‘Tis the season of annual notice of change (ANOC). 2016 will be especially different than any year prior. We are now a couple years into the federal exchanges, and because of this the uninsured population is shrinking, and in turn, the number of Americans entering into the US health system is rising. Utilization has never been higher. With this rise has come significant premium hikes. Across the country, many plans are raising premiums. The question is, will members and companies come back as the price goes up?
Eliza’s thought leaders weigh in on the latest developments from Eliza, our clients, and the healthcare industry at large.
The 2016 Qualified Health Plan (QHP) open enrollment period is fast approaching – with a shopping window from November 1, 2015 through January 31, 2016. What will your outreach strategy be? How will you handle changing market dynamics such as rate increases, new entrants, and the QRS reporting requirements?
Patient experience and outcomes measures make up a significant portion of the overall Medicare STAR rating score. Since patients are the best and/or only source of information for these outcomes and experience measures, this data is collected through the use of surveys, such as Health Outcomes Survey (HOS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS).
We need to start rebranding the experience of getting a flu shot – particularly for adults. The data show that kids are increasingly getting vaccinated for the flu year over year but adults are just kind of ‘meh’. Data also shows that there has been a significant increase year-over-year in overall childhood immunization rates.
If you spend more for something, you expect better quality, right? According to the Commonwealth Fund’s latest view of Medicare spending per capita vs. overall quality score, the data says otherwise for many states.
King vs. Burwell expected to be decided this week. It may be true that many Americans have paid little attention to King v. Burwell as it has been discussed this spring by the Supreme Court.
With the Supreme Court announcing a decision as early as today in the King vs. Burwell debate, the theories, contingency plans, and financial scenarios are all a buzz on social media and news channels. Here are five of the most interesting posts and possible scenarios posted this month-
Despite it not being its own agenda item, the topic of King v. Burwell is being discussed over coffee, in the exhibit hall, and during Q&A sessions at AHIP Institute 2015. Here are the top 3 items to know about King v. Burwell and the impact on millions of Americans:
CMS recently released the long-awaited proposed regulations governing Medicaid managed care. The last time regulations were issued that address Medicaid managed care was over 10 years ago. Needless to say, a lot has changed in the market since, making it important for CMS to implement new and updated rules.