/ en Sun, 27 Apr 2025 12:02:41 -0500 Thu, 06 Jan 22 15:02:13 -0600 /node/681453 <p>This pamphlet is an example of an active DEI initiative at a health organization. They clearly define diversity and inclusion, why it's important, outlining their mission and explaining what they do, and identifying their leaders and members. Most importantly, they indicate how they should be percieved in the community and in the hospital so they may be held accountable.</p> Thu, 06 Jan 2022 15:02:13 -0600 Providers with Health Plans /lettercomment/2018-04-23-aha-cms-re-short-term-limited-duration-insurance Mon, 23 Apr 2018 11:41:47 -0500 Providers with Health Plans /letter/2018-03-19-aha-others-stress-importance-congressional-action-lower-healthcare-premiums Mon, 19 Mar 2018 09:20:33 -0500 Providers with Health Plans /news/headline/2018-01-04-administration-issues-proposed-rule-association-health-plans <p>The Department of Labor today released a <a href="https://s3.amazonaws.com/public-inspection.federalregister.gov/2017-28103.pdf" target="_blank">proposed rule</a> that would allow employers, including sole proprietors, to form association health plans based on geography or industry. DOL’s Employee Benefits Security Administration would monitor the plans, which could not charge individuals higher premiums based on health factors or refuse to admit employees to a plan because of health factors, the agency <a href="https://www.dol.gov/newsroom/releases/ebsa/ebsa20180104" target="_blank">said</a>. The rule will be published in tomorrow’s Federal Register, with comments accepted for 60 days.</p> Thu, 04 Jan 2018 08:36:00 -0600 Providers with Health Plans /news/headline/2018-01-02-cms-proposes-2019-risk-adjustment-changes-ma-part-c-plans <p>The Centers for Medicare & Medicaid Services last week <a href="https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-12-27.html" target="_blank">announced</a> proposed changes to the risk adjustment model for aged and disabled beneficiaries enrolled in Medicare Advantage Part C plans beginning in calendar year 2019, as required by the 21st Century Cures Act. CMS proposes phasing in the changes over four years. For 2019, the agency proposes adding mental health, substance use disorder and chronic kidney disease conditions to the risk adjustment model and taking into account the number of conditions that a beneficiary has under the payment model. The <a href="https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Announcements-and-Documents-Items/2019Advance.html?DLPage=1&DLEntries=10&DLSort=2&DLSortDir=descending" target="_blank">advance notice</a> also discusses an alternative risk adjustment model that would take into account all conditions that a beneficiary has, including those outside the payment model. CMS projects the proposed risk adjustment model would increase MA risk scores by 1.1% and result in less payment variance across MA contracts, while the alternative model would decrease risk scores by 0.28% and result in greater payment variance across plans. The proposed model also would make technical updates to the risk adjustment data. CMS will accept comments on the advance notice through March 2, and expects to propose changes to other MA payment methodologies for 2019 in a separate advance notice.</p> Tue, 02 Jan 2018 09:41:00 -0600 Providers with Health Plans /news/headline/2018-01-02-cms-healthcaregov-enrollment-closer-87-million <p>More than 8.7 million people selected a 2018 health plan, or were automatically re-enrolled in a plan, during open enrollment at HealthCare.gov, the Centers for Medicare & Medicaid Services <a href="https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-12-28.html" target="_blank">reported</a> last week. The report updates the agency’s <a href="http://news.aha.org/article/171222-cms-more-than-88-million-select-2018-health-plan-at-healthcaregov" target="_blank">previous estimate</a>, which did not include consumers who selected or deselected a plan after Dec. 15 due to high volume. About 72% of people selecting plans were renewing coverage and the rest were new consumers. Thirty-nine states use HealthCare.gov for enrollment. CMS plans to issue a more detailed report in March that includes enrollment data from all states.</p> Tue, 02 Jan 2018 09:30:00 -0600 Providers with Health Plans /news/headline/2017-12-22-cms-more-88-million-select-2018-health-plan-healthcaregov <p>More than 8.8 million people selected a 2018 health plan during open enrollment at HealthCare.gov, including more than 4.1 million people last week, the Centers for Medicare & Medicaid Services<a href="https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-12-21.html" target="_blank"> reported</a> yesterday. The total does not include consumers who enrolled after Dec. 15 due to high volume or through state-based exchanges that use a different enrollment platform. About three-quarters of people selecting plans were renewing coverage and the rest were new consumers. More than 9.2 million people selected a health plan through HealthCare.gov <a href="http://news.aha.org/article/170206-cms-92-million-select-2017-marketplace-plans-in-states-using-healthcaregov" target="_blank">last year</a>, when open enrollment ran through Jan. 31. CMS <a href="https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2017-Press-releases-items/2017-12-21.html" target="_blank">said</a> it spent $10 million on marketing and outreach this open enrollment, down from $100 million last year, and that call center data showed consumer satisfaction averaged 90%. Thirty-nine states use HealthCare.gov for open enrollment. CMS plans to issue a final enrollment report in March that includes data from all states.</p> Fri, 22 Dec 2017 07:12:00 -0600 Providers with Health Plans /news/headline/2017-12-18-settlement-reached-house-challenge-aca-cost-sharing-subsidies <p>House Republicans Friday reached an agreement with the current administration and certain states in their lawsuit challenging the Obama administration for reimbursing insurers for cost-sharing reductions provided through the Health Insurance Marketplace. Under the agreement, the parties would ask the district court to agree to vacate the portion of its final order that enjoined reimbursement of the CSRs pending an appropriation for the payments. If agreed, the parties would ask the appeals court to remand the case back to the district court to formally amend its prior order enjoining the payments. In a <a href="http://news.aha.org/article/170221-house-administration-request-continuance-in-aca-costsharing-subsidies-challenge" target="_blank">friend-of-the-court brief</a> filed last October, the AHA, Federation of ����������s, The Catholic Health Association of the United States, and Association of American Medical Colleges said ending the Affordable Care Act’s cost-sharing subsidies would harm patients’ finances and health, trigger a “death spiral” in the health insurance exchanges, and force hospitals to shoulder an even greater financial burden, making it harder for them to serve their communities.</p> Mon, 18 Dec 2017 10:00:00 -0600 Providers with Health Plans <div class="outlineContent clearfix wide"> <h3><a href="/system/files/2018-11/pshpreport.pdf"><img align="left" alt="Report" data-entity-type="" data-entity-uuid="" height="313" hspace="10" src="/images/pshpcover.jpg" vspace="5" width="237" /></a> The ���������� Association engaged the Navigant Center for Healthcare Research and Policy Analysis to collect data on the performance of provider-sponsored health plans (PSHPs) versus their non-provider sponsored health plan (NPSHP) competitors.</h3> <div class="clearfix"> <p>A key aim of the study was to create a decision framework to catalyze an informed conversation around how providers might configure themselves to manage risk and create more value—whether through sponsorship of a plan or other shared risk arrangements.</p> <p>The study’s objectives were to:</p> <p>1. Assess the performance of PSHPs versus NPSHPs with whom they compete in local markets.</p> <p>2. Identify attributes of high-performing PSHPs that should be considered as a hospital or health system evaluates its strategy to sponsor a plan.</p> <p>3. Develop a systematic way for hospital and health system leaders to assess the risk and potential enterprise value in their decisions about plan sponsorship and other provider-sponsored risk determinations.</p> <p>To learn more, read the report, <a href="/system/files/2018-11/pshpreport.pdf">“Performance of Provider-sponsored Health Plans: Key Findings, Strategic Implications”</a> and <a href="http://mp125118.cdn.mediaplatform.com/125118/wc/mp/4000/5592/5599/53228/Lobby/default.htm">watch a replay</a> of the AHA Town Hall webcast with the study’s lead author, Paul H. Keckley, Ph.D., managing director, Navigant Center for Healthcare Research and Policy Analysis.</p> <p> </p> </div> <div class="ie"> </div> </div> Mon, 11 Dec 2017 00:00:00 -0600 Providers with Health Plans /letter/2017-12-08-aha-conferees-tax-cuts-and-jobs-act-2017 Fri, 08 Dec 2017 00:00:00 -0600 Providers with Health Plans