News

Getting It Right: True North in Healthcare Reform

The movement to repeal and replace "ObamaCare" created so much political noise that clear thinking has been hard to come by. The 2010 legislation that created the marketplace for individuals and small business (the Affordable Care Act or ACA), has almost evolved into a political Rorschach test. The more that politicized options and alternatives to repealing, replacing, or repairing it were discussed, the harder it was to put into focus the original problems the legislation was designed to address. Nevertheless, the rancorous divisions over what needs to happen to fix problems in the individual insurance market remain a distraction from the real issue at hand: the cost of healthcare weighing down the economy and what we need to do to fix it. With all the intense debates swirling around this topic, an impression emerges that “solving the ObamaCare issues” is something that must be accomplished as an isolated matter, discrete and independent of other problems. The heated debates concentrate on the mechanics and tactics required to solve the "uninsured problem", the "under-insured problem", and for some, the federal budget problems created by the subsidies for low-income enrollees in these plans. This single-issue mono-vision obscures a reality that must be addressed. This perspective completely misses the fact that something is going on that is far more corrosive to the wellbeing of all of us as consumers of health care, as taxpayers, and as a nation: something that overshadows the tug ‘o war over ObamaCare. The critical and overlooked issue is that health care expenditures in the U.S are at least twice as expensive as other nations, which consume so much of the national economy... Read More

 

Repealing Obamacare Isn't Top Priority for Americans

House Republicans plan to hold a vote today on the Trump administration's plan to repeal and replace Obamacare (ACA). Having apparently won the support of more senators, House Majority Leader Kevin McCarthy was confident they now had the 216 yes votes required to pass the bill, saying: "Do we have the votes? Yes. Will we pass it? Yes.” Although a win for the Republicans here would be seen a great triumph for President Trump - delivering on one of his campaign's main promises - recent figures from the Kaiser Family Foundation suggest that for the American public, repealing the ACA isn't actually such a high priority. When asked how they would rate a number of health care issues in terms of importance, the most pressing matter for respondents was revealed to be 'lowering the amount individuals pay'. As the infographic below shows, in comparison to the 63 percent of respondents in support of putting lower personal costs at the top of Trump's health care agenda, repealing Obamacare is seen as being far less important, with a total of 32 percent. This chart shows the health care issues the U.S. public think President Trump should prioritise.... Read More

 

ACA Marketplace Update

Filing extension may not be enough to keep insurers in individual market By Virgil Dickson | February 21, 2017 Modern Healthcare Article Health insurers are pleased the Trump administration wants to give them seven extra weeks to file rates for individual-market plans in 2018. But that move does little to settle their uncertainty about whether to offer plans at all. Their anxiety has been heightened by the Republican drive to repeal and replace the Affordable Care Act and by a pending House Republican lawsuit to block certain payments to insurers. Carriers say they need to know the rules of any new system before they can design plans and set rates.... Read More

 

What Do Voters for Trump and Who Have ACA Coverage Want?

Take a listen to this 5 minute video from a Kaiser Foundation focus group made up of people with ACA coverage who voted for Trump. It will sound awfully familiar to those providing qualified health plans in the marketplace, no matter which member voted for any particular candidate.... Read More

 

ObamaCare: How Will We Repeal and Replace It?

RISE presented a four-person expert panel that delivered a powerful, jam-packed 90-minute program on this hot topic. If you missed this one and have an interest in better understanding what is likely to happen, what is doable and what isn’t, then you should list to the recording of our webinar below. Lisa DiSalvo began with a thorough and compelling outline of proposals on policy currently under consideration, competing for favor in the jockeying process now underway in the new administration in Washington, D.C. Following her presentation was Richard Lieberman analyzing the political context and outlook for solving the challenge posed by the incoming administration that wishes to achieve many of the same goals as ObamaCare while spinning their own preferences into the recipe. ... Read More

 

Kaiser Health Tracking Poll: November 2016

Health Care in the 2016 Election Many factors were important to voters’ choices in the 2016 presidential election, with over two-thirds of voters stating that the direction the country is headed (82 percent), jobs and economy (75 percent), and health care (68 percent) were a “major factor” in their vote. Majorities also cite foreign policy (63 percent), terrorism (61 percent), immigration (58 percent), and candidates’ personal characteristics (56 percent for Clinton’s and 54 percent for Trump’s) as “major factors.” When voters are asked to select the “biggest factor” in their vote for president, the direction of the country (31 percent), Donald Trump’s personal characteristics (15 percent), jobs and the economy (15 percent), and Hillary Clinton’s personal characteristics (12 percent) rank above health care (8 percent).... Read More

 

Repeal the ACA? Not So Easy to Do

Here is an interactive article posted by the New York Times on December 3, 2016. It does a nice job of succintly telling the story with visual, interactive cards. It begins... Republicans plan to repeal much of the Affordable Care Act, sometimes referred to as Obamacare. But the law’s parts are interdependent, and removing some aspects while keeping others will be very difficult.... Read More

 

Former Head of CMS Berwick Says, 'Things Will Never Go Back'

Medscape Multispeciality Interview: Don Berwick, MD, a pediatrician by training, has been at the very center of US healthcare policymaking for many years. He served as president and CEO of the Institute for Healthcare Improvement (IHI) before heading the Centers for Medicare & Medicaid Services (CMS). Then he entered politics, running for governor of Massachusetts in 2014. In this Medscape interview, Dr Berwick discusses these roles and his take on a variety of pressing issues in healthcare. Medscape: What do you think you accomplished as CMS administrator?... Read More

 

What's Up with Healthcare?

Maybe healthcare is confusing and, for some, a mystery that befuddles. Sometimes it is hard to gain perspective. Yet in certain ways, these five reasons for optimism are ones that help to make it clearer and even worthwhile. Be sure to check Rosemarie's blogs from time to time. She is a frequent speaker at our HEA conferences and an expert on Health Insurance Exchanges. ... Read More

 

Open Enrollment: Election Results and What Really Matters

With the election results just one week old and the next open enrollment for health insurance exchanges only three days away, I took a look at whether these types of events have affected each other... Read More

 

The HIX Marketplace Soon Opens for Business Version 2.0

Rosemarie Day comments on what to expect as we get to the second open enrollment season for the Health Insurance Exchanges Marketplace. The expectations are that this season will be different from last year in significant ways,... Read More

 

CMS Innovations Website

The Innovation Center develops new payment and service delivery models in accordance with the requirements of section 1115A of the Social Security Act. Additionally, Congress has defined – both through the Affordable Care Act and previous legislation – a number of specific demonstrations to be conducted by CMS.... Read More

 

Log on to Your Rise Account

Forgot your password?
Create an Account

Association Sponsors

Latest Posts

Getting It Right: True North in Healthcare Reform

The movement to repeal and replace "ObamaCare" created so much political noise that clear thinking has been hard to come by. The 2010 legislation that created the marketplace for individuals and small business (the Affordable Care Act or ACA), has almost evolved into a political Rorschach test. The more that politicized options and alternatives to repealing, replacing, or repairing it were discussed, the harder it was to put into focus the original problems the legislation was designed to address. Nevertheless, the rancorous divisions over what needs to happen to fix problems in the individual insurance market remain a distraction from the real issue at hand: the cost of healthcare weighing down the economy and what we need to do to fix it. With all the intense debates swirling around this topic, an impression emerges that “solving the ObamaCare issues” is something that must be accomplished as an isolated matter, discrete and independent of other problems. The heated debates concentrate on the mechanics and tactics required to solve the "uninsured problem", the "under-insured problem", and for some, the federal budget problems created by the subsidies for low-income enrollees in these plans. This single-issue mono-vision obscures a reality that must be addressed. This perspective completely misses the fact that something is going on that is far more corrosive to the wellbeing of all of us as consumers of health care, as taxpayers, and as a nation: something that overshadows the tug ‘o war over ObamaCare. The critical and overlooked issue is that health care expenditures in the U.S are at least twice as expensive as other nations, which consume so much of the national economy...
Read More

Repealing Obamacare Isn't Top Priority for Americans

House Republicans plan to hold a vote today on the Trump administration's plan to repeal and replace Obamacare (ACA). Having apparently won the support of more senators, House Majority Leader Kevin McCarthy was confident they now had the 216 yes votes required to pass the bill, saying: "Do we have the votes? Yes. Will we pass it? Yes.” Although a win for the Republicans here would be seen a great triumph for President Trump - delivering on one of his campaign's main promises - recent figures from the Kaiser Family Foundation suggest that for the American public, repealing the ACA isn't actually such a high priority. When asked how they would rate a number of health care issues in terms of importance, the most pressing matter for respondents was revealed to be 'lowering the amount individuals pay'. As the infographic below shows, in comparison to the 63 percent of respondents in support of putting lower personal costs at the top of Trump's health care agenda, repealing Obamacare is seen as being far less important, with a total of 32 percent. This chart shows the health care issues the U.S. public think President Trump should prioritise....
Read More

Upcoming Conference

 

RISE West 2017 

Featuring three pre-conference workshops, and five tracks covering 20+ in-depth session topics, this event is an extraordinary value-proposition you don’t want to miss. Hear from industry thought leaders, as well as health plan and provider group experts who will share practical insights and updated lessons learned from the trenches on critical topics in risk adjustment, quality improvement, data management, coding compliance & more!

More

Upcoming Webinar

Webinars

We have no current webinars on the schedule. We will be adding more soon, so please check back often for the latest updates.

Connect With Us

Copyright © 2014 Resource Initiative & Society for Education. All rights reserved.