics: ACA, healthcare reform, Medicaid, ACO, exchanges

Five years ago, DRG analysts gathered in a conference room and watched as healthcare reform in the United States became a reality.

Read more.
Posted on: 3/23/2015 10:27:02 AM


Ric GrossContributor: Ric Gross
Topics: Medicaid expansion, Indiana, Montana, Tennessee, Utah, Wyoming, health accounts

While it may be true that you can't always get what you want, sometimes you can get pretty darn close. Just ask Indiana Republican Gov. Mike Pence. In May 2014, the potential GOP presidential candidate requested an ambitious Medicaid expansion waiver that would rely heavily on conservative-friendly ideals, such as dedicated health accounts, personal responsibility and a strict plan for member noncompliance.

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Posted on: 2/2/2015 11:42:31 AM


Chris SilvaContributor: Chris Silva
Topics: Centers for Medicare. Medicaid Services, America’s Health Insurance Plans

As the Medicare ACO program enters its fourth year and Part D celebrates its ninth year, the Centers for Medicare & Medicaid Services is investigating ways to marry the two programs to bring coordinated care and the concept of shared savings to Medicare drug benefits. Read more.
Posted on: 11/14/2014 12:04:13 PM


Joyce CaruthersContributor: Joyce Caruthers
Topic: Medicaid, Healthcare Reform, Health Insurance Exchanges, Hospital reimbursement

Industry insiders predicted an increase in Medicaid enrollment in states that did not expand Medicaid eligibility under healthcare reform, but so far, that forecast hasn’t panned out.


Read more.
Posted on: 9/26/2014 3:46:31 PM


Lyda PhillipsContributor: Paula Wade
Topic: Medicaid expansion, uninsured, Wal-Mart

More than 7.2 million people have gained Medicaid coverage since the Affordable Care Act’s marketplaces opened in October—an impressive number, considering that only half of states (25 plus the District of Columbia) have opted to expand their Medicaid programs as called for in the ACA. These figures, which represent the end of June 2014, exclude Maine and North Dakota.

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Posted on: 8/15/2014 2:24:33 PM


Ric GrossContributor: Ric Gross
Topic: Medicaid, Arkansas, Indiana, Michigan

In the full-speed ahead Republican battle against Obamacare’s expansion of Medicaid, some GOP-heavy states have taken an off-ramp straight into their own version of Frankenstein’s laboratory. There, states have taken the Medicaid program, tinkered with it, and added enough ancillary parts to expand the program while still trying to appease the party base. Not an easy task, as regardless of the finished product, some villagers will always be carrying torches.
Read more.
Posted on: 8/14/2014 11:38:02 AM


Contributer: Sheri Sellmeyer
Topics: Exchanges, uninsured, Medicaid

The latest data on healthcare exchange enrollment underscore a troublesome fact for Republicans: These online marketplaces are quite popular in some very red states.
Read more.
Posted on: 7/29/2014 5:24:26 PM


Bill MelvilleContributor: Bill Melville
Topics: Affordable Care Act, Halbig v. Burwell, Medicaid, Health insurance exchanges


A case with the ability to turn the Affordable Care Act on its ear finally went mainstream. Halbig v. Burwell has been coming so long that it was originally filed under a different name (Halbig v. Sebelius). It took its time, but the case led to a 2-1 appellate court decision that has brought the long-running debate over health insurance exchanges to a boil.
Read more.
Posted on: 7/24/2014 9:49:41 AM


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