The health insurance marketplaces created by the Affordable Care Act are in their third year of selling health insurance plans to people who don’t get insurance through work. Most states use Healthcare.gov to sell their plans, but 11 states and D.C. run their own marketplaces, also called exchanges.
Category: Medicaid
Area health care leaders in the dark about industry’s future
The uncertainty of health care under a new president was among the topics discussed Thursday at the 2017 State of Healthcare Forum. JOHN GODBEY/DECATUR DAILY Area health care professionals are trying to better manage the existing health care system while guessing about future changes now that a new administration has taken office in Washington, D.C. “If we don’t figure out how to ration health care, the cost of premiums could be $3,000 a month,” said David Spillers, chief executive officer of the Huntsville Hospital Health System.
Hawaii pols propose bill that would classify homelessness as medical condition
As an emergency room doctor, Hawaii Sen. Josh Green sees homeless patients suffering from diabetes, mental health problems and an array of medical issues that are more difficult to manage when they are homeless or do not have permanent housing. “It is paradigm shift for sure, but the single best thing we can do today is to allow physicians and health care providers in general to write prescriptions for housing,” Green said.
Hawaii bill would classify homelessness as medical condition
As an emergency room doctor, Hawaii Sen. Josh Green sees homeless patients suffering from diabetes, mental health problems and an array of medical issues that are more difficult to manage when they are homeless or do not have permanent housing. “It is paradigm shift for sure, but the single best thing we can do today is to allow physicians and health care providers in general to write prescriptions for housing,” Green said.
Readmission is a Penalty for Hospitals, But No Good Index to Assess Risk Exists, Study Notes
… Index, the Elixhauser Comorbidity Index and CMS’s Hierarchical Condition Category-for predicting mortality and health care utilization among joint replacement patients. The research team, led by Amit Kumar, a postdoctoral research associate at the …
Maine DHHS Issues Letter to Trump Administration Officials Previewing …
AUGUSTA – Today the Maine Department of Health and Human Services has notified the federal government of its intent to propose further reforms in its Medicaid program. In a letter to the incoming Secretary of the federal Health and Human Services, Commissioner Mary Mayhew described her intent to request increased flexibility in the program in order to build upon the current fiscal stability within DHHS and to further the Department’s efforts to prioritize our elderly and disabled.
Maine DHHS Issues Letter to Trump Administration Officials Previewing …
AUGUSTA – Today the Maine Department of Health and Human Services has notified the federal government of its intent to propose further reforms in its Medicaid program. In a letter to the incoming Secretary of the federal Health and Human Services, Commissioner Mary Mayhew described her intent to request increased flexibility in the program in order to build upon the current fiscal stability within DHHS and to further the Department’s efforts to prioritize our elderly and disabled.
Fight Is On To Protect Health Care In California, Says Foundation Head
As Republicans seek to repeal and replace the Affordable Care Act, advocacy organizations around the nation are strategizing on how best to respond. Do they defend the law at all costs? Do they take part in the repeal conversation so they can help design an alternative? Already, numerous groups are mobilizing patients and health care advocates to raise awareness of the impact of a repeal.
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Event organizer Bud Porter delivers a speech Wednesday on his support for affordable health care before delivering a written statement to U.S. Rep. Michael Burgess’ Lake Dallas office. About 40 people piled into the office of U.S. Rep. Michael Burgess in Lake Dallas on Wednesday to deliver written statements and demand a meeting with the congressman to discuss the future of the Patient Protection and Affordable Care Act.
Other Views: Anxious about pending repeal of Obamacare
… and athletics were my sole focus. Then, out of nowhere, as a college sophomore and Division I athlete in peak health and fitness, I almost died from an unexpected medical issue. Fortunately, I was covered by my parents’ health insurance, and that …
Resisting Obamacare saves Medicaid. Congress should acknowledge that
Tennessee said no to Obamacare so that it could lead the way in real health reform. Now we’re asking Washington for some backup.
Baker files $40.5B budget, 4.3 percent higher than this year
… sharp rise in people who have full-time jobs but choose to go on Medicaid either because their employers don’t offer health insurance or the coverage that is offered is less generous than MassHealth. “It was never intended under the original …
Kenneth Petersen, Financial Planning: Did you know?
Have you ever learned that something you have heard, read or been taught turned out not to be true? Here are three multiple choice questions. Let’s see if what you think the answer should be turns out not to be the case.
Senate Democrats, GOP at loggerheads over ACA repeal, HHS nominee
Senate Democrats on Tuesday grilled Rep. Tom Price, MD , President Donald Trump’s pick to head the Department of Health and Human Services, on a host of healthcare issues, but most prominently regarding Republican intentions to repeal the Affordable Care Act. Price was on the hot seat for four hours during a Senate Finance Committee hearing considering his nomination for HHS Secretary.
Senate Democrats, GOP at loggerheads over ACA repeal, HHS nominee
Senate Democrats on Tuesday grilled Rep. Tom Price, MD , President Donald Trump’s pick to head the Department of Health and Human Services, on a host of healthcare issues, but most prominently regarding Republican intentions to repeal the Affordable Care Act. Price was on the hot seat for four hours during a Senate Finance Committee hearing considering his nomination for HHS Secretary.
Obamacare fight pits people, data against ideology
There are two ways to tell the story of the Affordable Care Act and the Republican efforts to repeal the law that has brought our country’s uninsured rate to its lowest point ever. people would lose health coverage in the first year.
Massachusetts Governor to Pitch Health-Insurance Penalty for Employers
The first state in the nation to require residents to carry health insurance is grappling with escalating Medicaid rolls, but a fix floated by Massachusetts’ Republican governor is drawing pushback from employers. Gov. Charlie Baker will propose in his annual budget on Wednesday a $2,000 penalty per worker on businesses that don’t shoulder enough of the health-insurance cost.
United States of America Andrew Hirt v. Walgreen Company
… qui tam plaintiffs must meet the heightened pleading standards of Civil Rule 9(b). U.S. ex rel. Bledsoe v. Cmty. Health Sys., Inc., 501 F.3d 493, 503 (6th Cir. 2007). In all averments of “fraud or mistake,” the plaintiff must state with …
Illinois to Congress: Don’t Be ‘Hasty’ with Health Law Repeal
Illinois Gov. Bruce Rauner’s administration has sent a letter to GOP congressional leaders asking them to avoid “hasty” or “incomplete” action as they proceed with a planned repeal of the Affordable Care Act. The Jan. 17 letter says Congress and the states “must work together” to achieve “important reforms” in health care policy.
Dump Obamacare? 1 million in Washington could lose coverage, says state insurance chief
State Insurance Commissioner Mike Kreidler estimates 1 million people in Washington have received health care coverage under the Affordable Care Act — Obamacare. He told KUOW’s Ross Reynolds that without a plan in place from Republicans in Congress, those people could all lose insurance if Obamacare is repealed.
Medicaid takes center stage as Democrats grill Tom Price
As a presidential candidate, Donald Trump was emphatic that it is the government’s responsibility to ensure that poor Americans can get the health care they need. But in Trump’s first days as president, it is becoming increasingly clear that he and his administration are open to making drastic changes to Medicaid – a move that could make it difficult for Trump to fulfill his impassioned campaign promise to take care of the poor.
House Speaker Suspends Rep. Kirby’s Committee Chairmanship Pending Investigation Results
… Gov. Jerry Brown has promised in his annual State of the State address to defend California’s laws on immigration, health care and the environment in the face of the Trump administration President Donald Trump’s efforts to build bridges and push …
Trump’s healthcare pick invested in pharma stocks 3 months before…
Amid Rep. Tom Price’s second hearing on Capitol Hill for the role of Health and Human Services secretary, the question of Price’s ethics during his tenure in Congress are sure to come up. Price introduced legislation that would have made a tax deduction on Puerto Rico manufacturing plants permanent.
Trump’s healthcare pick invested in pharma stocks 3 months before…
Amid Rep. Tom Price’s second hearing on Capitol Hill for the role of Health and Human Services secretary, the question of Price’s ethics during his tenure in Congress are sure to come up. Price introduced legislation that would have made a tax deduction on Puerto Rico manufacturing plants permanent.
Officials: Repeal of Medicaid expansion ‘disastrous’ for PA
State officials are preparing for “disastrous” consequences in Pennsylvania should President Donald Trump repeal the Affordable Care Act’s Medicaid Expansion Program. Key members of Gov. Tom Wolf’s administration expressed concern on Monday that more than 670,000 Pennsylvanians would lose their health insurance if the provision is eliminated.
Official confident Trump could clear Kansas Medicaid program
Susan Mosier, secretary of the Kansas Department of Health and Environment, speaks to the Senate Public Health and Welfare Committee Monday, Jan. 23, 2017, responding to a report from the Centers for Medicare and Medicaid Services that Kansas’ Medicaid program is “substantively out of compliance” with U.S. law. less Susan Mosier, secretary of the Kansas Department of Health and Environment, speaks to the Senate Public Health and Welfare Committee Monday, Jan. 23, 2017, responding to a report from the Centers for Medicare … more TOPEKA, Kan.
Facing skeptical lawmakers, state officials strike at critical KanCare report
The agency that oversees KanCare on Monday called a scathing federal report against the Medicaid program incomplete and criticized the quality of its analysis under intense questioning by lawmakers. Susan Mosier, secretary of the Kansas Department of Health and Environment, defended the program and its employees in a tense appearance before the Senate Public Health and Welfare Committee.
Repealing the Affordable Care Act will kill more than 43,000 people annually
David Himmelstein is a professor of public health at the City University of New York at Hunter College, a Lecturer in Medicine at Harvard Medical School, and a founder of Physicians for a National Health Program. Steffie Woolhandler is a professor of public health at the City University of New York at Hunter College, a Lecturer in Medicine at Harvard Medical School, and a founder of Physicians for a National Health Program.
Meet The Republican Governors Who Don’t Want To Repeal All Of Obamacare
… that their state budgets don’t take a hit during the dismantling process. They’re most concerned about Medicaid, the health insurance program for the poor that’s run jointly by the states and federal government. As a result of a Supreme Court …
Congressional Republicans try to find health care compromise
… repeal until they’ve settled on a replacement will announce an alternative plan to give states the choice to keep the health care law or be granted flexibility to expand Medicaid and other coverage options. That alternative, from Sens. Susan …
Trump and Obamacare: Where we go from here
President Trump’s executive order on Obamacare Friday reaffirmed his commitment to dismantle the health reform law. But it could have little tangible impact on the law at least initially.
Fears of repeal rock Obamacare, Medicaid expansion recipients
Breast-cancer survivor Susan Halpern said she is terrified about losing her health-care coverage if the Trump administration follows through with its promise to repeal the Affordable Care Act. “I’m trying to figure out a way to survive and keep some kind of health insurance,” said Halpern, 57, who owns a small social-media business.
Banzhoff lawsuit prompts questions about Concord Hospital health outcomes
… and Community Affairs Executive Director Pamela Puleo said the hospital does not have specific policies guiding health providers on best practices with imaging or the use of CAT scans. “The hospital itself doesn’t provide policies or guidance on …
Yuma part of Medicare coordination experiment
As Medicare launches changes for how it pays for heart attacks and hip fractures to promote quality and contain costs, select areas such as Yuma were chosen to test these modifications. Under the revamps, doctors, hospitals and rehab centers are being encouraged to coordinate care.
$1.23 million penalty issued against nursing home
An Idaho nursing home is nearing a deadline to pay a $1.23 million penalty issued by the U.S. Centers for Medicare and Medicaid Services.
Required: Full, fast repeal of Obamacare
By keeping control of the Senate and House of Representatives in Washington after sending an Obamacare-repeal bill to the desk of the law’s namesake last January, Republicans won the White House on a message of dismantling the disastrous health-insurance policy. It didn’t hurt them in Kentucky, either, where the GOP won control of the House for the first time in nearly a century and now holds a supermajority in both chambers.
Despite West Virginia economic woes, WVU Medicine is booming
… tower housing its Heart & Vascular Institute. As the West Virginia economy slumped, this corner of the state’s health care industry has been thriving, thanks in part to the Affordable Care Act. The law, which Republicans in Washington have said they …
Don’t sacrifice Ohio’s health care gains through haphazard Obamacare repeal – James Misak: Speaking about health care
… Beginning in 2010, the Patient Protection and Affordable Care Act (aka ACA, aka Obamacare) initiated two major health insurance expansions: individual health insurance exchanges combined with subsidies to help middle-income families buy private …
Editorial: KanCare problems never seem to end
… . The Jan. 13 letter was written by James Scott, CMS associate regional administrator for Medicaid and Children’s Health Operation, and he summarized the agency’s concerns: “The results of our on-site review confirm that Kansas is substantively out …
Press release distribution, EDGAR filing, XBRL, regulatory filings
Anti-fou… Global Torpedo Market 2017-2021: ATLAS ELEKTRONIK, BAE Systems, Lockheed Martin, Raytheon & Saab Leave Competitors in their Wake – Research and Markets )–Research and Markets has announced the addition of the “Global Torpedo Market 2017-2021” report to their offering. The global torpedo market to grow at a CAGR of 3.04% duri… )–The global insulation market is expected to grow at a CAGR of over 8% during the forecast period, according to Technavio’s latest report.