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Hospital leaders oppose MedPAC ACO changes
The Medicare Payment Advisory Commission is considering mandates that would require accountable care organizations (ACO) to take on added risk. According to the commission, ACOs are not achieving their intended goals under the Affordable Care Act of lowering cost and improving quality. Virgil Dickson at Modern Healthcare shares hospital leaders are apprehensive about incurring greater risk as providers are still learning how to operate within the ACOs.
Clinton and Trump’s proposals to fix health care
Both the Democratic and Republican presidential candidates believe substantial changes need to be made to the American health care system. Hillary Clinton proposes expanding tax credits for marketplace purchasers, lowering the Medicare qualifying age and adding a public option to the marketplace. Donald Trump calls for the repeal of the Affordable Care Act, changes to Medicaid reimbursement for states and allowing insurance companies to sell across state borders to reduce cost. Clinton and Trump agree drug prices are too high and have indicated they would allow Americans to buy from international suppliers, according to Reuters.
Nearly half of uninsured eligible for assistance
More than 40 percent of the 27 million Americans without health insurance qualify for financial assistance from the federal government, according to a Kaiser Family Foundation analysis. The aid includes subsidies to help consumers purchase health coverage through the exchanges or enroll in a Medicaid plan. The Department of Health and Human Services plans to target individuals who are eligible for subsidies during open enrollment. Mary Ellen Mcintire at Morning Consult has the story.
Regulators allow higher rates on health care premiums
Insurance price regulators across the country are giving permission for larger increases in premium rates than requested by insurers. Prices are jumping substantially in open enrollment during 2016, drawing criticism from some consumer advocates. Industry analysts believe regulators have approved the cost increases because insurance companies asked for only those price adjustments necessary to keep carriers solvent explain Jacquie Lee and Jayne O’Donnell of USA Today.