Automotive News’ Post

Really helpful summary of the revised Premises Costs Directions. Don’t hesitate to get in touch with questions!

In a statement released last week, the DOL proposes rescinding all of the 2018 rules for Association Health Plans. Learn more today on the #MedcomBlog: https://bit.ly/MedcomBlog #ACA #compliance #DOL #MedcomBenefitSolutions #employeebenefits #benefitsadministration

I love getting to live out our daily mission statement, “Positively Impacting People’s Lives”. I highly encourage you to find a daily mission statement that can not only hold yourself accountable but also rally an entire team or organization behind a common goal. Im proud of the people at Apollo Health Insurance; I feel we are one team chasing a daily goal, which is very powerful in numbers. #leadership #missionstatement #insurance

Throughout the 2023 state legislative session, we tracked 200 bills seeking to address hospital and health system costs, including bills on facility fees, health care market oversight and certificate of need, and 340B transparency. While policy solutions varied across states, consolidation of hospitals and providers—specifically the impacts on price for consumers and employers created by increased market power—continues to be a bipartisan concern across legislatures. Check out our legislative recap to find out how states are leading efforts to address rising health care costs for state residents and employers: https://loom.ly/B534YNA

Happy Thursday! Here’s what we have been following this week at HealthLeaders. With all the historic rulings coming out of the recently adjourned Supreme Court of the U.S. session, it would be easy to overlook the long-term ramifications of one of the most important decisions handed down: The overturned #ChevronDeference. Think because you’re in #healthcare you’re off the hook? Not so fast. The ruling, which transfers that authority to interpret that ambiguity to federal judges, could affect literally every area of #federaloversight, including healthcare. And, it's not exactly clear how all this will play out. #Medicalassociations are warning that the ruling will significantly disrupt publicly funded healthcare programs to the detriment of #patienthealth. Hospitals, for example, will now potentially have to wait through legal challenges for regulations that were previously determined by the many federal agencies that influence healthcare. G Hatfield, who previously worked on our environmental, health, and safety publication (Hi, EHS Daily Advisor!), was the perfect person to analyze all of this for our healthcare market (https://lnkd.in/eDY2vJsw). Also, after more than a decade of haggling, long-standing barriers to #telehealth adoption in Pennsylvania are coming to an end (https://lnkd.in/en7cfpa7). In addition, we have been following Cano Health for years, and the primary care provider, which reported net losses of more than $750 million in the second half of last year, has now exited #bankruptcy as a #privatecompany with a focus on its Florida market. The company said it converted more than $1 billion of debt into common stock and warrants, while investors have committed more than $200 million (https://lnkd.in/eAB-ugN8). To generate liquidity, the provider left #unprofitablemarkets In Texas, Nevada, California, New Mexico, Illinois and Puerto Rico, and also cut 20% of its workforce. Apparently, it worked. On the national scene, as I’m sure you heard, the Federal Trade Commission plans to sue the nation's three largest #PBMs. The FTC isn't commenting, but on Tuesday the commission accused PBMs of manipulating the drug supply chain to enrich themselves at the expense of smaller, independent #pharmacies and patients. Let’s see how this one plays out (https://lnkd.in/ekZ4gpxA). Also, you know I have to ask… how are you feeling about those newly released Centers for Medicare & Medicaid Services payment rates!?

As many people know, private equity firms focus primarily on making money. While there’s nothing wrong with this, it can lead to problems when private equity firms invest in healthcare. In these cases, patient care can fall to the wayside in place of profit. OB-GYN Vernon Cannon and DuPage Medical Group’s misconduct is a perfect example of this. Despite numerous reports of abuse, Cannon was able to continue practicing, which resulted in even more victims and cases filed against both parties. While this isn’t news to our team, we want to continue to shed light on this issue and let survivors know that they are not alone. You can learn more about this trend in private equity-owned medical practices by watching the video below. And if you have any questions or would like a free consultation, reach out using this link: https://hubs.la/Q02dhQRS0. Our team would be honored to fight for you. #SexualAbuse #PrivateEquity #Healthcare #MedicalMalpractice #PatientSafety #Safety #VernonCannon #DuPage

Check out this article by a founding partner at Frier Levitt: The $345 million settlement between Community Health Network (CHN) and the U.S. Department of Justice highlights the risks associated with physician-hospital alignment strategies. #Healthcare #healthsystems #FrierLevitt

Question of the Week - Multiple Coverage and COBRA Q.- A person is enrolled in a group health plan with Company A for many years and then gets a second job with Company B and enrolls in their group health plan as well (having dual coverage). The individual terminates employment with Company A and is offered COBRA. Can the person elect COBRA with Company A even though they are enrolled in another group health? Learn the answer here - https://hubs.ly/Q02z0j_c0

Yesterday, Families USA’s Senior Director of Health Policy, Sophia Tripoli submitted testimony to the Pennsylvania Office of Attorney General in advance of their public hearing on January 18, 2024, on the proposed integration and affiliation of Washington Health Care Services, Inc., into the University of Pittsburg Medical Center (UMPC). Amidst an ongoing health care affordability and quality crisis in Pennsylvania and across the nation where unchecked consolidation has led to large medical monopolies and high and rising health care prices, we urged the State AG to oppose the proposed merger and any mergers and acquisitions that lead to more concentrated health care markets that threaten the health and financial security of families. State Attorney Generals, including the PA Attorney General, play a critical role in overseeing health care markets, promoting healthy competition, and serving as a backstop against widespread industry consolidation and anti-competitive practices that are too often employed by large health care corporations and hospital systems. Read the testimony here: https://lnkd.in/eJ6P-Ydx

As usual, the State of California is taking the lead in regulating an industry that should be under Federal government oversight. With little progress in Congress, the "Divided States of America" looks to its most progressive state for guidance on regulating an industry historically not-for-profit. #California #Regulation #ProgressiveState #privateequity #healthcareregulations ##healthcaretransformation ##healthcarefinance #healthcareinnovation