December 20, 2023

Feds Expect 19M On Exchanges

Based on current enrollments on the Exchanges, the feds say enrollment will break a record with 19 million in 2024.  Up from 16.4 million in 2023.  This is driven by the extension of the enhanced premium subsidies and other investments in outreach and marketing. Additional articles here: https://insidehealthpolicy.com/daily-news/admin-least-19m-enrolled-aca-plans-nationwide-nov-1 and https://thehill.com/policy/healthcare/4369743-white-house-touts-record-breaking-obamacare-enrollment/ CMS release here: https://www.cms.gov/newsroom/press-releases/healthcaregov-enrollment-exceeds-15-million-surpassing-previous-years-milestones

(Some articles may require a subscription.)

#aca #obamacare #exchanges #coverage

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Health Equity A Top Goal in 2024

More than 80% of executives from healthcare and life sciences organizations say health equity is a top-10 goal for 2024.

#healthequity #healthinsurance

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Hospital At Home Program

Interesting interview on prospects of hospital-at-home extension and growth. There are a number of good pilots in several lines of business that show great promise.

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#hospitals #hospitalathome

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Conflicting Reports on ACO Success

This study conflicts with other findings on the Medicare Shared Savings Program (MSSP)/Accountable Care Organization (ACO) initiative. The study finds that there were estimated losses of between $584 million and $1.4 billion to traditional Medicare during performance years 2013 to 2021. But MA saved between $4.5 billion and $4.9 billion due to benchmark reductions related to the program. Other assessments, including a government one, shows outright savings in traditional Medicare.

#acos #mssp #medicare #medicareadvantage

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Rule Would Roll Back Association Health Plans

A Biden administration rule would roll back Trump-era Association Health Plans expansion. The actual rule is thought to have very little impact given an earlier court action that set aside most aspects of the earlier Trump rule.  Additional article: https://insidehealthpolicy.com/daily-news/patients-groups-cheer-proposal-rescind-trump-admin-ahp-rule

(Articles may require a subscription.)

#associationhealthplans #healthinsurance #ahp

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— Marc S. Ryan

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