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What’s Behind Humana’s Expanding Investments in Senior-Focused Clinics?
If you continue building, will they still come? In a nutshell, that’s what some analysts wanted Humana Inc. President and CEO Bruce Broussard to answer on a recent earnings call regarding his company’s $600 million joint venture with private equity firm Welsh, Carson, Anderson & Stowe to help finance building 50 more Humana Partners in Primary Care clinics over the next three years.
HHS: More Medicare patients being hospitalized with sepsis
The number of Medicare beneficiaries hospitalized with sepsis increased 40% between 2012 and 2018, according to a study by Department of Health and Human Services researchers.
Model Thinking
Guides/Reports
Definition: Understand real-world phenomenon by developing simplified representations.
Fitch Ratings highlights potential fiscal, credit impact of Medicaid proposals
The Centers for Medicare & Medicaid Services’ Medicaid fiscal accountability proposed rule and recent block grant guidance “could have fiscal and credit repercussions” for states and health care providers, especially nonprofit providers with “higher Medicaid exposure,” according to a recent commentary by Fitch Ratings.
Appeals court rejects Arkansas Medicaid work requirements
The U.S. Court of Appeals for the District of Columbia Circuit affirmed a district court decision that blocked Medicaid work requirements in Arkansas.
Special Bulletin: Senate HELP Committee Leaders Unveil Discussion Draft Legislation on Lowering Health Care Costs
Leaders of the Senate Committee on Health, Education, Labor and Pensions (HELP) May 23 released the Lower Health Care Costs Act of 2019 – bipartisan discussion draft legislation focused on reducing health care costs.
Perspective: Making Progress on Protecting Patients from Surprise Medical Bills
AHA President and CEO Rick Pollack discusses the current state of surprise medical billing legislation and the challenges that remain ahead before any proposals are finalized.
Fact Sheet: Surprise Billing Legislation
The Senate and House are both considering legislation to address surprise medical bills that patients may incur as a result of unexpected gaps in insurance coverage or medical emergencies. Below are brief summaries of the proposals under consideration. A
Fact Sheet: Surprise Medical Billing Legislation Rural Impact
AHA Ask: AHA supports protecting patients from surprise medical bills. Policymakers should focus on assisting rural hospitals in their negotiations with payers and providing the incentives and resources needed to maintain local access to care and not undermine these communities with potentially harmful national policy changes.
Surprise Medical Bills: Arbitration Fiction vs. Fact
Patients should not be balance billed for emergency services, or for services obtained in any in-network facility when the patient could reasonably have assumed that the providers caring for them were in-network with their health plan.