The Board’s Role in Cybersecurity

(Originally published in Nasdaq’s MarketInsite, March 30, 2017, and written by Gordon Clark, President and CEO of iProtean, now part of Veralon)   Cyberattacks. They are perhaps the most vexing security threats facing businesses today. To have a computer connected to the outside world is by definition to be vulnerable. Yet an analysis published in The NTT […]

MACRA and What It Means

(Excerpts from a presentation by Seth Edwards, Premier, Inc. at the iProtean, now part of Veralon Symposium, March 2017)   Helpful Acronyms and Definitions: MACRA: Medicare Access and Chip Reauthorization Act of 2015 QPP: Quality Payment Program—basically, a regulation that enacts the MACRA legislation MIPS: Merit-based Incentive Payment system—one of two tracks created under MACRA […]

MACRA and Medicare: Hospitals May Experience Large Payment Cuts

A study in Health Affairs’ April issue found that hospitals might experience larger-than expected Medicare payment cuts under the Medicare Access and CHIP Reauthorization Act (MACRA).   The report’s authors estimated that “MACRA will decrease Medicare spending on physician services by −$35 to −$106 billion (−2.3 percent to −7.1 percent) and change spending on hospital services by $32 […]

Uncompensated Care Still Causes Concerns for Providers

A major rating agency expects enrollment declines in the health exchange marketplaces created by the Affordable Care Act (ACA), thus increasing the level of uncompensated care for hospitals in 2018. Fitch Rating announced its prediction several days after the American Health Care Act (AHCA) was pulled from a planned March 24 vote in the U.S. […]

Proposed HHS Budget Has Good and Bad News for Providers

The administration has proposed an 18 percent cut in the FY 2018 budget for the Department of Health and Human Services (HHS).   Analysts have evaluated these proposed cuts for their impact on healthcare providers.   Proposed Increases (Good News)   $70 million increase in the FY18 budget for the Health Care Fraud and Abuse […]

Summary and Reaction to American Health Care Act Bill

Note: iProtean, now part of Veralon’s newsletter/blog will not be published next week because of iProtean, now part of Veralon’s symposium   Last week, Republicans presented initial legislation as a redo of the Affordable Care Act (ACA), calling it the American Health Care Act (ACHA). A summary of the changes appears below, courtesy of the […]

Majority of CEOs Want to Keep Major Provisions of ACA in Place

Republican plans to repeal and replace the Affordable Care Act (ACA) with their own design have put healthcare CEOs in a state of “high anxiety,” according to a recent survey conducted by Modern Healthcare.   The first-quarter survey of Modern Healthcare’s CEO Power Panel received 81 responses from 110 of the CEOs contacted. It also […]

Mandatory Bundled Payments Will Launch in July, Officials Say

Some provisions of Medicare’s first mandatory bundled payment model, Comprehensive Care for Joint Replacement (CJR), were recently delayed from February 18 to March 21, but new mandatory models still will launch in July, according to federal officials.   The delay did not affect the CJR expansion model—the Surgical Hip and Femur Fracture Treatment (SHFFT) model—or […]

Health Spending Growth Expected to Accelerate

Healthcare spending increases slowed down in 2016. However, federal actuaries predict spending to increase at a faster rate in the coming years.   Here is a quick summary of spending increases in the last three years: 2014—5.5 percent 2015—5.5 percent 2016—4.8 percent   Spending increases are expected to accelerate to 5.4 percent in 2017 and […]

Financial Experts Assess Upcoming Changes to Health Policy

The Healthcare Financial Management Association (HFMA) released an assessment of possible and/or upcoming policy changes under the new administration. We have been waiting for HFMA to speak on ramifications to the non-insurance side of the Affordable Care Act (ACA), so we welcome the report and provide a portion of it here.   The new secretaries […]