health change bulletin
Health Change Bulletin                                                                      February 21, 2019
  
  Sponsor Message
Quote 
  "Long observed, key economic and demographic factors fundamental to the health sector are anticipated to be the major drivers of healthcare spending and coverage trends. The contrast between the Medicare and private health insurance growth rate both for spending and enrollment is largely explained by the continued shift of the baby boom generation into Medicare. The average annual per enrollee growth rates across the payers are otherwise largely similar."  
-Andrea Sisko, Economist, National Health Statistics Group
 
Factoid
 
Most racial and ethnic groups had larger coverage gains in states that implemented the Medicaid expansion compared to those that have not. Except for Asians, all racial and ethnic groups experienced larger percentage point declines in their uninsured rate in states that implemented the expansion compared to states that did not. The percentage change for Whites was -6% in expansion states; and -4% in non-expansion states; for Blacks: -9% versus -7% and Hispanics: -12% versus -9%.


Source: Changes in Health Coverage by Race and Ethnicity since Implementation of the ACA, 2013-2017
   
News 
  Health spending growth to average 5.5% annually through 2027
HealthLeaders, February 20, 2019

Medicaid expansion and funding face threats in several states
Modern Healthcare, February 19, 2019

Supply of primary care doctors linked with mortality rates
Reuters, February 18, 2019

Shift for Medicare Advantage ratchets up pressure on hospitals
HealthLeaders, February 14, 2019

HHS will test paying ambulance providers for trips to alternative sites
Modern Healthcare, February 14, 2019

Cigna, Sentara join Aetna, IBM's blockchain ecosystem
Becker's February 14, 2019

Quality of care isn't better at physician-employed hospitals, study shows
Modern Healthcare, February 13, 2019

Utah’s Novel Plan For Medicaid Expansion Opens Door To Spending Caps
KHN, February 14, 2019

CVS introduces new concept store with more health care, less retail
USA TODAY, February 13, 2019

Americans Cross Border Into Mexico To Buy Insulin At A Fraction Of U.S. Cost
Kaiser Health News, February 12, 2019

 
 
Insights
  Kaiser Permanente’s New Medical School Will Waive Tuition for Its First 5 Classes
New York Times, February 19, 2019

More Insurers Win Lawsuits Seeking Cost-Sharing Reduction Payments
Health Affairs, February 17, 2019

Changes in Health Coverage by Race and Ethnicity since ACA Implementation
Kaiser Family Foundation, February 13, 2019

Hospital Mergers Improve Health? Evidence Shows the Opposite
New York Times, February 11, 2019

 
    
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The CEO of Oscar Health Is Disrupting The Healthcare System
 
  The Changing Continiuum of Healthcare

ADM Brett P. Giroir, MD discusses the changing spectrum of healthcare in our country and some of the challenges we face and how we can solve them.
    

 
Check out HealthshareTV, the home for health care videos    
 
Healthsprocket List 
 
  Commonwealth Fund: Percent of adults ages 19 to 64, insured all year but underinsured, 2003 to 2018

1. 2003: 10% of those with employer-provided coverage; 17% of those with individual coverage

2. 2005: 12% of those with employer-provided coverage; 19% of those with individual coverage

3. 2010: 17% of those with employer-provided coverage; 37% of those with individual coverage

4. 2012: 20% of those with employer-provided coverage; 45% of those with individual coverage

5. 2014: 23% of those with employer-provided coverage; 37% of those with individual coverage

6. 2016: 24% of those with employer-provided coverage; 44% of those with individual coverage

7. 2018: 28% of those with employer-provided coverage; 42% of those with individual coverage

Source: The Commonwealth Fund
 
      
 
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