health change bulletin
Health Change Bulletin                                                                      April 12, 2018
Technology as a Transformational Force for Healthcare Payers
  Sponsor Message
  "We are excited about the prospect of bringing these costly PBM practices into the public eye, and breaking the conspiracy of silence that the PBMs have long imposed on other participants in the industry."

-Susan Schneider Thomas, Lawyer, Berger & Montague
  Within 2 years of kidney failure, 5280 patients (47.1%) died. Among patients who started dialysis, the mortality rate was 54.3% among patients who received pre-ESRD (end stage renal disease) nephrology care in Medicare vs 43.3% among those who received pre-ESRD nephrology care in VA. Among all patients with kidney failure, the mortality rate was 53.2% among patients who received pre-ESRD nephrology care in Medicare vs 43.8% among those who received pre-ESRD nephrology care in VA.

Source: JAMA, April 2018
  Aetna Whistleblower Accuses CVS of False Claims, Unsealed Lawsuit Reveals
FierceHealthcare, April 11, 2018

Walmart-Humana is the Health Care Deal to Watch
Axios, April 10, 2018
Breaking Down the Final Rule: CMS Gives States Ability to Limit Essential Benefits
Healthcare Finance, April 10, 2018
U.S. Death Rates Falling, but Health Gains Bypassing Some States
Reuters, April 10, 2018
State Solutions to Bring Down Drug Prices Face Steep Resistance
FierceHealthcare, April 9, 2018
How to Reduce Health Care Costs? Experts Say Lots of Ideas, Few Successes
STAT, April 9, 2018
30,000 Strong and Counting, UnitedHealth Gathers a Doctor Army
Bloomberg, April 9, 2018
Trump Officials Create New Exemptions to ObamaCare Mandate
The Hill, April 9, 2018

Trump Administration Issues Rule Further Watering Down Obamacare
Reuters, April 9, 2018

Budget Office Expects 34% Jump in ACA Premiums
Axios, April 9, 2018

Disappearing Doctor: How Mega-Mergers Are Changing Medical Care Business
NY Times, April 7, 2018
  CVS Pharmacists Will Have New Tools to Help Patients Save Money on Drugs
Washington Post, April 11, 2018

Walmart and CVS: Why are Both Trying to Buy Health Insurance Companies?
Los Angeles Times, April 10, 2018
HealthshareTV video

How New Tax Legislation Affects Hospitals and Health Systems   Affordable Care Act Reporting Changes: What You Need to Know

Iím sure youíre all familiar with the Affordable Care Actís employer-shared responsibility requirements. We may see some relieve from those rules and/or the reporting requirements later this year but until we do, what should employers do now? Well, employers need to continue moving forward with their reporting.

Check out HealthshareTV, the home for health care videos    
Healthsprocket List 
  Medscape: Average Annual Physician Compensation by Speciality

1. Plastic Surgery $501K
2. Orthopedics $497K
3. Continue reading here

Source: Medscape, "Physician Compensation Report 2018", April 2018
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