Morning Briefing
Summaries of health policy coverage from major news organizations
Federal Judge Temporarily Blocks Several Parts Of ACA Exchange Rule
A federal judge temporarily blocked several parts of a rule Thursday that would have made major changes to the Affordable Care Act exchanges. The U.S. District Court for the District of Maryland blocked several provisions of a sweeping Centers for Medicare and Medicaid Services regulation from going into effect July 20. (Early, 7/16)
More about the high cost of healthcare and prescriptions 鈥
UnitedHealth Group smashed through investors鈥 earnings expectations in the second quarter, with executives confidently saying this new level of profit is durable for the foreseeable future. (Herman, 7/16)
A growing number of regional health systems are exiting the insurance business as rising costs squeeze margins and market share remains concentrated among the national carriers. Provider-owned health plans are running into trouble as they navigate expensive care and administrative costs, while also trying to keep premiums competitively low. The largest insurers, such as UnitedHealthcare and Aetna, are well-oiled operations with multibillion-dollar balance sheets. For systems, insurance is often an add-on business and not part of the core care delivery operation. (Hudson, 7/16)
杨贵妃传媒視頻 Health News: Watch: 鈥楻obust鈥 Primary Care, Transparency Top Employers鈥 Reform Wish List
In this 鈥淗ow Would You Fix It?鈥 interview, Julie Rovner, 杨贵妃传媒視頻 Health News鈥 chief Washington correspondent and host of the What the Health? podcast, sat down with Elizabeth Mitchell, the president and CEO of the Purchaser Business Group on Health, which represents many large employers and other institutional buyers of healthcare coverage. Mitchell noted that employers, which offer coverage to more than 160 million Americans, are a big player in the nation鈥檚 healthcare system 鈥 a role they came into because of 鈥渁n accident of history,鈥 she said. (Rovner and Norman, 7/17)
A new program to base Medicaid drug prices on the lowest drug prices in other countries -- known as "most favored nation" (MFN) pricing -- could result in substantial savings, researchers found. (Frieden, 7/16)
Maternity care billing is getting an overhaul that ob/gyns say is long overdue and will likely improve patient care and physician compensation -- as long as it's rolled out effectively. For decades, there's been a global system for pregnancy care billing in which all patients got the same package of 13 visits and clinicians were paid in a lump sum for this bundle. But starting Jan. 1, ob/gyns can individualize patients' care plans and bill for specific services thanks to new maternity billing codes adopted by the American Medical Association (AMA). (Robertson, 7/16)
In other healthcare industry developments 鈥
Turmoil at the American Diabetes Association has taken a fresh turn, with leaders blocking editors at its flagship journal from publishing an opinion piece and first-person accounts detailing a high-profile controversy at the group鈥檚 own annual meeting just last month. (Cooney, 7/16)
SSM Health, one of the largest hospital systems in the region, plans to issue $783 million in tax-exempt bonds to finance construction of its new Cardinal Glennon Children's Hospital. Some of the money is also earmarked for refinancing and smaller projects in Missouri, Oklahoma and Wisconsin, the healthcare giant disclosed this week in a notice filed with the state. (Bauman, 7/16)
GE HealthCare is locking in one of its largest-ever health system partnerships: a 10-year, $500 million deal with Long Island-based Catholic Health to modernize the system鈥檚 imaging, AI and diagnostic capabilities across more than 40 sites. The partnership, known as a care alliance, is part of Chicago-based GE HealthCare鈥檚 broader push into AI imaging and is meant to significantly enhance Catholic Health鈥檚 high-tech medical offerings. (Asplund, 7/16)
CVS Health is betting it can drive customer engagement with an AI assistant it developed with Google to help schedule checkups, fill prescriptions and check what insurance covers. (Reed, 7/16)
Every day, doctors turn to specialized calculators to make decisions about their patients鈥 care. Kidney performance? There鈥檚 a calculator for that. Chance of a successful vaginal birth after a previous C-section? There鈥檚 a calculator for that.聽(Palmer, 7/17)