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Care Delivery

 

Group market insurance plans had premiums increase by an average of 3 percent this year, the sixth consecutive year of a single-digit hike and well below the 20 percent jump in non-group market premiums, while employers continue to search for ways to cut costs through different sites of care and wellness programs.

Just a month earlier, Anthem had announced it wouldn’t offer ACA exchange coverage in the state, blaming “continued uncertainty” surrounding the law.

Sixty-three cities and counties and more than 70,000 enrollees in Virginia are now at risk of having no insurer participating in their Affordable Care Act (ACA) exchange for 2018, a problem which had appeared to be solved in other parts of the country just two weeks prior.

Ground has been broken on a $270 million medical campus in Frisco, Texas, that will be jointly operated by Texas Health Resources and the University of Texas Southwestern Medical Center.

In the first three months of this year, 8.8 percent of the U.S. population lacked health insurance, a slight decrease from the final 2016 numbers as the big gains in coverage from the Affordable Care Act appear to have ended.

 

Recent Headlines

Retail clinics aren’t reducing unnecessary ED visits

Having a retail health clinic nearby isn’t steering patients away from going to the emergency department (ED) for common low-acuity conditions.

Anthem allowed to move forward with PPO to EPO switch in California

A California judge denied a request for a restraining order which would have stopped Anthem from moving 500,000 customers to plans that only cover out-of-network charges in an emergency.

Med school blues: 45% of students feel burned out

Feeling overworked is common among physicians, but even those still pursuing their medical degrees are more likely to suffer from burnout.

CMS approves Massachusetts’ transition to ACO model for Medicaid

A five-year, $52.5 billion Medicaid waiver for Massachusetts has been approved by CMS, allowing the state to reorganize its MassHealth program and transition to an accountable care organization (ACO) model.

CMS's Slavitt: Healthcare can’t rely on old ways in ‘new normal’

CMS Acting Administrator Andy Slavitt said the healthcare industry’s move away from volume and towards value-based care will be worth the short-term disruption in remarks to the American Academy of Actuaries.

Mom who gave birth in hospital parking lot surprised at full delivery charge

Paula D’Amore expected to pay a little less for giving birth to her daughter in April, because she never actually made it inside Boca Raton Regional Hospital.

New AMA textbook offers clinician perspective on value-based care

The American Medical Association has announced the launch of a new “health sciences” textbook for medical school students, focusing on the transition towards value-based care and the skills physicians will need to navigate this new system, including using electronic health records.

425 physicians pulled from Tufts network

New Bedford, Massachusetts-based Southcoast Health System is forming its own independent doctors group, which means its 425 physicians will be leaving Tufts Medical Center’s network.

Price transparency led patients to choose lower-cost hospitals

When given access to transparency tools estimating prices for imaging services and sleep studies, commercially-insured patients were more likely to choose lower-cost hospitals.

Too few medical school grads choose family medicine

Medical schools are “underproducing” family physicians, according to a new survey, though some states and regions seem to have more success with graduates choosing to go into primary care.

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