| 05.02.17 | Aetna may exit more ACA exchanges

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Today’s Rundown

  1. How to speed up the shift from volume to value? Experts point to evidence-based treatment, integrated systems
  2. Aetna reports Q1 loss, suggests it may exit more ACA exchanges
  3. Study: Affordable Care Act didn’t reduce care access for those already insured
  4. Industry Voices—Meadows-MacArthur amendment is strike 2 for the American Health Care Act

Featured Story


How to speed up the shift from volume to value? Experts point to evidence-based treatment, integrated systems

Tuesday, May 2, 2017 WASHINGTON, D.C.—During a keynote presentation Tuesday morning during the World Health Care Congress, Robert Pearl, CEO of The Permanente Medical Group, queried Kurt Wrobel, the chief financial officer and chief actuary of Geisinger Health Plan, and Michael Tarnoff, the chief medical officer at the medical device company Medtronic, on how to speed up the shift from fee-for-service to value-based care.


Aetna reports Q1 loss, suggests it may exit more ACA exchanges

Tuesday, May 2, 2017 Though Aetna is set to participate in just three states’ Affordable Care Act exchanges next year, the major insurer is now saying that it might reduce its individual market participation even further. Overall in the first quarter, Aetna announced a net loss of $381 million, or $1.11 per share—primarily due to losses associated with the breakup of its proposed acquisition of Humana.


Study: Affordable Care Act didn’t reduce care access for those already insured

Tuesday, May 2, 2017 Despite worries to the contrary, a new Health Affairs study demonstrates that expanded healthcare coverage has not reduced access to care for those with pre-existing coverage.


Industry Voices—Meadows-MacArthur amendment is strike 2 for the American Health Care Act

Monday, May 1, 2017 There is no question that the ACA needs to be rectified so that it works for the insurance industry, patients, healthcare organizations and federal/state budgets. However, viable solutions need to balance these interests while optimizing the access, affordability and quality of care. The revised AHCA does not meet that standard.

News of Note

As they struggle to form a consensus around their healthcare bill, House leaders are now focused on a simpler goal: Pass a bill they can say repeals the Affordable Care Act in order to shield their members in next year’s elections, then leave it up to the Senate to make changes. But even that goal has proven challenging. The Washington Post article Late-night talk show host Jimmy Kimmel made an emotional, impassioned plea to save the Affordable Care Act on Tuesday while also revealing that his infant son was born with a heart defect. CNN article A new survey from Anthem found that 35% of millennials have turned down a job offer either fully or partially due to the fact that they were dissatisfied with insurance offerings, compared to 27% of U.S. respondents overall. Announcement

Resources


[Whitepaper] Preventing Hospital Readmissions and Improving Transitions of Care

Presented By: MCG MCG, part of the Hearst Health network and a leading provider of informed care strategies, offers a complimentary white paper download: Preventing Hospital Readmissions and Improving Transitions of Care by Angela Askren, RN, MSN, CNC.


[Whitepaper] Six gray areas of HIPAA you can’t ignore

Sponsored by: Scrypt This guide exists to shed some light on some of the ‘gray areas’ of HIPAA. This guide will help anyone concerned with HIPAA compliance gain a better understanding of the areas which may be a cause for confusion or concern.


[Whitepaper] Mobile health & HIPAA: Playing it safe in 2017

Sponsored by: Scrypt Is texting putting your business at risk for a HIPAA violation? The following steps are intended to help organizations appropriately manage the use of mobile devices in the healthcare setting.


[Whitepaper] The Paperless Future of Healthcare and Life Sciences

Sponsored By: DocuSign DocuSign’s eSignature solutions modernize healthcare and life science organizations by eliminating paper and antiquated signature processes while meeting compliance requirements and reducing costs and errors.


[Whitepaper] DocuSign Life Sciences eBook: Reducing Cycle Time with Digital Transaction Management

Sponsored By: DocuSign The patients who rely on your scientific leadership are expecting more.


[Whitepaper] Streamline Regulatory Compliance in Life Sciences with Digital Transaction Management

Sponsored By: DocuSign The U.S. Department of Justice has collected upwards of $17 billion in settlements from the healthcare industry since 2009, including more than $2 billion from a single life sciences company.

Events

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