Topic: Medicaid

Takeaways from the Gorman Health Group 2017 Client Forum

John Gorman

The Gorman Health Group 2017 Forum concluded last week in New Orleans with over 200 of our closest clients and partners. As we enter our 21st year, we returned to where it all began for us, with a little startup called Peoples Health, our first and closest client who now dominates southern Louisiana. The Forum ended the day JazzFest 2017 began, so many of us stayed to enjoy the festival and the best of New Orleans heritage and culture.

Read more

Leave a comment | Share | |

The Future of Medicaid under the “Three-Pronged Approach” to ACA Repeal

Olga Walther

This week, amidst contentious discussions about the Affordable Care Act (ACA) repeal, the new Department of Health & Human Services (HHS) leadership signaled brewing changes for the Medicaid program. As announced by the White House, HHS seeks to move forward with reforms by using the three-pronged approach of ACA repeal, legislative updates, and changes made through the administration.

Read more

Leave a comment | Share | |

2,540 DAYS LATER: Republicans Release The Repeal/Replace Bill

John Gorman

On March 6, 2,540 days after the enactment of the Affordable Care Act (ACA), the House Ways & Means and Energy & Commerce committees finally released their proposed legislation to repeal and replace it. The American Health Care Act of 2017 is a toxic hot mess: Read more

Leave a comment | Share | |

Shapes in the Fog in Government Health Programs Become Clearer

John Gorman

It’s only been four chaotic weeks into the Trump Administration, but the shapes in the fog in government health programs are slowly becoming clearer.

Read more

Leave a comment | Share | |

Will Trump and Price Pull Out the Scalpels for Star Ratings?

John Gorman

Star Ratings have driven the market in Medicare Advantage (MA) and Part D since the Affordable Care Act turned the consumer information tool into the biggest experiment in value-based payment on the planet. There’s little argument Star Ratings is working, and MA quality has improved. The program is being adopted in the ObamaCare Health Insurance Marketplace, and the Medicare Access and CHIP Reauthorization Act (MACRA) included the Quality Reporting System, or Stars for Medicaid, starting in 2019. Then Trump got elected President and appointed Tom Price the Department of Health and Human Services (HHS) Secretary. Could they pull out the scalpels for Star Ratings?

Read more

1 Comment | Share | |

While We Wait…How Did the ACA Fare this Open Enrollment?

Olga Walther

As the weeks go by and we continue to wait for substantive Affordable Care Act (ACA) “repeal/replace” legislation and regulations, January 31 marked the end of the 2017 Open Enrollment Period, necessitating a look into how the ACA is faring outside of the political sphere.

Read more

Leave a comment | Share | |

Opportunities for Growth in the New Administration

Diane Hollie

“Opportunities are like sunrises. If you wait too long, you miss them.” ―William Arthur Ward 

Read more

Leave a comment | Share | |