Monthly Archives: March 2015

A New Day, A New Congress: Another Attempt to Kill the ACA

With the change in political leadership on Capital Hill at the beginning of the year, Republicans have stepped up their rhetoric to kill key parts of the ACA if not outright gut it in its entirety.  With key budget talks in the works, there are some proposals to impact the ACA by removing funding.

Read more here.

Breaking News: SGR Bill in Congress Devoid of Any Mention of ICD-10

The sun is shining through the window as I type this and for good reason:  the latest legislation to repeal the SGR (Sustainable Growth Rate) or what has been called the ‘Medicare Doc Fix’ does not have any mention of ICD-10 delay language (or ANY mention of ICD-10, in fact) in it.  This is a welcome sigh of relief to those of us (present company included) that has been diligently working on ICD-10 implementation projects for an eternity.


For more details, go here.

New Study Shows ACA Medicaid Expansion Yielded More Newly Diagnosed Diabetes Patients

With the newly insured 16.4 million Americans enrolled in health insurance (Medicaid and individual policies), a lab company has released a paper where they are seeing an uptick in newly diagnosed diabetes cases.  At a glance, this seemingly makes sense:  those who were previously just outside of Medicaid’s eligibility that got newly insured would seemingly have a chronic condition that plagues a large proportion on our population, especially those on the lower end of socioeconomic status.

Does correlation equal causation in this case?

In my opinion, it’s a bit dubious to jump to this conclusion since the sample size of the study was small, data only comes from one lab company, and there wasn’t sufficient information in the lab claims data to determine whether the member was previously diagnosed and/or never was insured.

ACA Tally: 16.4 Million Insured Signed Up for Health Insurance

With partisan politics placing the ACA back in the hands of the Supreme Court, a new report recently released has determined 16.4 million Americans signed up for health insurance as a part of the law.  Also, the number of uninsured individuals dropped from over 20% to a hair over 13% by the first quarter of 2015.

No matter what your political views, this is a significant decrease in the number of Americans that are not insured.


It’s Not Your Grandfather’s Health Insurance. Insurers Increasingly Funding Innovation Labs in the Changing Healthcare Landscape.

Picture this scene:  a large open workspace fostering collaboration in a hip and trendy part of downtown Chicago; virtual meetings being held w/teams from around the globe; secure servers; state of the art digital media studio; young staffers and interns abound; and the obligatory barista, ping-pong table, and foosball table are present.  Well, maybe not the last part.  This is real, ladies and gentlemen.  This s the AHIP (Association of Health Insurance Plans) Innovation Lab.  Accenture, the pharmaceutical company Amgen, and GE Healthcare will provide counsel to the lab with the hopes of finding fresh solutions to the challenges of delivery quality and affordable healthcare to all.

Read more here.