Patient Protection and Affordable Care Act

PCORI approves $254 million to fund 28 new research studies addressing urgent health problems

Retrieved on: 
Tuesday, July 27, 2021

Four studies approved for a total of $33 million will assess interventions to improve care during pregnancy and after childbirth to reduce the higher rates of health problems among Black women and Latinas and their infants.

Key Points: 
  • Four studies approved for a total of $33 million will assess interventions to improve care during pregnancy and after childbirth to reduce the higher rates of health problems among Black women and Latinas and their infants.
  • The Patient-Centered Outcomes Research Institute (PCORI) is an independent nonprofit organization authorized by Congress in 2010.
  • Its mission is to fund research that will provide patients, their caregivers and clinicians with the evidence-based information needed to make better-informed health care decisions.
  • PCORI is committed to continuously seeking input from a broad range of stakeholders to guide its work.

PCORI approves $11 million for new studies to boost COVID-19 vaccination rates among long-term care workers

Retrieved on: 
Monday, July 12, 2021

Lagging COVID-19 vaccination rates among long-term care workers have become an increasing source of concern as immunization rates have slowed nationwide.

Key Points: 
  • Lagging COVID-19 vaccination rates among long-term care workers have become an increasing source of concern as immunization rates have slowed nationwide.
  • In both studies, long-term care workers are helping the research teams to design and conduct the research.
  • PCORI funded these latest studies through a special allocation of funds to confront the national health crisis posed by COVID-19.
  • To date, PCORI has invested around $70 million in new targeted studies focused on COVID-19.

The Foundation for Government Accountability Files an Amicus Curiae Brief with the Missouri Supreme Court in Opposition to Medicaid Expansion

Retrieved on: 
Wednesday, July 7, 2021

NAPLES, Fla., July 7, 2021 /PRNewswire-PRWeb/ --Today, the Foundation for Government Accountability (FGA) filed an amicus curiae brief with the Supreme Court of Missouri to support the lower court's decision that the Medicaid Expansion Amendment violates Missouri's Constitution.

Key Points: 
  • NAPLES, Fla., July 7, 2021 /PRNewswire-PRWeb/ --Today, the Foundation for Government Accountability (FGA) filed an amicus curiae brief with the Supreme Court of Missouri to support the lower court's decision that the Medicaid Expansion Amendment violates Missouri's Constitution.
  • FGA also argues that the large, unanticipated costs associated with Medicaid expansion demand a valid source of funding upfront to avoid decimating the State's budget.
  • FGA urges the Supreme Court of Missouri to affirm the lower court's ruling in Case #99185 that the Medicaid Expansion Amendment is unconstitutional.
  • The Foundation for Government Accountability is a non-profit, multi-state think tank that specializes in health care, welfare, work, and election reform.

The Cancer Support Community Calls Supreme Court Decision a Victory for Patients

Retrieved on: 
Thursday, June 17, 2021

WASHINGTON, D.C., June 17, 2021 (GLOBE NEWSWIRE) -- Today,the U.S. Supreme Court, in a 7-2 decision, upheld the Affordable Care Act (ACA) in California v. Texas.

Key Points: 
  • WASHINGTON, D.C., June 17, 2021 (GLOBE NEWSWIRE) -- Today,the U.S. Supreme Court, in a 7-2 decision, upheld the Affordable Care Act (ACA) in California v. Texas.
  • The ACA is a critical safety net for the nearly 17 million cancer patients and survivors across the U.S., including protections for people with pre-existing conditions and eliminating patient cost-sharing for essential health benefits, such as critical cancer screening tests.
  • A record 31 million people are currently receiving quality, comprehensive, and affordable health care under the ACA, through health insurance marketplaces and Medicaid expansion.
  • The Cancer Support Community (CSC), the largest professionally led non-profit network of cancer support worldwide, issued the following statement in response:
    We applaud the Supreme Court justices who sided with patients andruled that theplaintiffs lackedlegal standing to challenge the ACA.

Academy of Oncology Nurse and Patient Navigator's Sharon Gentry Named One of the 2021 PM360 Elite 100

Retrieved on: 
Wednesday, June 2, 2021

CRANBURY, N.J., June 2, 2021 /PRNewswire-PRWeb/ -- PM360, the premier information resource for marketing decision makers in the pharmaceutical, biotech, diagnostics, and medical device sectors, has named Sharon Gentry, MSN, RN, HON-ONN-CG, AOCN, CBCN, Program Director, Academy of Oncology Nurse & Patient Navigators (AONN+), as one of the 2021 PM360 ELITE 100 in the Master Educators category.

Key Points: 
  • CRANBURY, N.J., June 2, 2021 /PRNewswire-PRWeb/ -- PM360, the premier information resource for marketing decision makers in the pharmaceutical, biotech, diagnostics, and medical device sectors, has named Sharon Gentry, MSN, RN, HON-ONN-CG, AOCN, CBCN, Program Director, Academy of Oncology Nurse & Patient Navigators (AONN+), as one of the 2021 PM360 ELITE 100 in the Master Educators category.
  • Sharon serves as Program Director of AONN+, which includes more than 9000 nurse and patient navigators.
  • Additionally, the 2021 ELITE 100 will be celebrated during a virtual event on June 22 at 7:00 PM ET.
  • About the Academy of Oncology Nurse & Patient Navigators, Inc: The Academy of Oncology Nurse & Patient Navigators, Inc (AONN+), is the largest national specialty organization dedicated to improving patient care and quality of life by defining, enhancing, and promoting the role of oncology nurse and patient navigators.

Healthcare Access Advocates Randy Pate and Donato Tramuto Join BioIQ Webinar Series to Discuss Avenues to Overcome US Health Disparities

Retrieved on: 
Thursday, May 20, 2021

Pate led CMS\' work on individual and small group insurance markets, including its Health Insurance Exchanges, state innovation waivers, and the effort to increase competition and choice for consumers.

Key Points: 
  • Pate led CMS\' work on individual and small group insurance markets, including its Health Insurance Exchanges, state innovation waivers, and the effort to increase competition and choice for consumers.
  • These expert webinar guests highlight the important role employers and health plans play in facilitating access to new care avenues.
  • "\nAccess webinar installment replays and additional resources from BioIQ for guidance on employee, member, and population health programs, including protocol for safe return-to-work strategies .
  • Since 2005, BioIQ has launched thousands of successful health testing programs serving millions of participants.

Centivo Named by BHCG as Health Plan Offering for Employers in Eastern Wisconsin

Retrieved on: 
Tuesday, May 11, 2021

b'MILWAUKEE and BUFFALO, N.Y., May 11, 2021 /PRNewswire/ -- The Business Health Care Group (BHCG), a coalition of employers primarily located throughout eastern Wisconsin, announced today a new partnership with Centivo .

Key Points: 
  • b'MILWAUKEE and BUFFALO, N.Y., May 11, 2021 /PRNewswire/ -- The Business Health Care Group (BHCG), a coalition of employers primarily located throughout eastern Wisconsin, announced today a new partnership with Centivo .
  • Centivo offers anew primary care-centered health plan, built to provide employers and their employees an affordable, financially sustainable alternative to plans offered by traditional insurance carriers.
  • The plan will be offered exclusively as an option for BHCG self-funded member employers effective January 1, 2022.\nCentivo is finalizing the development of high-value networks in direct partnership with leading health care systems and provider groups across eastern Wisconsin.
  • BHCG self-funded member employers can offer Centivo as their sole health plan or alongside other coverage options of their choice.\n"Employers in eastern Wisconsin are frustrated by the ever-increasing health care cost trend in our area, yet remain firmly committed to the health and wellbeing of their employees," said Jeffrey Kluever, Executive Director, BHCG.

The Association for Value-Based Cancer Care Summit Announces Landmark Keynote Presentation by Dr. Scott Gottlieb and Former CMS Administrator Seema Verma

Retrieved on: 
Tuesday, May 4, 2021

Gottlieb and Former Administrator Verma both have deep experience and insights in healthcare, driven significant change, and have left footprints in the industry.

Key Points: 
  • Gottlieb and Former Administrator Verma both have deep experience and insights in healthcare, driven significant change, and have left footprints in the industry.
  • Gottlieb is an advocate for advancing the health of patients, promoting healthcare access, and driving innovation.
  • "\nSeema Verma, MPH, was the longest-serving Centers for Medicare & Medicaid Services (CMS) Administrator in modern history.
  • TLG proudly serves as co-founder and association management company of the Academy of Oncology Nurse & Patient Navigators (AONN+) and the Association for Value-Based Cancer Care (AVBCC).\n'

Study Shows Medica’s Unique Provider Relationships Have Lower Costs, Better Outcomes than Open Access Plans

Retrieved on: 
Monday, May 3, 2021

b'Members in an accountable care organization (ACO) plan experience better health at a lower cost than expected and, when compared to open access plans, better quality of care.

Key Points: 
  • b'Members in an accountable care organization (ACO) plan experience better health at a lower cost than expected and, when compared to open access plans, better quality of care.
  • Costs in an ACO were 13 percent lower than for open access plans.
  • Employer plan costs were 11 percent lower, while individual plan costs were 38 percent lower.\nMedica\xe2\x80\x99s analysis also showed savings in ACO plans for specific conditions when compared to expected costs.
  • For the study, actual costs were measured by the amount paid for claims while expected costs were calculated through cost modeling.

Number of Uninsured Would Decrease by 4.2 Million People if Rescue Plan Subsidies Were Permanent

Retrieved on: 
Thursday, April 15, 2021

b'PRINCETON, N.J., April 15, 2021 /PRNewswire/ -- The number of uninsured in the United States would fall by 4.2 million if policymakers made a temporary provision in the American Rescue Plan Act (ARPA) permanent, a new analysis shows.

Key Points: 
  • b'PRINCETON, N.J., April 15, 2021 /PRNewswire/ -- The number of uninsured in the United States would fall by 4.2 million if policymakers made a temporary provision in the American Rescue Plan Act (ARPA) permanent, a new analysis shows.
  • Additionally, roughly 317,000 people with non-ACA-compliant coverage would switch to a more comprehensive ACA-compliant plan if they were to become newly eligible.
  • "Enhancing premium tax credits could positively impact the marketplace, leading to greater insurer participation and resulting in lower premiums.
  • "\nThe ARPA allows people with incomes over 400 percent of poverty eligibility for subsidies to purchase insurance coverage from the ACA marketplace.