Category: ACA

  • Analysis: Is Oracle Cerner Planning to Build A National EHR?

    Earlier this month Oracle closed its $28.3B acquisition of Cerner and shortly after Oracle founder and CTO, Larry Ellison, outlined Oracle’s vision for Healthcare IT post-acquisition. The key elements of this vision included:   – Developing a solution for a national EHR database.  – Leveraging this solution, and similar smaller-scale connected EHR initiatives, to provide life […]

  • Republican Health Policies Disproportionally Harm White Citizens in Their States

    BY MIKE MAGEE “As I’ve said before, I believe Dr. Ladapo is an anti-science quack who doesn’t belong anywhere near our state’s Surgeon General office, let alone running it. But now that he’s been confirmed, it’s my sincere hope that he and Governor DeSantis choose to focus on saving lives and preventing unnecessary illness instead […]

  • White House proposes fix to ‘family glitch’ in ObamaCare

    The Biden administration is proposing a rule change to the Affordable Care Act (ACA) to fix the so-called “family glitch” that blocks millions of people who receive health care through a family member’s work from qualifying for assistance with coverage. During a press call, a senior administration official said the Treasury Department on Tuesday will […]

  • Simple Bills are Not So Simple

    By MATTHEW HOLT I went for an annual physical with my doctor at One Medical in December. OK it wasn’t actually annual as the last time I went was 2 & 1/2 years ago, but it was covered under the ACA, and my doc Andrew Diamond was bugging me because I’m old & fat. So […]

  • Insurers paid out $2B in rebates for last year’s claims

    Insurers that didn’t meet medical loss ratio requirements have paid out a total of $2 billion in rebates to nearly 10 million people, split between people who received their insurance through individual market plans and group plans. 

  • A preview of MedCity INVEST 2022: A return to in-person conferences

    INVEST, scheduled for March 28-30, 2022 in Chicago, marks a return to in-person events for MedCity News. The conference, held in partnership with Mid-America Healthcare Investors Network, will spotlight healthcare innovation, investment trends, and share insights from healthcare executives.

  • CMS to fund 60 ACA navigator orgs next year

    CMS will provide $80 million to 60 organizations that train ACA navigators — who help consumers find coverage on the federally funded marketplaces — in the 2022 plan year, up from 30 organizations that received $10 million this year.

  • Cano Health buys Doctor’s Medical Center for $300M

    Senior-focused primary care provider Cano Health acquired Doctor’s Medical Center for $300 million, which adds around 54,000 new members and 18 medical centers to its roster. This is the second major acquisition for Cano Health in less than a month. The company bought University Health Care for $600 million in mid-June.

  • CMS proposed rule aims to boost ACA enrollment, reinstate navigator duties

    A new CMS proposed rule aims to make significant changes to Affordable Care Act marketplaces, including increasing the annual open enrollment period by a month and restoring the duties of navigators who help consumers from underserved populations enroll in plans on the federally facilitated exchange.

  • Supreme Court upholds ACA, dismissing constitutional challenge

    The Supreme Court upheld the Affordable Care Act, dismissing the lawsuit brought by Texas, 17 other states and two individuals on the grounds that they were not able to prove they were harmed by the law. Industry stakeholders celebrated the court’s long-awaited decision.

  • Survey: 60% of Americans support Medicare expansion strategies

    A majority of the general public is in support of expanding Medicare — either by opening it up to all Americans or lowering the eligibility age, according to new survey results. But among current Medicare enrollees, nearly half want the program to stay as it is.

  • CMS finalizes new rules for ACA exchanges in 2022: 5 key provisions

    CMS has adopted several new rules that will change how the Affordable Care Act exchanges operate next year. These include rules that will lower out-of-pocket consumer spending by $400 and widen eligibility for gaining health coverage outside of the designated ACA open enrollment period.

  • Did the individual mandate work?

    A paper by Lurie et al. (2021) provides the answer. They reach four conclusions from their analysis: First, the actual penalty paid per uninsured month is less than half the statutory amount. Second, nonetheless, we find visually clear and statistically significant responses to both extensive margin exposure to the mandate and to marginal increases in […]

  • Will health plan outreach increase take-up by enrollees that are healthier or sicker?

    Why don’t people eligible for health insurance exchange plans (i.e., Obamacare plans) enroll? One reason could be that they value the health insurance benefit at less than the cost. Another reason could be behavioral frictions; informational search costs and psychological frictions are costly and may preclude enrollment even when benefits are more than cost. For […]

  • What Will It Take for Hospitals to Survive the Pandemic?

    Dr. John Frownfelter, MD, FACP, Chief Medical Officer at Jvion In 1852, Mercy Hospital & Medical Center opened as Chicago’s first chartered hospital. In May, it will close, leaving residents of the surrounding South Side community — poor and mostly people of color — without a place to see a doctor. And it isn’t the […]

  • Biden to reopen ACA marketplaces for 3 months

    The Biden administration established a special enrollment period to give uninsured Americans a chance to sign up for insurance on the markets. Providers and payers applauded the announcement, but it remains to be seen whether the move will encourage people to get insured.

  • How Biden will restore the ACA: 4 potential changes

    With the Democrats leading the Senate and House, and Joe Biden installed as president, the Affordable Care Act will be restored and strengthened over the next four years, an expert from the Kaiser Family Foundation predicts.

  • 30 Executives Share Top Healthcare Predictions & Trends to Watch in 2021

    As we close out the year, we asked several healthcare executives to share their predictions and trends for 2021. Kimberly Powell, Vice President & General Manager, NVIDIA Healthcare Federated Learning: The clinical community will increase their use of federated learning approaches to build robust AI models across various institutions, geographies, patient demographics, and medical scanners. The sensitivity and […]

  • 5 big healthcare lawsuits of 2020

    Some of the biggest legal stories of the year include patients attempting to mount a class action lawsuit against Mayo Clinic after an employee improperly viewed more than 1,600 health records and the Supreme Court hearing opening arguments in a case challenging the constitutionality of the ACA’s individual mandate.

  • Biden to nominate California AG Xavier Becerra as HHS head

    President-elect Joe Biden named Xavier Becerra, the current California attorney general, as his nominee for HHS secretary. A 12-term congressman and vocal supporter of the ACA, Becerra would become the first Latino to lead the federal agency if confirmed.

  • ACA could help millions of uninsured gain free coverage

    Millions of Americans without healthcare insurance could be eligible to get coverage for free, or nearly free, through financial assistance offered under the Affordable Care Act. But many who recently lost their employer-based coverage may not be aware of the options available to them.

  • Supreme Court justices seem unlikely to axe the ACA

    Now with a 6-3 conservative majority, the nation’s highest court still seems reticent to throw out the Affordable Care Act altogether. If the law stays in place, it would be the foundation for many of President-elect Biden’s planned healthcare policies.

  • What Will Shape Joe Biden’s Health Care Agenda?

    I’m thrilled to have health futurist Jeff Goldsmith back on THCB, and given Biden was only confirmed as President-elect this morning, his article on what to expect is extremely timely!–Matthew Holt By  JEFF GOLDSMITH The Trump administration’s health care journey began with a trillion dollar near miss–the failed Repeal and Replacement of ObamaCare- and ended […]

  • THCB “SPOOKY” Gang: Episode 30 10/29 LIVE 1PM/4PM ET

    Episode 30 of “The THCB Gang” was live-streamed on Thursday, October 28th! Tune in below! Matthew Holt (@boltyboy) will be joined by some of our regulars and this episode will be a COSTUME PARTY! Come join some of our gang and see the crazy costumes we have in store! Joining us tomorrow are data privacy […]

  • Report: 21M people could lose insurance if ACA is overturned

    With a new nominee as the Supreme Court prepares to hear a case that could determine the future of the Affordable Care Act, the health law’s future has been thrown into question. According to the Robert Wood Johnson Foundation, the number of uninsured could increase by 70% if the ACA is overturned.

  • Biden’s Nov 9th speech: “Don’t you force me to pass Medicare 4 All”

    By MATTHEW HOLT The new Supreme Court, in all likelihood including just nominated Justice Amy Coney Barrett, will be hearing the California v Texas suit against the ACA on November 10th, seven days after the election. The lower courts have already ruled the ACA unconstitutional. Some hopeful moderates among my Democratic friends seem to believe […]

  • Analysis: July Health IT M&A Activity; Public Company Performance

    – Healthcare Growth Partners’ (HGP) summary of Health IT/digital health mergers & acquisition (M&A) activity, and public company performance during the month of July 2020. While a pandemic ravages the country, technology valuations are soaring.  The Nasdaq hit an all-time high during the month of July, sailing through the 10,000 mark to post YTD gains […]

  • THCB Gang Episode 17, LIVE 7/9 1PM PT/4PM ET

    Episode 17 of “The THCB Gang” was live-streamed on Thursday, July 9th! Watch it below! Joining me were some of our regulars: patient advocate Grace Cordovano (@GraceCordovano), health economist Jane Sarasohn-Kahn (@healthythinker), WTF Health Host Jessica DaMassa (@jessdamassa), and guests: Tina Park, partner at Diagram (@diagramoffice) & Shannon Brownlee, Senior VP at the Lown Institute […]