Politico reports that the Supreme Court will decide to take on the health care reform case by Dec 10th. But folks — the deed is done. SCOTUS is taking the case. In reaction, AHIP has filed an  amicus brief anticipating the case. Their message? The mandate connects everything. Read it here >

CMS’ Final Rule for ACOs

October 21, 2011

CMS’ final rule for Accountable Care Organizations (ACOs) is now available for download from The Office of the Federal Register. For your convenience, here’s a link directly to the PDF.

Side-by-side comparison of proposed vs. final rule for ACOs

We recently posted this on the Extend Health blog and I thought you might find it interesting.

On Wednesday (10/12), the federal government released its annual review of private Medicare Advantage health plans. In addition, 5-Star quality ratings are now posted along with the plans loaded in “Medicare Plan Finder available on Medicare.gov.

This year health plans are paying much closer attention to their ratings because they stand to make more money if they score higher on Medicare’s 5-star quality rating system. The bonuses could be substantial, even for insurers that only make small increases in their ratings. Carriers with well-rated plans hope that the droves of baby boomers becoming eligible for Medicare will pay attention to the star ratings and choose their plans.

The ratings are based on 36 measures in five categories, covering things like screenings, tests, complaints, service, and other relevant measures. There’s a helpful CMS document called, “Choose Higher Quality for Better Health Care,” that provides a very good overview of the program. We also recommend reading our previous blog post, “New MA star ratings released by CMS.”

For more, check out these very good articles written recently on the subject.
Private Medicare Plans Use Stars To Navigate For Profits” from NPR

Chasing The Stars, Insurers Improve Quality — And Revenue” from Kaiser Health News

Visit Extend Health — the nation’s largest private Medicare exchange.

The road map for state exchange health plans in 2014 was just released. Posting it here to make the whole report available.

Essential Benefits Package (IOM Oct 6 2011)

My latest Fast Company blog post here. A new Kaiser study shows that health care premiums are skyrocketing, but as new provisions of health care reform come into effect, companies can do a lot to make their employees healthier for less money.

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Visit Extend Health — the nation’s largest private Medicare exchange.