Kip Piper's Health Care Blog
Medicare, Medicaid, Health Reform

Hospital and emergency room utilization is expected to increase substantially when 35-40 million Americans become newly insured through Medicaid and State Health Exchanges starting in 2014.  Today, communication between primary care physicians and hospital emergency departments is poor.  An excellent new study by the National Institute for Health Care Reform (NIHCR)...
Medicare and Medicaid payment incentives are available for hospitals, physicians, and certain other healthcare professionals that implement and use Electronic Health Record (EHR) systems.  To receive the payment incentives, eligible providers must engage in meaningful use of federally certified EHR systems. The federal health information technology initiative, created under the...
Under the Affordable Care Act (ACA), most health plans are now required to provide preventive services to their enrollees without any co-payments or other cost sharing.  Over time, this is expected to significantly improve prevention and wellness, reducing costs and reducing incidence of preventable condtions.  However, the preventive services...
While most of the major health reforms start in 2014, the Affordable Care Act (ACA) imposes several new requirements in 2011 on health plans and self-insured employers. To prevent either a large increase in premiums or a significant decrease in access to health coverage, the Centers for Medicare and Medicaid...
The Centers for Medicare and Medicaid Services (CMS) plans to contract with an organization to help CMS modernize the business processes, information technology, data, and planning and analytical capabilities used to manage Medicare, Medicaid, and health reform at the federal level. Today, CMS faces extraordinary policy and management challenges...

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