RESUMEN
News leaks from last month's Republican Congressional retreat revealed there's a growing concern that precipitous change to the individual health insurance markets created by Obamacare will trigger their collapse.
Asunto(s)
Reforma de la Atención de Salud , Patient Protection and Affordable Care Act , Seguro de Salud , Política , Estados UnidosRESUMEN
For the past two years, Marilyn Tavenner, who had bipartisan support when selected by President Barack Obama to run the CMS, has served as CEO of America's Health Insurance Plans, the leading trade association for health insurers. She's now seeking to marshal bipartisan support to save an individual insurance market dubbed a "disaster" by President Donald Trump and many Republicans on Capitol Hill. Last week, just prior to her testimony before the House Energy and Commerce Committee, Tavenner spoke about the fate of the market and other issues with Modern Healthcare editor Merrill Goozner. The following is an edited transcript.
Asunto(s)
Costos y Análisis de Costo , Seguro de Salud , Atención a la SaludRESUMEN
It's time to start calling the American Health Care Act by its true name-the Force Older and Poorer Americans to Postpone Health Care Act.
Asunto(s)
Atención a la Salud/legislación & jurisprudencia , Formulación de Políticas , Presupuestos , Política , Estados UnidosRESUMEN
Last week, the nation's hospital and physician groups joined patient, consumer and senior advocates in condemning the newly introduced American Health Care Act, which guts Medicaid and provides inadequate subsidies for buying individual health insurance plans.
Asunto(s)
Patient Protection and Affordable Care Act , Formulación de Políticas , Política , Patient Protection and Affordable Care Act/legislación & jurisprudencia , Estados UnidosRESUMEN
Since its founding in 1979, Epic Systems Corp. of Verona, Wis., has grown to become the nation's No. 1 healthcare software firm, with $2.5 billion in annual sales and 9,700 employees. Founder Judith Faulkner, one of Modern Healthcare's Top 25 Women In Healthcare, still plays a major role in setting strategy at the firm. At last month's Healthcare Information and Management Systems Society's annual conference in Orlando, Fla., Modern Healthcare Editor Merrill Goozner sat down with Faulkner for an interview. The following is an edited transcript.
Asunto(s)
Registros Electrónicos de Salud , Interfaz Usuario-Computador , Agotamiento Profesional/prevención & control , Interoperabilidad de la Información en Salud , Médicos , Estados UnidosRESUMEN
With Republican leaders promising to quickly repeal the Affordable Care Act and only promising to enact a replacement, it's worth revisiting the question of whether healthcare is a right.
Asunto(s)
Accesibilidad a los Servicios de Salud , Derechos Humanos , Patient Protection and Affordable Care Act , Estados UnidosRESUMEN
Dr. Scott Gottlieb is by far the most conflicted person nominated to run the 111-year-old Food and Drug Administration. He's received payments from or invested in dozens of companies with business before the agency, earning millions of dollars in the process.
Asunto(s)
Personal Administrativo , Movilidad Laboral , United States Food and Drug Administration , Estados UnidosRESUMEN
Republicans seem intent on pursuing a disastrous Obamacare replacement plan that couples catastrophic coverage with subsidized health savings accounts.
Asunto(s)
Deducibles y Coseguros , Seguro de Salud , Ahorros Médicos , Formulación de Políticas , Estados UnidosRESUMEN
Dr. Farzad Mostasharl helped shape the electronic health record landscape from 2011 to 2013 as head of the Office of the National Coordinator for Health Information Technology. Today, he is CEO of Aledade, a Bethesda, Md.-based startup with 150 employees that manages physician-led accountable care organizations. Editor Merrill Goozner recently spoke with Mostashari about how the coming regulatory and political changes will affect his business, which manages ACOs for over 1,000 primary-care doctors in 15 states. The following is an edited excerpt.
Asunto(s)
Organizaciones Responsables por la Atención , Modelos Organizacionales , Compra Basada en Calidad , Organizaciones Responsables por la Atención/organización & administración , Regulación Gubernamental , Política , Estados UnidosRESUMEN
Remember payment reform? Shared risk, bundled payments, global budgets-these baby steps are supposed to teach hospitals and physician practices how to stay on their feet financially while walking away from fee-for-service medicine.
Asunto(s)
Reforma de la Atención de Salud , Formulación de Políticas , Mecanismo de Reembolso , Estados UnidosRESUMEN
The House of Representatives last week postponed voting to gut Obamacare after new provisions weakening the essential benefits guarantee failed to win support from right-wing Republicans, who oppose almost any form of subsidized health insurance.
Asunto(s)
Cobertura del Seguro/economía , Seguro de Salud , Política , Financiación Gubernamental , Patient Protection and Affordable Care Act , Estados UnidosRESUMEN
On May 15, Mike Slubowski, currently CEO of the $2.7 billion SCL Health with a dozen hospitals in Colorado, Kansas and Montana, becomes chief operating officer of Livonia, Mich.-based Trinity Health, a system about six times larger. He will be serving CEO Dr. Richard Gilfillan, who has pledged to turn the nation's second-largest Catholic- sponsored health system into a proving ground for the value-based care models he helped shape while leading the CMS' Center for Medicare and Medicaid Innovation. Editor Merrill Goozner spoke with Slubowski last week about the major challenges in his new role and the special challenges faced by exurban hospitals such as the ones he ran at SCL during 61/2 years there. The following is an edited transcript.
Asunto(s)
Reforma de la Atención de Salud , Calidad de la Atención de Salud , Responsabilidad Social , Emigración e Inmigración , Hospitales Rurales , Medicaid/economía , Estados UnidosRESUMEN
It was notable that so many conservative activists and pundits rushed to abandon the Republican Party's promise to "repeal and replace" Obamacare in the wake of Trumpcare's humiliating defeat in the House of Representatives.
Asunto(s)
Intercambios de Seguro Médico , Formulación de Políticas , Política , Intercambios de Seguro Médico/economía , Intercambios de Seguro Médico/legislación & jurisprudencia , Impuestos/legislación & jurisprudencia , Estados UnidosRESUMEN
As with so much else, the Trump administration has stumbled in its initial efforts to combat opioid addiction. Given the magnitude of the crisis, healthcare professionals have an obligation to speak out against ill-considered policies.
Asunto(s)
Gobierno Federal , Trastornos Relacionados con Opioides/prevención & control , Política de Salud , Humanos , Trastornos Relacionados con Opioides/epidemiología , Política , Estados UnidosRESUMEN
Politics, like nature, abhors a vacuum. Witness how the pharnaceutical industry has succeeded in taking advantage of President Donald Trump's failure to do something-anything-about high drug prices.
Asunto(s)
Honorarios Farmacéuticos , Formulación de Políticas , Política , Estados UnidosRESUMEN
It's time to check in with the governing party to see how its plan to replace Obamacare is progressing.
Asunto(s)
Seguro de Costos Compartidos , Financiación Gubernamental , Disentimientos y Disputas/legislación & jurisprudencia , Medicaid , Patient Protection and Affordable Care Act , Política , Estados UnidosRESUMEN
As the ad hoc committee of 13 Republican senators rethinks the increasingly unpopular American Health Care Act, Congress and the administration face a more pressing question. Will they stabilize the individual insurance market for 2018?
Asunto(s)
Intercambios de Seguro Médico , Patient Protection and Affordable Care Act , Formulación de Políticas , Estados UnidosRESUMEN
Who's responsible for making the U.S. healthcare system the most expensive in the world? If you are a top hospital or insurance executive, a well-paid physician or a drug company official or stockholder, the answer lies in the mirror.
Asunto(s)
Atención a la Salud/economía , Responsabilidad Social , Gastos en Salud , Estados UnidosRESUMEN
Anyone who knows anything about healthcare didn't need a Congressional Budget Officer scorecard to understand the disastrous consequences of the American Health Care Act.
Asunto(s)
Atención a la Salud/legislación & jurisprudencia , Política de Salud , Salud Pública , Atención a la Salud/economía , Medicaid , Patient Protection and Affordable Care Act , Estados UnidosRESUMEN
Healthcare systems have made great strides in recent years in learning how to use their medical records and claims data to identify patients at high risk of contracting chronic diseases such as diabetes. Unfortunately, under fee-for-service medicine, doing something with that information is rarely a smart move financially.