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News You Need to Know Today
 Medicare Part D consolidation will only get worse with proposed megamergers
Monday, May 21, 2018
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Today's News and Trends

Medicare Part D consolidation will only get worse with proposed megamergers

Three sponsors of Medicare Part D plans—UnitedHealth Group, Humana and CVS Health—account for more than half the program’s total enrollment. If proposed mergers involving smaller players like Aetna, Express Scripts and Cigna move ahead, the market would become even more concentrated.

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Medicare Part D consolidation will only get worse with proposed megamergers

Share on Twitter Share on Facebook Share on Linkedin
merger.png
Three sponsors of Medicare Part D plans—UnitedHealth Group, Humana and CVS Health—account for more than half the program’s total enrollment. If proposed mergers involving smaller players like Aetna, Express Scripts and Cigna move ahead, the market would become even more concentrated.
READ MORE >

Trump nominates acting VA Secretary to fill role permanently

After President Donald Trump’s last nominee for VA Secretary withdrew from consideration over numerous allegations about his personal conduct and prescribing habits, Trump has picked Acting VA Secretary Robert Wilkie to take over the role in a full-time capacity.

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Robert Wilkie
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Trump nominates acting VA Secretary to fill role permanently

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Robert Wilkie
After President Donald Trump’s last nominee for VA Secretary withdrew from consideration over numerous allegations about his personal conduct and prescribing habits, Trump has picked Acting VA Secretary Robert Wilkie to take over the role in a full-time capacity.
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UnitedHealth: Medicaid more cost-effective than ACA plans

UnitedHealth said it costs an average of $9,400 annually to cover a low-income, subsidized enrollee on the marketplace with $7,000 of that cost falling on the federal government. For someone eligible for Medicaid thanks to the Affordable Care Act (ACA), the overall cost is $5,400—with $5,100 coming from federal funds.

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UnitedHealth: Medicaid more cost-effective than ACA plans

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UnitedHealth said it costs an average of $9,400 annually to cover a low-income, subsidized enrollee on the marketplace with $7,000 of that cost falling on the federal government. For someone eligible for Medicaid thanks to the Affordable Care Act (ACA), the overall cost is $5,400—with $5,100 coming from federal funds.
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TransUnion acquires Healthcare Payment Solutions

TransUnion Healthcare has announced the acquisition of reimbursement technology company Healthcare Payment Solutions (HPS). Adding HPS solutions to its portfolio will boost TransUnion’s position in the post-discharge revenue recovery technology market, the company said.

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TransUnion acquires Healthcare Payment Solutions

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TransUnion Healthcare has announced the acquisition of reimbursement technology company Healthcare Payment Solutions (HPS). Adding HPS solutions to its portfolio will boost TransUnion’s position in the post-discharge revenue recovery technology market, the company said.
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AHA backing legislation to change antitrust reviews

The American Hospital Association (AHA) is lending its support to a bill to change the merger review process at the Federal Trade Commission (FTC), eliminating the agency’s ability to challenge proposed combinations without going to court.

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AHA backing legislation to change antitrust reviews

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aha_tom_nickels_ache_at_podium.jpg
The American Hospital Association (AHA) is lending its support to a bill to change the merger review process at the Federal Trade Commission (FTC), eliminating the agency’s ability to challenge proposed combinations without going to court.
READ MORE >

HHS proposing stripping Title X funding from clinics providing, referring abortions

Direct federal funding for abortions has been prohibited by Congress for decades, but conservative lawmakers have sought to deny all federal funding to groups like Planned Parenthood for having any involvement in abortion services.

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HHS proposing stripping Title X funding from clinics providing, referring abortions

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Direct federal funding for abortions has been prohibited by Congress for decades, but conservative lawmakers have sought to deny all federal funding to groups like Planned Parenthood for having any involvement in abortion services.
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New AHIP chief: Insurers are watching single-payer proposals closely

Matt Eyles will take over on June 1 as the new CEO of the health insurance industry’s largest lobbying group, America’s Health Insurance Plans (AHIP). Ahead of assuming the top post, he spoke with Vox about several major legislative trends which could impact insurers.

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New AHIP chief: Insurers are watching single-payer proposals closely

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Matt Eyles will take over on June 1 as the new CEO of the health insurance industry’s largest lobbying group, America’s Health Insurance Plans (AHIP). Ahead of assuming the top post, he spoke with Vox about several major legislative trends which could impact insurers.
READ MORE >

Vermont’s statewide ACO-like system closely watched by state policymakers

The “zero year” of the OneCare Vermont system, operated much like an accountable care organization (ACO) on a statewide level, saw the program come within 1 percent of its financial target. With the model now expanded to cover about 18 percent of the state’s residents, other states are watching closely to see if it could be implemented elsewhere in the U.S.

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Vermont’s statewide ACO-like system closely watched by state policymakers

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The “zero year” of the OneCare Vermont system, operated much like an accountable care organization (ACO) on a statewide level, saw the program come within 1 percent of its financial target. With the model now expanded to cover about 18 percent of the state’s residents, other states are watching closely to see if it could be implemented elsewhere in the U.S.
READ MORE >

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