ACOs seeking more community partnerships, report finds

By Emily Rappleye ACOs are seeking new ways to expand population health management capabilities, particularly as they mature beyond initial challenges associated with financial pressures and payer requirements, according to a recent study from Premier and the Robert Wood Johnson Found
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Obamacare Hits a Pothole

By Paul Krugman For advocates of health reform, the story of the Affordable Care Act, a.k.a. Obamacare, has been a wild roller-coaster ride. First there was the legislative drama, with reform seemingly on the edge of collapse right up to the moment of passage. Then there was the initi
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Former MetroHealth COO indicted for fraud, accepting bribes

By Ayla Ellison The former COO of Cleveland-based MetroHealth System, Edward Hills, DDS, and three others have been arrested and charged for their involvement in a RICO conspiracy, according to Crain’s Cleveland Business. Read more…
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Health Law Tax Penalty? I’ll Take It, Millions Say

By Robert Pear WASHINGTON — The architects of the Affordable Care Act thought they had a blunt instrument to force people — even young and healthy ones — to buy insurance through the law’s online marketplaces: a tax penalty for those who remain uninsured. Read more…
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Register Now for Tomorrow’s Webinar!

How Low Can You Go? Managing Specialty Drugs, Reducing Overall Pharmacy Spend, and Unraveling the Mystery Behind PBMs   TOMORROW!  Thursday, October 27th, 2016 1:00 PM (EST) to 2:00 PM Join Us – Register Now! Pharmacy Benefit Managers, or PBMs, are an important factor in the cos
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Seizing on Rising Costs, Trump Says Health Law Is ‘Over’

By Patrick Healy & Abby Goodnough Donald J. Trump, desperate for a winning political issue in the final two weeks of the presidential race, fiercely attacked Hillary Clinton on Tuesday over sharp premium increases that will hit some Americans covered under the Affordable Care Act.
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How many ACA insurers states will have next year

By Morgan Haefner The number of health insurers selling individual plans on 2017 ACA marketplaces will total 228, a decrease of 73 from last year, according to recently released HHS data. Read more…
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Rates Up 22 Percent For Obamacare Plans, But Subsidies Rise, Too

By Alison Kodjak The cost of health insurance under the Affordable Care Act is expected to rise an average of 22 percent in 2017, according to information released by the Obama administration Monday afternoon. Still, federal subsidies will also rise, meaning that few people are likely
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FTC, DOJ guidance puts health system hiring practices in the crosshairs

By Ayla Ellison The Federal Trade Commission and the Department of Justice’s Antitrust Division issued guidance Oct. 20 for human resource professionals and others involved in hiring and compensation decisions. “Competition is essential to well-functioning markets, and job
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DaVita encouraged some low-income patients to enroll in commercial plans

By Samantha Liss Internal emails from DaVita HealthCare Partners Inc. show the Denver-based company targeted some patients in a campaign to get them to buy insurance they didn’t necessarily need, saying their monthly premiums would be paid by a nonprofit foundation. Read more…
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