Where we’re going
Post-Pandemic Era Poses Challenges and Opportunities for Employer Sponsored, Self-Insured Health Plans
Providing employees with access to affordable, quality healthcare is one of the greatest economic challenges for employers today. Finding the right balance between a benefit package that is both adequate and affordable — yet financially sustainable — has never been easy. Now, these efforts are compounded by COVID-19 and its significant post-pandemic challenges. While Plan … Continued
Credit Reporting of Medical Debt: An Update
In March 2022, the Consumer Financial Protection Bureau (“CFPB”) issued a 54 page report regarding the impacts of medical debt on consumers. The CFPB research showed that $88 billion in medical debt was on consumer credit records as of June 2021 and most medical debt collection tradelines[1] are under $500. In response, Equifax, Experian, and … Continued
What Role Does Health Reform Play in Annual Deficits, the National Debt and Today’s Debt Ceiling Debate?
Since the passage of Health Reform 13 years ago, annual deficits have added $19T+ to the national debt. America is now $31T+ in debt, in addition to significant underfunding of entitlements like Social Security and Medicare. There is a fierce debate underway in the beltway about raising the debt ceiling. President Biden proposes a budget … Continued
Self-Insured Health Plans and Primary Care Physician Practices Find Mutual Advantages of Direct Contracting
A growing number of primary care physicians are negotiating direct working relationships with self-funded employer-sponsored health plans. Direct Contracting is a payment model that shifts risk to a primary care group of physicians to provide a defined set of medical services in exchange for a monthly capitation fee. The model supplants the traditional fee-for-service reimbursement … Continued
Survey Reports Significant Percentage of Ground Ambulatory Service Claims Resulted in “Surprise” Billings, Federal Legislation Continues to Forge New Protections
Prior to the No Surprises Act (NSA), many patients who required air ambulatory transportation received medical bills, much to their surprise, that charged excessive fees for services not covered by their insurance plan. “Surprise” bills can be difficult to dispute, especially charges billed by out-of-network providers such as ambulance services, leaving patients already “financially fragile” further strained … Continued
Extension of Federal Rural Health Grant Program Signed Into Law
On January 5, 2023, President Biden signed the State Offices of Rural Health Program Reauthorization Act of 2022 (the “Act”) into law. The Act reauthorizes grants awarded to state offices of rural health for improving health care in rural areas through fiscal year 2027. The prior law requires recipients of grants to use the funds … Continued
The Problems With UPMC
On January 19, 2023, the American Economic Liberties Project[1] released the report “Critical Condition: How UPMC’s Monopoly Power Harms Workers and Patients” (the “Report”). The Report addresses the problems with UPMC and the consequences to its workers and patients. According to the Report, “[i]n the last ten years alone, UPMC used a relentless string of … Continued
No Surprises Act (NSA) Outcomes: Who Will and Won’t Be Paying More for Health Coverage in 2023
As healthcare inflation continues into 2023, medical providers are increasing their fees to maintain revenues. This financially impacts most employers and plan participants who can expect to pay more for health coverage and provider services this new year. According to a recent survey and analysis conducted by AHIP, during the first three quarters of 2022, … Continued
Publication of Hospital Ownership Information: Another Layer of Transparency
In November, in accordance with the Biden administration’s executive order on competition, the Department of Health and Human Services (HHS) published the Hospital Owners Information dataset (the Dataset). The Dataset is aimed at making transparent the ownership structure of Medicare-certified hospitals. The Dataset contains the following information about the more than 7,000 hospitals: Organization name, … Continued
How The Inflation Reduction Act’s Drug Coverage and Marketplace Subsidy Provisions Are Putting Pressure on Employee-Sponsored Healthcare Plans
Long ago, the designers of health reform predicted that, by 2025, only a minority of the employers who offered coverage in 2010 would still be providing coverage in 2025. It now seems like each iteration of the Affordable Care Act, as well as subsequent legislation, is nudging businesses toward that outcome. Specifically, the Inflation Reduction Act … Continued