The health insurance industry is bracing for the near certain end to the core coverage provisions of the Affordable Care Act, the framework they've been operating under for the past six years.
Modern Healthcare's inaugural Leadership Symposium brought together two dozen of the nation's top healthcare leaders to discuss the major forces disrupting the industry and the next direction of healthcare policy after President-elect Donald Trump's unexpected victory.
The Medicare Access and CHIP Reauthorization Act final rule released earlier this month includes funding to create and implement a core set of performance measures to be used by private and public insurers alike.
Enduring influence is the central theme for many of the names atop this year's list, Modern Healthcare's 15th annual ranking. Coming in at No. 2 and No. 3 this year are CEOs of two of the nation's largest healthcare systems. The nation's payers are also well represented at the top.
Two key players in the passage of the ACA warn that if Donald Trump becomes president, he and congressional Republican leaders could indeed abolish key elements of the law and roll back its insurance expansions and consumer protections.
A superficial reading of the latest headlines about the health insurance industry suggests it is facing serious problems, but the steady drumbeat of bad news for insurers is showing up everywhere except in the finances of the major carriers.
Acting CMS Administrator Andy Slavitt, Cambia Health Solutions CEO Mark Ganz and AHIP CEO Marilynn Tavenner say consumerism, teamwork and value will transform healthcare payment.
Virginia Mason Health System CEO Dr. Gary Kaplan, Jefferson College of Population Health Dean Dr. David Nash and Women's Hospital CEO Christina Ryan say the healthcare jobs of the future will be shaped by the demands of quality and safety, work-life balance and managing population health.
ONC head Dr. Karen DeSalvo, Castlight Health CEO Dr. Giovanni Colella and Cleveland Clinic CEO Dr. Toby Cosgrove hold out hope that innovation can overcome hurdles like poor interoperability and the limits of clinical science to make healthcare better and less expensive for patients and consumers.
American Hospital Association CEO Rick Pollack, Dartmouth-Hitchcock CEO Dr. James Weinstein and National Patient Safety Foundation CEO Dr. Tejal Gandhi lay out the changes and challenges ahead for healthcare providers in the coming decades.
Last fall, Karen Ignagni took over as CEO of EmblemHealth—a financially troubled New York insurer with 3.2 million covered lives—after 22 years at the helm of America's Health Insurance Plans. She recently discussed the challenges she faces in her new position.
Most insurers have embraced the ACA, and it has helped many of them financially through the tacit encouragement of products such as high-deductible plans. But many still puzzle over how to pivot beyond what was long the core of their business: employer-based plans and holding down medical claims.