Consumers can conveniently access care.
Banner Health seeks to become more consumer focused with the opening of three new retail-based health clinics in August. The Banner Quick Care clinics will be located in Safeway grocery stores in Chandler,...
Consumers (that's all of us) can access information about carriers with rate increases of 10 percent or more.
The Arizona Department of Insurance has received threshold rate increase filings (increases of 10% or more for at least one plan) for the following insurers and markets:
Blue Cross and Blue Shield of...
Senator Lamar Alexander (R-TN) will begin work in early September on legislation to “stabilize and strengthen the individual health insurance market” for 2018.
Alexander, the chairman of the Senate Health, Education, Labor and Pensions (HELP) Committee plans to work with the committee's ranking Democrat, Senator Patty Murphy...
After emotional speech about getting back to a real legislative process, John McCain derails an attempt to deliver something, anything for President Trump to sign.
Years of brutal partisanship, studies, polls, promises and threats came to a climax on the Senate floor at 1:30 am Friday.
Senator John McCain (R-AZ), returned to...
Lawmakers could not shrink Medicaid - waivers can.
Medicaid is a $500 billion program with unprecedented growth the past four years and now covers 75 million people.
Josh Archambault, senior fellow for the conservative Foundation for Government Accountability, said without congressional action on the health bill “the...
The Executive Branch may support or undercut the ACA regardless of congressional action.
There is a difficult political reality: ACA marketplaces require active maintenance and federal support. The White House can take a number of behind-the-scenes steps to sabotage the exchanges and hasten their undoing. It has been deploying some of...
On Thursday, CMS resurrected the ACA mandated cuts, which were delayed by Congress last summer; federal agency now proposes $2 billion in cuts in FY 2018 increasing to $8 billion by FY 2025.
Hospitals throughout the country, especially those serving rural populations, rely on the DSH program for essential financial assistance.
The...Arizona Comings & Goings
A week after the start of the fall season Dennis Laraway will assume his new role overseeing the fiscal fitness of the largest health system in the valley.
From 2002 to 2006 Laraway served vice president and CFO for St. Joseph’s Hospital and Medical Center and most recently he worked as the executive VP and CFO for Memorial Hermann...National News
A study commissioned by the Association for Community Affiliated Plans (ACAP) looked at potential savings of Medicaid capitated care with national and state-by-state estimates.
Managed care is poised to become the dominant payment model for Medicaid, the report notes. In 2010, capitated managed care represented only a quarter of...National News
Most of the cuts were called for in the Affordable Care Act, which mandated the reduction to address Medicare overpayments for home health services dating back to 2000.
The rule exposed Tuesday called for a 0.4 percent reduction for providers in 2018. In a major change, CMS is proposing to reimburse for home healthcare in 30-day...National News
Deep divisions between the visions of moderate and conservative senators remain.
In the last 24 hours there has been a lot of activity in the Senate. Tuesday a vote was called on a motion to proceed with debate. 51 yes votes were required. Senator John McCain flew to Washington, though receiving treatment for a recently diagnosed...
Nationally, the Medicare Advantage market has grown 71 percent since 2010, members get a comprehensive look at what's happening in Arizona in our annual MA data edition.
2017 Medicare Advantage Data Edition
What's in this Data Edition
2017 Arizona Medicare Advantage (MA) Market Data
Arizona MA Market Share...
This recent white paper from Milliman provides members with insight into why shared risk arrangements deserve special scrutiny during the MA bid development process happening every summer
Providers Should do Annual Check-ups on Medicare Advantage Risk-Sharing Contracts
George Washington University’s Milken Institute School of Public Health and the Commonwealth Fund predict the effects on jobs.
Much of the debate over the “repeal and replace” of the Affordable Care Act has centered on how many Americans would lose insurance.
Repealing the law, would dramatically scale back federal funding...
Senate Majority Leader Mitch McConnell will make a decision "soon" on which bill to bring up for a vote, depending on ongoing discussions with GOP senators.
GOP leaders are determined to vote this week on their years-long quest to demolish the Affordable Care Act, even though the goal remains mired in political and substantive...
A self-described fiscal hawk, Jeff Brahin, now says, “Now that you’ve insured an additional 20 million people, you can’t just take the insurance away from these people.” “It’s just not the right thing to do.”
Polls show support for the Affordable Care Act growing since the 2016 election. Republican...National News
Arrested include 115 doctors, nurses and other licensed medical professionals, for their alleged participation in health care fraud schemes involving approximately $1.3 billion in false billings.
CMS official Jonathan Morse said that the “largest contributors” to billing mistakes in standard Medicare were claims from home health...National News
A draft analysis was exposed as senators met with Trump Wednesday.
Findings from the draft report drew immediate criticism from health policy experts as opaque and misleading. The forecasts in the draft analysis by the Department of Health and Human Services are exactly opposite from what many experts predict.
The HHS analysis did...National News
Testimony presented at CMS Stakeholder Meeting in Baltimore.
MGMA outlined the importance of the agency promulgating a regulation to establish a national standard for electronic attachments. Attachments are typically used during a practice's revenue cycle in support of claims, prior authorization, referrals, and other transactions....Arizona News
$24.5 million facility with expected completion in 2018.
The 67,566-square-foot structure is being built for Dr. Martin Newman, founder of Destiny Springs Healthcare, formerly chief medical officer for Aurora Behavioral Health System.
Anticipated inpatients will include adolescents, adults and geriatrics.
Read about it in...National News
If at first you don't succeed, try another goal.
Facing the August recess, Congress must decide how to spend the time remaining this year before the 2018 election year begins.
Read about what conservative political action groups are planning to spend millions of dollars supporting as the prospects of ACA repeal and replace fade....
Unable to agree on a plan to replace the ACA, Trump and others propose to repeal elements and decide later what to do.
The Congressional Budget Office has estimated impacts of such a plan. Repeal and delay leaves the fate of the individual market completely in the dark, because it's unknown what kind of subsidies would be available...
Uncertainty raises fears in an industry based on predictability.
Congressional consideration of disparate possible rules for carriers participating in the individual marketplace leave health insurers wondering how to compete. Will there be cost sharing subsidies ? Will the individual mandate to purchase coverage continue ? Will...
Trump's Wednesday morning tweets indicated the President was ready to help the ACA fail while the U.S. Senate majority leader vowed to bring to the floor a single piece of legislation the repeals the ACA with a two-year delay. By Wednesday afternoon, the CBO has issued its anticipated report.
On Wednesday, the Congressional Budget...