New Jersey Left with Just Two Obamacare Health Providers for 2017
NorthJersey.com The options for New Jersey consumers who buy health coverage through the Affordable Care Act will dwindle to two next year, from five in 2016, after state regulators take over Health Republic Insurance of New Jersey. The non-profit company, a start-up established through President Obama’s signature health law, has 35,000 members. The state Department…Read More…
Keeping Competition in the ACA Marketplace
Oscar Health Insurance just announced plans to withdraw from the Affordable Care Act marketplace in New Jersey next year. The company joins UnitedHealthcare, also exiting the marketplace in 2017. Aetna, meanwhile, has scrapped plans to provide coverage here next year. Are the exits a sign the ACA is failing? And what can we do to…Read More…
Take Five with Calvin H. Knowlton
Calvin Knowlton, BScPharm, MDiv, PhD, is the Founder and CEO of Tabula Rasa HealthCare, based in Moorestown. At Tabula Rasa HealthCare, you focus on ways to use technology to improve health care, particularly in the area of medication risk mitigation. How big a problem is this? The elephant in the room in pharmacy is adverse…Read More…
More New Jerseyans gaining health insurance coverage
Published by Michael Catalini in The Washington Times. TRENTON, N.J. (AP) – Gov. Chris Christie said Monday that more than 500,000 New Jersey residents now have health insurance coverage under Medicaid as part of the expansion under the Affordable Care Act. The Republican governor’s announcement came during a statehouse news conference and as Republicans across…Read More…
NJ Left with Three Obamacare Insurance Providers
Published by Brenda Flanagan on NJTV News. “I can’t afford it,” said Milagros Martinez. Martinez works temp jobs, part-time. She can’t swing $350-a-month premiums for health insurance through the Affordable Care Act. “Or else I can’t pay my rent and my bills. So the only thing I could afford is the penalty,” she said. But…Read More…
As Other States Explore Medicaid Innovations, What Can New Jersey Learn?
In New Jersey, Medicaid covers one in five residents and accounts for about 20 percent of the state’s budget. We know our state needs to explore innovations to contain costs while also improving care for beneficiaries. At the Quality Institute, our Medicaid 2.0 initiative, with support from The Nicholson Foundation, is working to create a…Read More…
Take Five with Terrill Jordan
Terrill Jordan is President and CEO of Regional Cancer Care Associates (RCCA). He spoke to Symptoms & Cures about RCCA’s move toward value-based care in the field of cancer treatment. We know CMS is trying to prepare physicians for far-reaching changes in the way the government will pay for medical care. You are participating in…Read More…
Schwimmer: Hospital ratings: imperfect, but still needed
Published by Linda Schwimmer on The Record The federal government last week released a report rating every hospital in the nation. The fallout has been swift. Some call the new ratings from Medicare Compare unfair to teaching hospitals, which often care for the most complex patients. Others said the ratings do not account for the…Read More…
Linda Schwimmer on the Importance of Bringing Stakeholders Together
Published on the American Journal of Managed Care Many stakeholders in healthcare have concerns about the same issues just from different vantage points, they just need to be brought together in order to enact any change, explained Linda Schwimmer, JD, president and CEO at the New Jersey Health Care Quality Institute. Transcript (slightly modified): What…Read More…
At what cost? Some left wondering if new federal guidelines are good for business … or women’s health
Published by Meg Fry on NJBIZ Lisa Marie Sheppard said health care used to be based on what the doctor thought was best. “Now, care is based on group population costs,” she said. Sheppard, a radiologist specializing in women’s imaging, is the owner and medical director of breast imaging and intervention at Pink Breast Centers…Read More…