Insurers were able to reduce hospital admission prices by 5% in markets where both insurers and providers were highly concentrated. In such markets, they also reduced the fees of cardiologists, radiologists and hematologists/oncologists by 4% to 19%, according to a Health Affairs study. Primary care and orthopedics prices weren’t affected.
CMS chief Seema Verma wants to reshape the entitlement program that covers about 62 million people. Verma endorses “community engagement”—work or community service— as a condition for “able-bodied” people to get Medicaid coverage and accused the Obama administration of the “soft bigotry of low expectations” for opposing such a requirement.
Federal and state officials have moved this year to impose some preparedness requirements on providers that will have an effect in 2018 and years beyond. For instance, CMS’ finalized emergency preparedness rules for health care providers that serve Medicare and Medicaid patients went into effect last month.
A year ago you probably couldn’t find a Las Vegas bookmaker willing to give odds that the ACA would still be the law of the land in 2018. Turns out that repealing Obamacare and crafting a replacement acceptable to various factions of the GOP is not so easy.