A team of researchers at Brown University, writing in the December issue of Health Affairs, is arguing that state employee health plans could institute payment caps that would save a great deal of money while not harming hospitals. Often the largest purchaser of commercial health insurance in their state, state employee health plans possess a unique opportunity to implement cost containment strategies,” they write.
CBO: Premiums could increase substantially if ACA subsidies expire
Enhanced subsidies for Affordable Care Act (ACA) plans are currently set to expire after 2025, and a new analysis from the Congressional Budget Office (CBO) estimates that their expiry could drive up premiums across the individual market. Key legislators asked the CBO to analyze the impact the end of the subsidies could have, and the organization projects that failing to extend the premium subsidies, whether they end temporarily or permanently, will have a notable impact on benchmark premiums.
The healthcare industry is grappling with rising clinician turnover, as burnout and frustrations with electronic health records drive many nurses and physicians to consider leaving, a new report from KLAS found. To better understand the high rates of clinician turnover, the KLAS Arch Collaborative started asking clinicians who plan to leave their organization about their next steps.
The Assistant Secretary for Technology Policy’s proposed HTI-2 rule had several ambitious components related to public health, imaging interoperability, USCDI Version 4, updated minimum standards code sets, bulk data, prior authorization, API capabilities and other topics. But the abbreviated final rule announced on Dec. 11 contained only TEFCA-related items.
Two years ago, Bain & Company forecast major shifts in the primary care market as nontraditional players gain traction and grab more market share. The consulting company is holding fast to that prediction, but evolving competitive dynamics and recent moves by some healthcare companies will change the playing field in the next five years, according to a new report. Nontraditional providers, including retailers, payers and advanced primary care providers, are expected to capture 30% of the U.S. primary care market by 2030, according to Bain & Company’s new study. The organizations that will be the main providers of this care, and which care models will predominate, continue to change.
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