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Operations & Business Management

Latest Headlines

Latest Headlines

Insurers worry ACA loophole leads to unpaid premiums

Thanks to a loophole in the Affordable Care Act regulations, insurers worry customers who purchased plans on the federal marketplace could evade paying their December premiums, reports Vox.

Consumers continue to flock to HealthCare.gov

Open enrollment has come and gone but new federal data, obtained by ProPublica, shows the federal exchange saw roughly 1 million insurance transactions since mid-April.

5 things that make CEOs' blood boil

There are a few things almost all CEOs really, really hate, according to  Forbes  contributor Stephen J. Meyer, CEO of the Rapid Learning Institute.  To prove it, he conducted a  su rvey  of executives and share the results in his latest opinion piece, hoping to enlighten colleagues and employees about behaviors that drive their leaders crazy.

Cut prescription drug prices to achieve Medicare savings

Given the recent surge in pricey prescription drugs, lawmakers are calling for the Medicare to offer rebates and negotiate prices to reap significant savings, according to a report released Wednesday by advocacy groups the Medicare Rights Center and Social Security Works.

Subsidy rulings mean more enrollment work for insurers

Given the opposing opinions coming out of two separate court rulings regarding Affordable Care Act subsidies, there's bound to be confusion among consumers interested in signing up for coverage during the next enrollment period.

How payers can eliminate consequences of provider consolidation

Although insurers and industry organizations often assert that provider consolidation leads to higher prices, some experts believe the impact is actually relatively neutral, reported  Insurance News Net.

Healthcare spending paradox: National spending down, consumer costs on the rise

Despite a nationwide slowdown on  healt hcare spending,  a new  stu dy  by healthcare economics consulting firm Dobson DaVanzo shows that consumers now spend more on healthcare through higher out-of-pocket expenses and premium costs.

New ACOs organized despite federal scrutiny

Two Arizona health systems are joining together to launch an accountable care organization (ACO) that will provide coordinated care to about 50,000 members, the organizations announced this week, in hopes of improving outcomes, patient satisfaction and cost savings.

GAO: Fake ACA applicants secure subsidized coverage

Government investigators have been able to purchase health plans and obtain federal subsidies using fake applicantions, according to findings that will be released today, reports The Washington Post.

Medicare pilot programs waive three-day admission rule for senior patients

Medicare officials piloting experimental programs across dozens of U.S. hospitals want to know if dropping the requirement that limits nursing home coverage to seniors admitted to the hospital for at least three days can reduce costs and improve care,  Kaiser Health News   reported.