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Industry Insights

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U.S. Senate Bill Aims to Remove Broker Commissions from MLR Formula

02/13/2012

Love it or hate it, the Affordable Care Act has sparked a great deal of debate within the health care industry.

Concierge Medicine: Changing the Future of Primary Care for Better or for Worse?

02/09/2012

Visiting the doctor’s office may not top the list of favorite activities for most consumers, but eliminating common stressors such as juggling one’s schedule to squeeze in an appointment, spending too much time in the waiting room, and then maybe seeing the physician for only a few minutes, can make the experience much more pleasant.

Insured Young Adults Rise 2.5 Million Since PPACA Enacted

02/03/2012

Whether you are for or against the Patient Protection and Affordable Care Act (PPACA), it is changing the landscape of health care insurance as we know it.

U.S. Supreme Court Gets Ready to Review Legality of PPACA as Qualifications of Two Justices Questioned: Full Court Likely to Hear Case

01/31/2012

Earlier this month, the Supreme Court denied a motion by Freedom Watch arguing that Justice Elena Kagan should recuse herself from hearing the upcoming challenge to the Patient Protection and Affordable Care Act (PPACA).

2012 PPACA Implementation Highlights

01/24/2012

The implementation train for the Patient Protection and Affordable Care Act (PPACA) continues to pick- up speed with a number of important implementation dates in 2012.

Obama Administration Defends Affordable Care Act in Opening Brief Filed with U.S. Supreme Court

01/16/2012

On January 6, 2012, the U.S. Department of Justice (DOJ) filed a brief with the U.S. Supreme Court in support of the Patient Protection and Affordable Care Act (PPACA), one of the most talked about pieces of legislation passed in recent memory.

PPACA Establishes New Outcomes Research Institute to Promote Evidence Based Medicine: Some Express Concerns About Funding and Objectives

01/12/2012

Buried in the thousands of pages of the Patient Protection and Affordable Care Act (PPACA) is Section 1181, which authorized the establishment of the Patient Center for Outcomes Research Institute (PCORI), an independent, non-profit organization charged with “evaluating and comparing health outcomes and the clinical effectiveness, risks, and benefits of medical treatments, services, procedures, drugs, and other strategies or items that treat, manage, diagnose, or prevent illness or injury.”

Federal Government Taps 32 Organizations to be Pioneer ACOs

01/10/2012

On December 19, 2011, the U.S. Department of Health and Human Services (HHS) announced that the federal agency has approved 32 organizations to become Pioneer Accountable Care Organizations.

U.S. Supreme Court Schedules Hearings on PPACA

01/03/2012

The United States Supreme Court will hear oral arguments regarding the constitutionality of the Patient Protection and Affordable Care Act (PPACA) from March 26 through 28 of 2012, according to the New York Times and several other media services.

Health Insurers Facing New Financial Pressure Points under Emerging Reforms: MLR Restrictions & ICD-10 Conversion Add to Complexity

12/23/2011

The Patient Protection and Affordable Care Act (PPACA) is not only forcing health insurers to undergo fundamental changes in the way they do business, but the law is requiring new infrastructure investment while also mandating Medical Loss Ratios (MLR) that limit the amount insurers can spend on administrative costs.