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Health
Change Bulletin
January 2024 |
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How AI will — and won't — change health care
Even AI optimists don't envision the technology fundamentally
remaking the U.S. health care system anytime soon, but there's
widespread agreement that it has the potential to vastly improve
the quality of care and trim costly waste.
Axios, January 22, 2024
The Forecast for Legislative and Regulatory Activity on Health
Care in 2024
Even though the year has just begun, the clock is running out
for Congress to advance meaningful health initiatives in 2024.
The Commonwealth Fund, January 17, 2024
CMS Finalizes Rule to Expand Access to Health Information and
Improve the Prior Authorization Process
As part of the Biden-Harris Administration’s ongoing commitment
to increasing health data exchange and strengthening access to
care, the Centers for Medicare & Medicaid Services (CMS)
finalized the CMS Interoperability and Prior Authorization Final
Rule.
CMS, January 17, 2024
Health industry reignites debate over mandatory payment
experiments
The health care industry is again grappling with how
aggressively to push providers into payment arrangements that
hold them financially accountable for delivering better and more
efficient care after the debate was largely put on hold during
the pandemic.
Axios, January 15, 2024
Operating pressures, rising demand ensure dealmaking will hold
steady in 2024, KPMG says
Though dealmaking volume slowed to prepandemic levels in 2023
and its fourth quarter, M&A is expected to hold steady in 2024
as dealmakers will be on the lookout for opportunities in the
physician practice, payer and health IT markets.
Fierce Healthcare, January 5, 2024
4 CMO Predictions for Healthcare in 2024
In 2024, healthcare will be buffeted by a wave of change, a pair
of chief medical officers says. Healthcare organizations are
facing a slew of challenges. Those challenges include workforce
shortages that are straining the ranks of physicians and nurses
and economic woes that threaten the operations of health
systems, hospitals, and physician practices.
HealthLeaders, January 3, 3024 |
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Top Ten States with the Most
2024 Marketplace Open Enrollment Period Plan Selections (as of
12/23/23)
1. Florida: 4,034,546
2. Texas: 3,291,543
3. California: 1,733,137
4. Georgia: 1,230,364
5. North Carolina: 996,250
6. South Carolina: 542,731
7. Tennessee: 521,347
8. Ohio: 447,498
9. Pennsylvania: 407,027
10. Michigan: 394,191
Note: Cumulative 2024 open
enrollment period plan selections (new consumers and actively
returning consumers). Includes Marketplace plan selections in
the 32 states using the HealthCare.gov platform for the 2024
plan year and plan selections in the 18 states and the District
of Columbia with state-based Marketplaces (SBMs) that are using
their own eligibility and enrollment platforms, from November 1
through December 23, 2023.
Source:
CMS Marketplace 2024 Open Enrollment Period Report: National
Snapshot, January 10, 2024
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Revolutionizing Health Care Using Digital Innovations
WebMD's Chief Medical Officer, John Whyte, MD,
MPH, speaks with Roberta Schwartz, PhD, Executive Vice President
and Chief Innovation Officer, Houston Methodist, on the tech
innovations and the future of patient care using AI and virtual
monitoring.
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Check out
HealthshareTV, the
home for health care videos |
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CMS Announces New Actions to Help Hospitals Meet
Obligations under EMTALA
The Department of Health and Human Services (HHS)
announced that, together with the Centers for Medicare &
Medicaid Services (CMS), it will launch a series of
actions to educate the public about their rights to
emergency medical care and to help support efforts of
hospitals to meet their obligations under the Emergency
Medical Treatment and Labor Act (EMTALA).
CMS, January 22, 2024
US sets enrollment record for Obamacare plans
More than 20 million Americans have so far signed up for
health insurance through the Affordable Care Act's (ACA)
marketplace for this year, the highest since the
inception of the law, according to data released earlier
this month.
Reuters, January 10, 2024
Deloitte: Improving health equity in 2024 is a top-10
goal for most execs
More than 80% of C-suite executives from healthcare and
life sciences organizations see improved health equity
as a top-10 goal for 2024, a recent report by Deloitte
found.
Fierce Healthcare, December 19, 2023
Medicaid and CHIP Renewal Data Shows the Role State
Policy Choices Play in Keeping Kids Covered
The U.S. Department of Health and Human Services (HHS)
released new data on state Medicaid and Children’s
Health Insurance Program (CHIP) enrollment changes among
children and youth since full eligibility renewals for
these programs restarted last year. The data released
make it clear that state policy choices have real
consequences for children and families during Medicaid
and CHIP renewals.
CMS, December 18, 2023
HHS to Improve Maternal Health Outcomes with New CMS
Care Model
The U.S. Department of Health and Human Services,
through the Centers for Medicare & Medicaid Services,
announced innovative actions to improve maternal health
and birth outcomes for pregnant and postpartum women and
their infants through the new Transforming Maternal
Health Model.
CMS, December 15, 2023
How Healthcare Leaders Can Weigh Pros, Cons of Payer
Megamergers
When rumors circulate about major payers planning to
merge, it always stokes the question: are payer
megamergers ultimately good for the healthcare system?
Health Payer Intelligence, December 12, 2023
Health system execs see a value-based care tidal wave
ahead
Healthcare leaders have been talking about the
transition to value-based care for years, but without
significant movement away from fee for service. That
could all change in the next three years. The current
economic climate, with tightening margins and increased
costs, is pushing health systems to finally make a move.
Beckers, December 12, 2023
Planning for the Future of Health: Top trends for 2024
Digital Transformation, Generative Artificial
Intelligence (AI), ESG, Margin Pressures: These were a
few of the health care headlines we saw in 2023, and
they will likely continue to be used frequently in 2024.
Deloitte, December 6, 2023
A look at budding innovation in state-based ACA
marketplaces
With their recent stability, the Affordable Care Act
marketplaces are well-positioned for innovation—but
there's still room to take what's working nationwide,
according to a recent report.
Fierce Healthcare, November 27, 2023
The US doesn’t have universal health care — but these
states (almost) do
Universal health care remains an unrealized dream for
the United States. But in some parts of the country, the
dream has drawn closer to a reality in the 13 years
since the Affordable Care Act passed.
Vox, November 26, 2023
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