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Month: April 2017

What payers want to know before they commit to exchanges

Insurers, facing a June deadline, are hoping for more assurance from the White House that it will support exchange stability.
A lot of unanswered questions remain when it comes to the future of insurance exchanges established by the Affordable Care Act. With healthcare reform efforts stalled in Congress and the administration ready to pursue other agenda items, there has been a lot more talk than action over the past several months.  Read the full article.
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MGMA Advises New HHS Secretary on MACRA Implementation

MGMA made suggestions to improve various aspects of the healthcare industry that benefit medical groups participating in MACRA implementation.
The Medical Group Management Association (MGMA) recently recommended MACRA implementation and other policy suggestions to the newly confirmed Secretary of Department of Health & Human Services. In a letter to HHS Secretary Tom Price, MD, MGMA made suggestions regarding topics including administrative simplification, the Merit-based Incentive Payment System (MIPS), alternative payment models (APMs), EHR certification, and the Stark Physician Self-Referral Law.  Read the full article.
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Emergency Coverage Top Healthcare Consumer Demand For Payers

When talking about access to care, healthcare consumers were highly in favor of transparency and want payers to cover emergency services.
A new poll from the American College Of Emergency Physicians (ACEP) and Morning Consult found that 95 percent of healthcare consumers say payers should cover emergency services. Out of the 1,791 healthcare consumers surveyed, about 31 percent had visited an emergency department with 35 percent saying they went to the emergency department because they were unable to get a physician appointment.  Read the full article.
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The importance of securing patient identity as health IT goes virtual

Normal healthcare concerns become even more pressing with the growing prevalence of virtual care.
Health IT solutions must address patient ID challenges along the care continuum. As virtual care grows to engage a wider breadth of patients, the industry needs to look at innovative ways to ensure ID security.  Read the full article.
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