Read the CMS proposal here and related article from the Motley Fool (9 Drugs That Cost Medicare a Fortune)
News over the weekend
At the start of the weekend, Bloomberg reported that “UnitedHealth Group Inc., the largest U.S. health insurer, has decided to call it quits in two state Obamacare markets. The insurer won’t sell plans for next year in Georgia and Arkansas, according to state insurance regulators. ”
In a column report by the Los Angeles Times
however, mentioned “United, which makes most of its money in the large-group (employer) market, always was a reluctant participant in the individual exchanges, and was largely inept at pricing and managing those products. “
Last March was the 6th anniversary of the Affordable Care Act (ACA). According to this report from WhiteHouse.gov, 20 million people now have healthcare coverage and that 4.3 million jobs have been created.
This report by Economics21.org, however, said that “not all insurance is good insurance . Unnecessary over-insurance promotes overutilization and drives up costs for everyone.” The report further argues that the ACA was introduced after the recession — the economy always adds jobs after a recession.
This chart from Kaiser Family Foundation shows us how deeply divided the public has remained on the health reform law since it was passed in March 2010.
Other articles for the day:
Does Medicaid Expansion Improve Revenue of Hospitals? – RevCycle Intelligence
Utah Limits Medicaid Expansion to Individuals with ‘Greatest Need’ – Heartland
CMS has finalized a number of payment and policy changes to the Medicare Advantage and Part D prescription drug programs for 2017, including a slight payment increase to health insurers who offer Medicare Advantage plans.(Becker’s Hospital CFO)
The U.S. is raising payments to the insurers by 0.85 percent on average, according to a statement Monday from the Centers for Medicare and Medicaid Services, down from the 1.35 percent boost proposed in February. Payments to individual insurers can vary, because CMS gives individual plans quality bonuses and premiums are adjusted based on where enrollees live and how sick they are. (Bloomberg)
Over the past several weeks, lawmakers, insurers, employers and others had expressed concern that the policy would shift more costs onto beneficiaries, and wouldn’t give employers and insurers enough time to adjust their coverage plans for 2017. (Morning Consult)
The Better Medicare Alliance said it’s “deeply concerned” by the upcoming changes to retiree coverage. But AHIP CEO Marilyn Tavenner — a former administrator of CMS — struck a more moderate tone. “Following this overwhelming bipartisan Congressional outreach, CMS took steps to mitigate the negative impact of policy changes related to risk adjustment and encounter data,” Tavenner allowed. “Yet, more can be done to ensure stability for more than three million seniors who depend on Medicare employer retiree plans.”(Politico)