Archive for April, 2012
State of Reform is proud to launch, in collaboration with the Univ of Washington School of Public Health – Health Policy Center Initiative , a series titled “What If: A Post-Supreme Court World.” This is the third piece in a series of contributions hosted on our news site, by a range of authors, about the possibilities for health care in a still hypothetical world after a Supreme Court decision.
One of the major cost control mechanisms created by the federal Patient Protection and Affordable Care Act (ACA) are Medicare Accountable Care Organizations, or ACOs. The basic mechanics of the program are that a health care organization is held contractually accountable for the cost and quality of a defined population of patients (at least 5,000 Medicare beneficiaries) and can share in up to 60 percent of any cost reductions achieved. (more…)
A federal court judge in Tacoma denied a motion by Community Health Plan of Washington and Columbia United Providers to halt the state Medicaid RFP process.
The motion, which was outlined in a previous story on State of Reform, was part of a legal case the entities are bringing against the state. According to a release from CUP, the case will now move forward to a full trial.
This week, a federal court judge ruled against Columbia United Providers’ (CUP) motion for injunction against the state of Washington. The motion sought to halt the state’s efforts, which appear to have the effect of eliminating access to providers in Clark County for Medicaid beneficiaries. The motion was brought in a joint effort by CUP and Community Health Plan of Washington in advance of a hearing on the merits of the case in a full trial.
While the CUP/CHPW case is now cleared to move forward to a full trial, CUP and CHPW are considering the merits of appealing the judge’s decision on this motion to the 9th Circuit Court of Appeals.
The judge’s decision can be read here.
On Thursday, April 26 an article by Associated Press writer Ricardo Alonso-Zaldivar highlighted the Kaiser Family Foundation’s report “Insurer Rebates under the Medical Loss Ratio: 2012 Estimates.”
According to the study, insurance companies will have to return more than $1 billion this year to consumers and businesses under the Medical Loss Ratio provision of the Affordable Care Act (ACA). (more…)
State of Reform is proud to launch, in collaboration with the Univ of Washington School of Public Health – Health Policy Center Initiative , a series titled “What If: A Post-Supreme Court World.” This is the second piece in a series of contributions hosted on our news site, by a range of authors, about the possibilities for health care in a still hypothetical world after a Supreme Court decision.
State and local public health agencies overall were very enthusiastic about passage of the ACA: its promise to reduce the number of uninsured, the mention of prevention in many of its provisions, and the considerable funding it provides through the Prevention and Public Health Fund. As things have worked out, many health departments will find themselves struggling to deliver core public health services regardless of the Supreme Court’s decision – that is, with or without the ACA. (more…)
Today the Everett Herald reported that in the first quarter of 2012, Providence Regional Medical Center Everett recorded a loss of $4.3 million. That sum is $800,000 more than what the medical center had budgeted and is “part of a trend of hospitals throughout the Puget Sound battling red ink.” (more…)