health change bulletin
Health Change Bulletin                                                                      January 2024
  
AHIP Medicare, Medicaid, Duals and Commercial Markets Forum. March 12-14. Baltimore, MD
 
Insights 
  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 
 
 
 
Healthsprocket List 
 
  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
 
 
HealthshareTV video
 

 



Healthcare and revenue cycle trends for 2023 and beyond
 
  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.
       

 
  Check out HealthshareTV, the home for health care videos    
 
  
News 
  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 
 
 
 
   
 
 
Subscribe to the Bulletin | Promotional Opportunities
 
Health Change Bulletin, a publication of HealthExecWire
© 2024