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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

First advanced certification for total hip, knee replacement awarded by Joint Commission

Ohio Specialty Surgical Suites of North Canton has become the first ambulatory surgical center to earn the Joint Commission’s advanced certification for total hip and total knee replacement.

UPMC’s acquisition of Susquehanna Health comes with $500 million in improvements

The four-hospital Susquehanna Health system is officially a part of the University of Pittsburgh Medical Center (UPMC), with the deal including $500 million in renovations and upgrades at the newly acquired facilities.

BCBS of Texas will launch new plan for children with demanding, complex conditions

Blue Cross Blue Shield of Texas will soon offer more benefits to families with children suffering from complex and demanding conditions, such as mental health disease or drug and alcohol addiction.

Weathering the storm: Maintaining imaging in the face of disaster

Hospital administrators and leaders can ensure their imaging services remain operational during a disaster scenario with careful planning and management.

Employer demand for value-based care is growing

More employers are implementing value-based reimbursement and payment arrangements with insurers and providers, according to a survey released by employee benefits consulting firm Willis Towers Watson.

The 5 innovation questions CMS wants exchange insurers to ask themselves

Health insurers need to see the changing healthcare market as an opportunity to innovate like some car companies have done in their industry, CMS Acting Administrator Andy Slavitt said at an Oct. 5 forum of marketplace insurers.

Hospital’s $39 charge for parents holding newborn goes viral

After the birth of his son Samuel, Ryan Grassley was surprised by one charge on his hospital bill: $39.35 for “skin-to-skin contact” when his wife held their newborn after a C-section.

Commercial ACOs more efficient than noncommercial, both struggle with IT

Accountable care organizations (ACOs) which have contracts with commercial payors beat Medicare and Medicaid-only ACOs on several measures of performance in a study published in the October issue of Health Affairs.

7 key findings on how physicians feel about their workload, morale, MACRA

The majority of physicians feel they have no time to see additional patients and aren’t feeling positive about the state of their profession, according to a survey conducted by the Physicians Foundation.

American Academy of Pediatrics: No more codeine for kids

Doctors should stop giving children codeine, according to a report by the American Academy of Pediatrics published in the journal Pediatrics.

 

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