As I’m sure you all have heard by now, a federal judge in Texas ruled on Friday, December 14th, that the entire Affordable Care Act was unconstitutional because the individual mandate had been reduced to zero. Some believe this will be reversed on appeal. Others feel validated by the ruling. While the law remains intact […]
A federal judge’s ruling against the Affordable Care Act last week has providers facing the unnerving prospect of a future without the landmark law to which they have spent years adapting. On Friday, Judge Reed O’Connor of the Federal District Court in Fort Worth struck down the ACA in a lawsuit brought in part by […]
Thursday, September 28, 2017
2:00 pm Eastern Time
With wholesale repeal and replacement of the Affordable Care Act stalled for the time being, states have little recourse but to focus on their own waiver programs as avenues for reforms. The political standoff in Washington may have avoided, or postponed, massive cuts to state Medicaid programs, but U.S. House and Senate bills eviscerating the program are also giving state policymakers pause when making their own waiver changes. At the same time, the U.S. Department of Human Services is pushing to streamline and shorten the Medicaid waiver process.
Meanwhile, a recent proposal from HHS to cancel the Episode Payment Model and roll back the Comprehensive Care for Joint Replacement program has also cast doubt on the Trump administration’s attitude toward value-based care models. Voluntary bundled payment models, either created by CMS or submitted through the Physician-Focused Payment Model Technical Advisory Committee, will replace mandatory demonstrations produced during the Obama administration. While the current shifts at the federal level, large employers in the commercial sector will continue to drive interest in direct contracts with integrated delivery networks and independent specialists for procedure-focused bundled payments.
This webinar will explore:
- What is the status of Medicaid managed care in the current political climate?
- What is the outlook for further changes to the Medicaid program at the federal level?
- How are states responding to uncertainty from Washington when it comes to implementing their own waiver programs?
- How could future voluntary bundled payments resemble existing programs in Medicare, and how could they differ?
- How can bundled payments offer providers a competitive advantage in a market?
Though the pace of healthcare reform has once again slowed down now that the Senate is writing its own version of the American Health Care Act, the consequences of the actions already taken do not stop. In fact, in a recent poll of Academy members, 23% of respondents indicated their organizations are already adjusting upfront […]
Hospitals that treat a large number of indigent patients have been able to rely on the Disproportionate Share Hospital (DSH) program since the 1980s to receive some compensation for these services. Though the Affordable Care Act was set to start reducing the amount of DSH funding available to hospitals in 2014, Congress has delayed implementing […]
Much uncertainty remains regarding the Affordable Care Act (ACA) and any ultimate replacement or amendments that might be forthcoming. While President Donald Trump has not yet released a formal healthcare reform proposal, he has voiced his desire for “a full repeal” of the ACA while also expressing support for maintaining some of its provisions, such […]
Open enrollment for this, the fourth year of the insurance marketplace, opened on November 1st. On November 8th, Donald Trump, a candidate who ran on the promise of repealing and replacing the Affordable Care Act (ACA), was elected president. What does this mean for the healthcare system going forward? Though it is foolish to try […]