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Health Reform
MSSP’s Initial 27 Applicants Draw Cautious Optimism, Show Variety of ApproachesFrom ACO Business News - CMS’s selection of 27 initial participants in the Medicare Shared Savings Program (MSSP) on April 10 drew cautious optimism from the health care industry. As one consultant says, the agency was careful to pick organizations that have a good chance of success in the first round of this program. “They certainly want to show a successful launch to this program. I also think that’s why there were only 27 selected,” says Erik Johnson, senior vice president at Avalere Health LLC. Read more
Two Views on Insurers’ Contingency Plans: Full-Speed Ahead or ‘Slow-Walk’ Decisions From AIS's Health Reform Week - If you are the CEO of a health plan that is trying to get ready for the big health reform-law changes in 2014, but that knows they all are dependent on what the Supreme Court rules perhaps more than two months from now and on election results more than six months away, what approach do you take? Go full-speed ahead, J. Bradley Wilson, president and CEO of BlueCross BlueShield of… Read more
Insurance Execs Can Sit On Boards, But Will States Offer Them a Seat? (with Table: States That Bar or…From Inside Health Insurance Exchanges - Consumer advocates say giving health insurance executives a seat on an exchange board is akin to having the fox guard the henhouse. But health plan executives contend that if you’re going to build a rocket, you need a rocket scientist. The final rule on insurance exchanges, released March 12, requires that at least one voting member of an exchange board be a consumer advocate. It also allows insurers and other industry… Read more
On the Health Reform Bookshelf
Health Reform Blog
By Patrick Connole - May 17, 2012
Washington pundits like to call the presidential campaign season the “silly season,” referring to the fact every move made by a candidate, or, in this case, a candidate’s administration, comes under intense scrutiny for how it reflects on a bid to obtain or keep the keys to the White House.
A...
By Steve Davis - May 9, 2012
A report released this month by the House Ways and Means Committee is 100% correct: Large employers would save billions of dollars over the next decade by eliminating health coverage for their employers and instead paying a $2,000 per-employee penalty. But employee benefits consultants doubt many,...
By Jennifer Lubell - April 26, 2012
In its decision to participate in the Medicare Shared Savings Program (MSSP) as well as invest in bundled payments and a clinically integrated network in the commercial sector, Cincinnati health system Mercy Health thought it would be prudent to form a limited liability company, or LLC....
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