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

Jenny Kerr

Contributor: Jenny Kerr
Topic: Oscar Health Plan, America’s Health Insurance Plans, Affordable Care Act

At the recent America’s Health Insurance Plans Institute 2014 meeting in Seattle, most of the buzz among insurance executives focused on physicians and hospitals providing care that costs too much for the quality of care received.

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Posted on: 7/11/2014 10:44:57 AM


Jane DuboseContributor: Jane Dubose
Topic: ACOs, employers, narrow networks, hospital systems

Within the half year, a large employer and three hospital systems in the Seattle area are launching an unusual accountable care experiment that removes the insurance company middleman. Read more.
Posted on: 7/10/2014 12:54:18 PM


AnnJeanette Colwell

Contributor: AnnJeanette Colwell
Topic: Direct primary care, Concierge care, High-deductible plans, Patient-centered

At the 2014 Patient-Centered Primary Care Collaborative Western Regional Conference recently held in Denver, health system executives were asked to discuss the changes that physicians will face in the shifting reality of healthcare reform.

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Posted on: 7/9/2014 3:36:43 PM | with 1 comments


Lyda PhillipsContributor: Lyda Phillips
Topic: Mergers/acquisitions, Hospital consolidation, Health insurance exchange, Health information exchange, Population health management, Clinical integration

While the healthcare industry in Michigan typically marches to its own beat, a new partnership involving two of the state’s largest health systems could set a pattern for others to follow across the nation.

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Posted on: 7/8/2014 12:56:10 PM


Sarah WilsonContributor: Sarah Wilson
Topic: Mergers

Last year was widely considered the year of the blockbuster health system merger, with Tenet-Vanguard, HCA-IASIS, and CHS-HMA each announcing consolidation deals. For many, it appeared that 2014 would result in more strategic moves from industry players looking to expand their continuums of care to maximize patient reach and smaller players seeking the stability of a larger entity. Others believed there would be greater consolidation among long-term care and outpatient care providers, speaking to the importance of providing alternatives to emergency room care and preventing hospital readmissions. Read more.
Posted on: 7/1/2014 1:39:10 PM


Contributer: Sheri Sellmeyer
Topics: Exchanges, WellPoint, Humana UnitedHealthcare, Blue Cross Blue Shield

Enrollment in the new health exchanges has exceeded the expectations of supporters and disproven predictions of naysayers, but how many have actually paid their premiums, and which health plans are getting the lion’s share of those enrollees?
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Posted on: 6/30/2014 9:35:47 AM


AnnJeanette Colwell

Contributor: AnnJeanette Colwell
Topic: Accountable care organization, Medicare Shared Savings, Pioneer ACO, Clinical integration

A slew of accountable care agreements have been launched in recent years; it seemed like not a week went by without an ACO announcement. Recently, however, more and more of these ACO agreements are being abandoned.

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Posted on: 6/25/2014 9:15:27 AM


AnnJeanette Colwell

Contributor: AnnJeanette Colwell
Topic: Patient-centered medical home, Patient engagement, Primary care

Patients are the key to success for the patient-centered medical home model. That may seem like a no-brainer—after all, the word “patient” is part of the term itself. Yet the importance of patients, and more specifically patient engagement, was reiterated over and over at the 2014 Patient-Centered Primary Care Collaborative Western Regional Conference in Denver earlier this month.

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Posted on: 6/24/2014 1:01:35 PM


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: Exchange, ACA, New Hampshire

Leading up to open enrollment, New Hampshire became a favorite 2014 exchange punching bag.

Its partnership exchange beat enrollment estimates, with more than 40,000 people picking plans (HHS statistics, accessed May 2, 2014). But all its enrollees had only one insurer choice, Anthem Blue Cross and Blue Shield in New Hampshire. New Hampshire and West Virginia were the only states where exchange shoppers faced monopolies of a dominant Blue plan.

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Posted on: 6/19/2014 8:39:44 AM


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