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HHS grants over $1 billion to fight opioid problem

Laura Lundberg | Sep 21, 2018 | Federal

UnitedHealth Group releases strong second quarter earnings report

Marjie High | Aug 31, 2018 | Alaska, California, Federal, Hawaii, Oregon, Washington

UnitedHealth Group announced total second quarter revenues of $56.1 billion for its combined groups, which include UnitedHealthcare and Optum. Second quarter revenues grew $6 billion or a strong 12.1 percent year-over-year.  Said David S. Wichmann, chief executive officer, “Today, UnitedHealth Group delivers increasing value to more people, driven by strong...[ Read More ]

CMS proposes new rule for Medicare Shared Savings Program (MSSP) ACO risk

Marjie High | Aug 15, 2018 | Federal

August 9th, the Centers for Medicare and Medicaid Services (CMS) announced a proposed rule changing the Medicare Shared Savings Program, under which many of Medicare’s Accountable Care Organizations (ACOs) operate. Called “Pathway to Success,” the rule would change several aspects of the MSSP to encourage ACOs to assume more risk. Currently, ACOs can...[ Read More ]

Lawsuit filed to block association health plans rule

| Jul 27, 2018 | Federal

Twelve attorneys general have filed a lawsuit against the US Department of Labor and Secretary of Labor Alexander Acosta to block a rule that makes it easier to form association health plans. According to the suit: “This lawsuit challenges a U.S. Department of Labor final rule that upends a decades-old...[ Read More ]

State of Reform is hiring a Project Coordinator

DJ Wilson | Jul 26, 2018 | Federal

We need your talent! We have a position for Project Coordinator coming open and we'd love to hear from you if you are interested. The Project Coordinator role has a few different responsibilities at State of Reform, but can generally be described as content support, event support, and business operations...[ Read More ]

Controversial proposed Medicare fee schedule open for comments until September

Marjie High | Jul 25, 2018 | Federal

The proposed 2019 Medicare Fee Schedule was released for comment on July 12, 2018. The proposals incorporate changes to evaluation and management (E&M) and payment structures. According to CMS, the changes are meant to “increase the amount of time that doctors and other clinicians can spend with their patients by reducing...[ Read More ]

Study shows impacts state-based individual mandates would have in 2019

| Jul 24, 2018 | Federal

A recent study by The Commonwealth Fund shows how state-based individual mandates could affect the individual market in 2019. According to the study: “If all states implemented individual mandates, the number of uninsured would be lower by 3.9 million in 2019 and 7.5 million in 2022. On average, marketplace premiums...[ Read More ]