10 Healthcare Trends to Look For in 2016

It seems the kickoff of a New Year fosters predictions, Top Ten’s, and various and sundry industry-related crystal ball lists. An article about consumer healthcare trends in this morning’s Fiscal Times (10 Healthcare Trends That Will Affect You in 2016) caught my eye....

S&P Report Another Indicator of ACA Nearing Tipping Point?

I doubt I’m going out on a limb by saying that the “kid in the candy store” perspective that insurance companies may have had about the Affordable Care Act has all but vanished.   A new Standard & Poor’s report released this week supports that the “candy...

King v. Burwell: With Decision Imminent It’s Still Anybody’s Guess How Court Will Decide

As the Supreme Court decision on subsidies looms, many are wondering:  which way is the court leaning?  Most experts agree it’s way too close to a call. Wondering where things stand as we wait for the high court to announce its decision? Here’s a good, plain speaking...

Quietly Lurking: 2017 Obamacare Waiver Could Open the Door for States to Do Their Own Thing

We’re keeping an eye on it; and, apparently so are many of the states. The healthcare reform law includes a waiver that, starting in 2017, would let states take federal dollars now invested in the implementation of the Affordable Care Act and redirect them and...

Costs For Routine Colonoscopies and Who Pays? It Can Be A Real Pain… In the Pocketbook.

We’ve seen quite a spike recently in the number of claims issues clients’ employees are reporting related to the coverage of colonoscopies.  The problem almost always centers on billing for the service and payment of the claim.  Many employees report that they are...