health change bulletin
Health Change Bulletin                                                                      February 16, 2017

Medicare Advantage Risk Score Transition

  Sponsor Message
  "While we continue to believe that a combined company would create greater value for health care consumers the current environment makes it too challenging to continue pursuing the transaction. We are disappointed to take this course of action after 19 months of planning, but both companies need to move forward with their respective strategies in order to continue to meet member expectations." 

-Mark Bertolini, Chairman & CEO, Aetna
  The State of Population Health survey, published by Numerof and Associates found that 95% of respondents rated population health as moderately or critically important, 43% said it is critically important to their future success. 74% of respondents said their organization has a designated division, department or institute for population health programs, and 64% said their organization has a formal process for working with physicians who are outliers on cost and quality. Another 53% said physician payment is at least partially based on the ability to manage variation in cost and quality.

Source: Numerof and Associates, February, 2017
Early Performance in Medicaid Accountable Care Organizations
JAMA, February 13, 2017

  CMS nominee breezes through confirmation hearing
The Hill, February 16, 2017

IRS loosening enforcement of ObamaCare mandate
The Hill, February 15, 2017

New Rules Try To Shore Up Individual Health Insurance Market In 2018
Kaiser Health News, February 15, 2017

Humana becomes first major insurer to quit Obamacare exchanges
Politico, February 14, 2017

It's crunch time on healthcare reform in Congress
The Washington Examiner, February 13, 2017

Marathon 'Pausing' Delivery Of $89,000-A-Year Muscular Dystrophy Drug
Kaiser Health News, February 13, 2017

With eye on Obamacare, Price takes helm as U.S. health secretary
Reuters, February 10, 2017
  Aetna CEO says ObamaCare in 'death spiral'
The Hill, February 15, 2017
  Health Care Reform
Huffington Post, February 11, 2017
  An old drug gets a new price to fight a rare disease: $89,000 a year
Washington Post,, February 10, 2017
HealthshareTV video

ACA Repeal and Replace: The Implications of Health Care Reform   ACA Repeal and Replace: The Implications of Health Care Reform

Sara Rosenbaum discusses the implications of health care reform as it pertains to the repeal and replacement of the Affordable Care Act, or Obamacare.

Check out HealthshareTV, the home for health care videos     
Healthsprocket List 
  6 of the Most Recent Healthcare Frauds, Chronological Order

1. Comprehensive Health Services pays $3.9 million for allegedly double billing IRS -Feb.9
2. Aetna awarded $51.4 million from Texas hospital in false billing case -Feb.8
3. Continue reading here

Source: Healthcare Finance News
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