In the News

State groups laud health insurance laws

May 31, 2018 | Vince Calio State health care groups applauded a pair of health insurance bills signed into law by Gov. Phil Murphy. Assembly Bill 3380, signed Wednesday, restores the individual mandate in the state, which penalizes individuals who do not have health insurance, thus spreading risk and reducing pricing volatility in the individual market. […]

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Murphy signs law to create NJ’s own health insurance mandate

June 01, 2018 | Lilo H. Stainton  In effort to stabilize health insurance market and ensure coverage remains affordable, NJ becomes second state to creates its own individual mandate Healthcare policy experts, business leaders, and patient advocates praised Gov. Phil Murphy’s endorsement of a state requirement that residents obtain medical insurance or face a fine, […]

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Phil Murphy reinstates Obamacare mandate for ’19

May 31, 2018 | Michael L. Diamond Gov. Phil Murphy signed a bill Wednesday to require most New Jerseyans to be covered by health insurance or pay a penalty, restoring a key provision of Obamacare. Murphy also signed a bill to create a reinsurance program to help insurers pay for high-risk consumers. “Protecting the viability […]

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First Steps for Payers Developing Value-Based Care Initiatives

May 24, 2018 | Thomas Beaton Payers can develop successful value-based care programs that use analytics to identify vulnerable beneficiary populations and financial opportunities. Successful value-based care initiatives require payers to learn which populations experience a high prevalence of chronic disease, where their organizations overspend, and how value-based contracting can solve these problems. Carefully assessing […]

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This startup wants your doctor to be paid for making you healthier

May 18, 2018 | Michael Hines “Quality over quantity” is an adage many live by. The American healthcare system? Not so much. Payformance Solutions is trying to change that. It’s developed technology that makes it easier to move away from the traditional fee-for-service healthcare payment model and toward the quality-focused “value-based care” model. Bringing change […]

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Murphy orders state to take over health exchange management

May 15, 2018 | Vince Calio New Jersey will manage the health insurance exchange under the Affordable Care Act during the 2019 health insurance enrollment period. Gov. Phil Murphy, in a letter sent to the Centers for Medicare and Medicaid Services, said the state will take over management of New Jersey’s Affordable Care Act marketplace, […]

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Uninsured Rate Rises in 17 States in 2017

Dan Witters | May 9, 2018 Source: http://news.gallup.com/poll/233597/uninsured-rate-rises-states-2017.aspx STORY HIGHLIGHTS Four-year trend of state uninsured rate reductions reversed in 2017 First time since 2014 that no states had a lower rate than previous year States that enacted Medicaid expansion had larger reductions since 2013 WASHINGTON, D.C. — The uninsured rate rose by statistically significant margins in 17 states […]

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Verma: Patient Care, Payment Design Need Value-Based Reforms

Thomas Beaton | May 08, 2018  Changes to patient care and payment design are required to further the progress of value-based care reforms within the healthcare industry, said CMS Administrator Seema Verma in a speech to the American Hospital Association (AHA). During the AHA’s Annual Membership Meeting, Verma stressed that CMS is dedicated to promoting […]

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