News & Events

  • Health Entitlement Spending: A Growing Threat

    With another presidential election on the horizon, the perennial debate over reforming federal entitlement programs has already begun to resurface. Policy prescriptions are bound to vary along the political spectrum, but failing to come to agreement and act will threaten our long-term fiscal health.

  • Hospital consolidation has dramatically increased in recent years, and studies have shown that hospital mergers and acquisitions result in rising prices, less competition and an increase in hospital negotiating power. Are health care “goliaths” increasingly dictating the prices and premiums we pay?

  • HealthNow New York is sponsoring a program to bring professional athletes into schools to demonstrate the importance of physical fitness. The National Institute on Drug Abuse has released survey results showing that e-cigarette use is high among teens.

  • The Obama administration is poised to fundamentally change how we pay for health care in this country. The Department of Health and Human Services (HHS) has set a goal that by 2018 half of Medicare’s payments to health care providers will be based on the quality of the care delivered, not the number of services provided.

  • Uncontrolled pediatric asthma accounts for over 600,000 emergency room visits in the U.S. each year and is responsible for the highest total costs of any preventable pediatric hospitalizations.

  • A new challenge to the ACA is headed to the Supreme Court on March 4th, and the decision will determine the fate of federal health insurance subsidies in the 34 states that opted not to set up their own exchanges.

Archives

On February 14, 2011 NIHCM Foundation hosted a meeting of experts  in Washington, DC.

Risk adjustment will be a critical

mechanism for ensuring the stability of the new health insurance exchanges that will begin in 2014 and achieving the promise of health reform with respect to expanded access to insurance coverage.  Many decisions and activities will be needed,  however, between now and 2014 and even beyond in order to put an effective risk mitigation system into place, requiring close collaboration between federal and state policymakers, health insurers and other stakeholders.

 

This meeting brought together an outstanding group of 50 actuaries,  economists, federal and state policymakers, health plan representatives,  consultants and other stakeholders for a candid discussion of the challenges in developing and implementing risk adjustment under health reform and potential ways to address these challenges. Click here for meeting details.

 
1225 19th St. NW, Suite 710, Washington, DC 20036 · Tel: 202-296-4426 · Fax: 202-296-4319