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March 1, 2024

Medicare Advantage Will Remain Viable Over The Long Run Good article in Modern Healthcare discussing the fact that, while there will be major bumps in the road, Medicare Advantage (MA) will remain viable and strong.  A great quote from Paul Ginsburg, senior fellow at the University of Southern California Schaeffer Center for Health Policy and Economics. “We’re not talking about any risk to the financial integrity of these companies at all. The Medicare Advantage business is very viable long-term because they’re providing something that more and more Medicare beneficiaries are deciding they want,” Ginsburg said. “Will it be as great for the next few years as it has been? Probably not. It’ll still be very good, though.” This echoes what I said in a January 29, 2024 blog ( https://www.healthcarelabyrinth.com/with-boom-over-will-medicare-advantage-collapse-or-adjust/ ) as well as a February 9 Podcast ( https://www.healthcarelabyrinth.com/9-is-medicare-advantage-exploding-after-its-boom-or-simply-adjusting/ ). As I say, the real victims of terrible policies

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February 29, 2024

Change Healthcare Cyber Attack Fallout Continues The fallout continues over the cyber attack suffered by Change Healthcare.  United Health Group confirmed the attack was a ransomware one and that the BlackCat cyber gang was behind it. Additional article here:https://www.modernhealthcare.com/cybersecurity/change-healthcare-cyberattack-outage-blackcat-alphv-2024 As well, good overviews of cyber security and the overall event and impacts: https://www.modernhealthcare.com/cybersecurity/change-healthcare-outage-cyberattack-data-breaches-2024 and https://kffhealthnews.org/news/article/unitedhealth-change-healthcare-blackcat-hack-cybersecurity/ Meanwhile, a prominent provider group is calling on the federal government to help them regarding the current Change Healthcare cyber attack, but to also strengthen security overall: https://insidehealthpolicy.com/daily-news/mgma-hhs-help-industry-mitigate-massive-ransomware-attack (Some articles may require a subscription.) #cyberattacks #changehealthcare Link to Article Congress Passes Short-Term Funding Bill The House passed a short-term funding bill by a vote of 320-99 vote and the Senate turned around passing it with a 77-13 vote.  It pushes a government shutdown out to March 8 and March 22. Work continues on appropriation bills.  House Speaker Mike Johnson, R-LA, is under attack by his

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February 28, 2024

Stop-Gap Resolution To Keep Government Open Agreed To By Leaders House Speaker Mike Johnson, R-LA, and Senate Majority Leader Chuck Shumer, D-NY, announced that a stop gap continuing resolution has been agreed to by leaders.  This would extend keeping the government open for several weeks. It likely will include a partial Medicare doc fix and restoration of disproportionate hospital cuts.  How the House Freedom caucus will vote is unknown. Additional article here: https://insidehealthpolicy.com/daily-news/lawmakers-announce-partial-approps-deal-including-fda-new-cr (Articles may require a subscription.) #governmentshutdown #crs Link to Article Mississippi Could Expand Medicaid There is some movement in certain deep South states to expand Medicaid under the Affordable Care Act (ACA).  Mississippi could be the first. The House Medicaid Committee on Tuesday advanced the bill and include the highest ACA level.  The measure could extend benefits to about 250,000 people. However, the bill would require at least 20 hours of work with some exceptions. What would

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February 27, 2024

Justice Department Launches Antitrust Investigation Of UnitedHealth Group With the ongoing cyberattack at Change Healthcare ongoing, The Wall Street Journal reports that the U.S. Department of Justice has an active antitrust investigation going on. It centers on certain relationships between the company’s UnitedHealthcare insurance unit and its Optum health services arm.  Optum is the largest service organization associated with an insurer corporately.  Optum’s tentacles are long and hit almost every area of healthcare. Health plans like Cigna and Elevance Health will be watching as they have dreams of having service units as big as Optum.  These service units generate huge revenue and margins as the business is basically unregulated compared with an insurer (which is confined by the minimum medical loss ratio (MLR) requirements in most products) Additional article here: https://www.reuters.com/business/healthcare-pharmaceuticals/us-launches-antitrust-investigation-into-unitedhealth-wsj-reports-2024-02-27/ #unitedhealthcare #antitrust #optum Link to Article Change Healthcare Cyber Attack Fallout Continues The Change Healthcare cyber attack continues to have

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