Apparently a bipartisan deal has been reached to repeal the SGR formula for Medicare payments to physicians, keep the current reimbursement level and add one-half percent each of the next five years and continue to move to value-based reimbursement with base payments flat for the five years after 2018. The cost is $126 billion over ten years.
Aetna has released results from a study of its high-deductible plans, showing that for companies that did a full replacement, over six years they saved $208 per employee per year. The employees in these plans also accessed preventive care more frequently, participated in wellness programs more often and paid more attention to benefit and health information.
The latest wound to the reform law is the CBOs recalculation that the law will result in greater job losses, as many as 2-3 million, than it previously estimated. It also now believes fewer people will get coverage as a result of the law. The bad news about the job losses is that fewer people working means less economic activity and growth and fewer tax revenues.
Noom has now raised a total of about $7 million for development of its wellness apps that aim to be "fun", and because people apparently just like its name.
Gould & Lamb, which provides Medicare secondary payer services to workers' comp plans, has been sold by Abry Partners to ExamWorks, a publicly traded company which offers medical exams and other services to the disability, workers' comp and other markets. Examworks also announced the acquisition of several smaller providers of exam services.
http://online.wsj.com/article/HUG1758932.html
Feb062014
Private equity firm Thoma Bravo is buying Global Healthcare Exchange, a company that helps hospitals reduce their medical and surgical supply costs.
According to a study prepared by Optum, wellness and care management programs can provide productivity savings to employers by reducing absenteeism and can also help employees reduce health risks.
Feb052014
Axelacare Health Solutions, a home infusion company, is acquiring another home infusion company, ARC Infusion.
A study in Academic Emergency Medicine finds that BCBS of Massachusetts' global budget contracts with providers did not in themselves lead to a drop in ER visits. Both members covered by and not-covered by the contracts had decreased ER use. The at-risk provider arrangements also did not demonstrate that inappropriate ER use was reduced.
Just showing how little areas in health care can have high value, Rexam is selling its division which makes inhalers, syringes and other packaging for medical devices and pharmaceuticals for an estimated $805 million to a private equity firm.
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.