health change bulletin
Health Change Bulletin                                                                      February 9, 2017

Medicare Advantage Risk Score Transition

  Sponsor Message
  "We have no intention of being in the market for 2018. There is no possible way we'd be prepared to do that. It is clear in the absence of a significant shift in regulatory policy, risk pools will continue to deteriorate. The '18 plan will probably be business as usual, the nearest time we could have a completely new program is 1/1/19. Eighteen will be a transition year, and we look at it like that." 

-Mark Bertolini, CEO, Aetna
  PatientsLikeMe revealed results from the first large-scale poll to assess patient priorities for the health care law. 46% of patients (59% of major depressive disorder patients, 45% of non-condition specific patients), and 31% of the general population feel a repeal "should not be done." The results also showed that 57% of respondents believe the ACA has been helpful to people living with chronic conditions.

Source: PatientsLikeMe, February, 2017
  Support for health professionals reduces use of antibiotics in hospitals
Cochrane, February 9, 2017
Safety net hospitals could lose $41B if ACA repeal lacks immediate replacement
Healthcare Finance News, February 9, 2017
  Anthem-Cigna health insurance merger is rejected by judge
LA Times, February 9, 2017

AMA: Eliminate Prior Authorization for Opioid Abuse Treatment
RevCycle Intelligence, February 8, 2017

Key Conservative Lawmaker Opens Door to Obamacare Insurer Payments
Morning Consult, February 8, 2017

Medicare Should Leverage Buying Power To Pull Down Drug Prices
National Public Radio, February 7, 2017

House Panel Advances Medicaid Reform Bills
Morning Consult, February 7, 2017

If Obamacare Is Being Repealed, Do The Uninsured Still Face Penalties?
Kaiser Health News, February 7, 2017

One-Third Don’t Know Obamacare and Affordable Care Act Are the Same
The New York Times, February 7, 2017

Trump says health law replacement may not be ready until next year
American Pharmacists Association, February 6, 2017

Drugmaker Kaleo Raises Price Of Lifesaving Drug By Thousands
National Public Radio, February 4, 2017

  Market Stabilization, Fixed-Indemnity Plans, Cost-Sharing Reductions
Health Affairs Blog, February 8, 2017
  MGMA’s Jennifer McLaughlin on What’s Next on Healthcare Policy in Congress
Healthcare Informatics, February 3, 2017
  Anthem, Cigna merger blocked by judge; Anthem pledges to appeal
Healthcare Finance News,, February 9, 2017
HealthshareTV video

The Balancing Act of Healthcare Costs   The Balancing Act of Healthcare Costs

Rena M. Conti, PhD, and Andrew L. Pecora, MD, CPE, remark on pharmaceutical companies’ previous use of fixed-cost investing and its challenges under healthcare reform.

Check out HealthshareTV, the home for health care videos     
Healthsprocket List 
  Vizient: Poll on Components to Stay in ACA, Conducted on C-Suite Execs, 5 Takeaways

1. 89.5% of C-Suite leaders want the coverage protections for patients with pre-existing conditions Affordable Care Act component to stay.
2. 68% of C-Suite leaders wish to see incentives for Medicaid expansion stay.
3. Continue reading here

Source: Vizient
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