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Fifth Circuit Upholds ACA Risk Adjustment Program

Healthcare Law Blog

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. And for the 2018 benefit year, HHS promulgated a new rule in December 2018. 3d 1164, 1211 (D.N.M.

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In the Past Ten Years, Workers’ Health Insurance Premiums Have Grown Much Faster Than Wages

Health Populi

In 2020, KFF found that 89% of large companies offered a telemedicine benefit, compared with 82% in 2019 and 74% in 2018. 2018 – As Workers’ Healthcare Costs Increase, Employers Look to Telehealth and Wearable Tech to Manage Cost & Health Risks. 2016 – Employer Health Insurance Costs Reach $18,142.

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Health Care Paradox: Medicare Penalizes Dozens of Hospitals It Also Gives Five Stars

Kaiser Health News

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest. ” KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues.

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Tweets at Lunch with Paul Krugman – Health IT Meets Economics

Health Populi

I greatly appreciated the opportunity today to attend a luncheon at the HX360 meeting which convened as part of the 2018 HIMSS Conference. Remember this: “Older people do two things: they get expensive #healthcare conditions and they vote” cautions @PaulKrugman @HIMSS #HX360 #HIMSS18 #Healtheconomics #HealthPolicy #healthcosts.

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A Tale of Two America’s for Health

Health Populi

These differences in health status generally fall into two regions: north and south, found in the Commonwealth Fund’s 2018 Scorecard on State Health System Performance. The top row illustrates that the ACA covered a lot of people with health insurances between 2012 and 2016.

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Americans’ Trust in the Healthcare System Low Compared to Rest-of-World’s Health Citizens

Health Populi

I covered the launch of the 2018 Edelman Trust Barometer across all industries here in Health Populi in January 2018 , when this year’s annual report was presented at the World Economic Forum in Davos as it is each year. In the U.S., health ecosystem stakeholders. That’s because the U.S.

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Texas OIG Inspectors Discover Errors in Reported Nursing Home Staff Hours

Med-Net Compliance

Issue: In 2020, the US Department of Health and Human Services (HHS) Office of Inspector General (OIG) conducted a review of nursing facility staffing levels for 2018. The report revealed staffing levels varied considerably from day to day, which raised concerns some facilities may not fully meet the needs of their residents.