On December 14, 2018, Texas Federal District Court Judge Reed O’Connor deemed the Patient Protection and Affordable Care Act (ACA) to be unconstitutional in its entirety, resulting in mass uncertainty for the millions of Americans who gained coverage through ACA provisions. The lawsuit was commenced in February 2018 when Texas Attorney General Ken Paxton and a coalition of 20 Republican state attorneys general and governors sued the federal government on the foundation that they had been harmed by the increase in the number of individuals on state-supported insurance.

On December 3, 2018, the U.S. Department of Health and Human Services (HHS), as well as the Departments of Treasury and Labor , issued a report entitled, “ Reforming America’s Healthcare System Through Choice and Competition ,” resulting from an executive order that President Donald Trump issued over a year ago. This 119-page report comprises more than 50 policy recommendations in an attempt to increase quality and decrease costs in healthcare. (Read more...)  

On November 26, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule regarding Medicare Part D and Medicare Advantage (MA) drug pricing with the intention of lowering high drug costs and reducing out-of-pocket spending for patients. This proposal is consistent with the Trump Administration’s Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs (Blueprint) released earlier this year. (Read more...)  

The U.S. government is the largest payor of medical costs, primarily through the Medicare and Medicaid programs; this significant market share allows the U.S. government to exert a strong influence on the healthcare reimbursement environment. In 2016, Medicare and Medicaid accounted for an estimated $672.1 billion and $565.5 billion in healthcare spending, respectively, combining for approximately 37% of all healthcare expenditures. This third installment will review the reimbursement environment of dialysis centers.
Advanced Distance Education to Launch in 2019

The  Institute for Healthcare Valuation  (IHV) &  Consultants' Training Institute  (CTI) are pleased to announce premier healthcare valuation training through a distance education program, the Certificate of Educational Achievement (CEA) for Advanced Education in Healthcare Valuation. The program will launch in 2019 and will bridge the interdisciplinary nature of healthcare valuation to include: the Four Pillars of Healthcare (regulatory, reimbursement, competition, and technology); the market forces shaping the U.S. healthcare industry; and the valuation of healthcare enterprises, assets, and services. Legal professionals and healthcare providers, as well as those wishing to expand their scope of activities in healthcare valuation engagements and those seeking to enhance their current healthcare valuation service lines, will gain comprehensive knowledge through completing the expansive program. The program has been developed and is being presented by industry thought leader Health Capital Consultants , alongside a blockbuster faculty of healthcare subject matter experts from the legal, federal regulatory, and valuation professions.

HCC President, Todd Zigrang , and Vice President and General Counsel, Jessica Bailey-Wheaton , were recently interviewed by the National Association of Certified Valuators and Analysts (NACVA) , where they discussed the development of the distance education program along with the topics that will be covered. Click HERE to watch the entire interview.
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Health Capital Topics is a monthly e-journal written and published by the healthcare experts at Health Capital Consultants, featuring timely topics related to the reimbursement, regulatory, technology, and competition environments of the U.S. healthcare system.

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