CMS released findings for the latest year of hospital value-based purchasing, indicating that based on 2014 performance, for 2016 payments 1800 hospitals will get some "bonus" reimbursement. Note, however, that the bonus is after everyone had their payment docked 1.75% to fund the program. Only a few hospitals will see an actual increase in payment from what the baseline would otherwise be. For the vast majority of hospitals, the net effect is very minor.
In a report indicating just how pathetic the controls in the reform law are for protecting Medicaid and the subsidy program from fraud, ten of ten fictitious people created by the Government Accounting Office were able to incorrectly obtain either Medicaid coverage or a public exchange subsidy. Your tax dollars at work.
http://www.gao.gov/products/GAO-16-159T
Oct282015
Walgreens is proposing to buy Rite-Aid for $9.4 billion, in another major consolidation of the US health care system which needs very careful regulatory scrutiny.
Research in Health Affairs finds that prescription copays under the typical exchange silver plan are twice as high as in average employer plans. More good news for health care reform.
You may have noticed that there soon will be none of the health insurance cooperatives established (and taxpayer-funded) under the reform law, as every week brings news of closures of more of them. Strangely, no boasting from the Administration about this latest indication of the great success of their health reform.
Population health management (whatever that means) vendor Welltok has acquired Zamzee to add to its offerings to encourage children to participate in health improvement activities.
Collective Health collects a collective $81 million in funding from collegial investors for its tools to help employers with their health benefit offerings.
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.