health change bulletin
Health Change Bulletin                                                                      September 2019
  
  Sponsor Message
Quote 
  “In this era of rapid change within the health care sector, hospitals and health systems remain committed to meeting the needs of all patients. Mergers have become one of the critical means through which hospitals can provide their communities with high-quality, convenient and cost-effective care. The benefits of mergers allow hospitals to create connected networks of care and keep the focus where it belongs: on improving care for the patient.”  
-Rick Pollack, President and CEO, AHA
 
Factoid
 
Using data reported by insurers to CMS, KFF estimates insurers will be issuing a total of at least $1.3 billion in Medical Loss Ratio Rebates (MLR) across all markets – exceeding the previous record high of $1.1 billion in 2012 (based on 2011 experience). The amount varies by market, with insurers reporting at least $743 million in the individual market, $250 million in the small group market, and $284 million in the large group market. Across all markets, insurers in Virginia will pay out the highest total rebates ($149.6 million), followed by Pennsylvania ($130 million) and Florida ($107.4 million). In the individual market alone, total rebates range from $0 in at least 13 states to a high of $111.3 million in Virginia, followed by Arizona ($92.3 million) and Texas ($80.4 million). In the small group market, total rebates range from $0 in 26 states to $44.4 million in Florida. In the large group market, total rebates range from $0 in 13 states to $42.2 million in Florida.

Source: Source: KFF: Data Note: 2019 Medical Loss Ratio Rebates
   
News 
  Lopsided urban hospital markets spark cost concerns
Modern Healthcare, September 17, 2019

Former athenahealth CEO Jonathan Bush joins health care startup
Boston Globe, September 16, 2019

States focus on high-risk patients to drop Medicaid spending
Modern Healthcare, September 13, 2019

Cigna aims to expand affordable access to gene therapies
Modern Healthcare, September 6, 2019

Uninsured rate rises for the 1st time since ACA
Healthcare Dive, September 10, 2019

States pass record number of laws to reel in drug prices
Kaiser Health News, September 9, 2019

Rural hospital closings cause mortality rates to rise, study finds
NBC News, September 6, 2019

Groupons For Medical Treatment? Welcome To Today’s U.S. Health Care
Kaiser Health News, September 6, 2019

American Hospital Association, economists debate merits of mergers
Modern Healthcare, September 4, 2019

CVS wins court approval for antitrust accord on Aetna deal
Bloomberg, September 4, 2019

IRS says reinstating ACA insurance tax would cost insurers $15.5B in 2020
Modern Healthcare, September 4, 2019
   
 
 
Insights
  States Flubbed the Rollout of Their Exchanges. Now They’re Ready to Try Again.
Stateline, September 13, 2019

Walmart’s First Healthcare Services ‘Super Center’ Opens
Forbes, September 13, 2019

Medicare for All & Health Care’s Path Forward: AHIP CEO

AHIP, September 12, 2019

Which Health Policies Actually Work? We Rarely Find Out
New York Times, September 9, 2019

All Medicaid Expansions Are Not Created Equal
Brookings, September, 2019

When Physicians Integrate With Hospitals, Costs Go Up, Rice Study Says
BCBSTX, September 3, 2019
 
Medicaid expansion increased ED use, study shows
Modern Healthcare, September 3, 2019
 
 
    
HealthshareTV video
 

 
Policy Briefs: Scott Atlas On Why Competition, Not Laws, Will Make Health Care Prices Visible
 
  Heartland doctor talks rural health reform

Dr. Randall Tobler of Scotland County Hospital in Missouri discusses the challenges involved with rural healthcare.

    

 
Check out HealthshareTV, the home for health care videos    
 
Healthsprocket List 
 
  SmartAsset: Top Ten States That Would Benefit the Most from Healthcare Reform*

1. New Mexico
2. Florida
3. Arizona
4. Georgia
5. Mississippi
6. Oklahoma
7. Arkansas
8. Alaska
9. North Carolina
10. South Carolina

*According to nine metrics that span a range of healthcare indicators, including availability, affordability and outcomes

Source: SmartAsset, States That Would Benefit the Most from Healthcare Reform
 
      
 
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