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ACA repeal-and-replace efforts just got a lot more difficult

By Melanie Evans  |  June 27, 2015

The battle ahead for Republicans who hope to repeal and replace the Affordable Care Act is one that will be fought on the campaign trail, even as markets move ahead with more confidence after last week's U.S. Supreme Court decision.

Health IT a key challenge for provider-owned plans

By Joseph Conn  |  June 27, 2015

There's a boomlet underway in health information technology buying, triggered by provider organizations considering or launching their own Medicare Advantage or commercial health plans.

Late News
The Week Ahead

Drug discount supporters to strategize on 340B program

By Steven Ross Johnson  |  June 27, 2015

Safety net providers and clinics that participate in the 340B Drug Pricing Program will meet next month to address criticism that some 340B participants are abusing the discount program.

MRI users to learn results of new safety credentialing test

By Sabriya Rice  |  June 27, 2015

Nearly 160 medical specialists who frequently use magnetic resonance imaging equipment will know by mid-July how they performed on the debut version of a credentialing test evaluating knowledge of MRI safety.

Regional News

Restrictive Calif. vaccine bill clears key legislative hurdle

By Modern Healthcare  |  June 27, 2015

California's Assembly approved a hotly contested bill last week requiring that nearly all public schoolchildren be vaccinated, clearing one of its last major legislative obstacles before the measure heads to the desk of Gov. Jerry Brown.

News

Providers fear insurance mergers will intensify rate pressures

By Bob Herman  |  June 27, 2015

The health insurance industry is on the verge of large-scale consolidation as its leaders seek to drive down costs, increase negotiating leverage and boost profits. But that could spur more consolidation among providers to counter the greater bargaining power of a smaller number of big insurers.

Cover Story

ACA repeal-and-replace efforts just got a lot more difficult

By Melanie Evans  |  June 27, 2015

The battle ahead for Republicans who hope to repeal and replace the Affordable Care Act is one that will be fought on the campaign trail, even as markets move ahead with more confidence after last week's U.S. Supreme Court decision.

King ruling dims ACA foes' legal hopes

By Lisa Schencker  |  June 27, 2015

The U.S. Supreme Court's 6-3 decision upholding premium subsidies for Americans in all states doesn't necessarily drive a stake through the heart of all anti-Obamacare litigation, but legal experts agreed it does send a discouraging message to the law's legal foes.

With subsidies settled, insurers look ahead to rate battles

By Bob Herman  |  June 27, 2015

The U.S. Supreme Court's decision to uphold the Affordable Care Act's premium subsidies in all states was a huge relief to health insurers, potentially encouraging them to step up their participation in the individual exchange market. Now attention turns to tension between insurers and regulators...

More states may turn exchange duties over to the feds

By Virgil Dickson  |  June 27, 2015

The U.S. Supreme Court's decision to uphold premium subsidies through the federal exchange could spell the end of states establishing their own Affordable Care Act marketplaces. It could even prompt more states to turn over control of their exchanges to the federal government.

Relieved hospital execs say ruling could speed Medicaid expansion

By Beth Kutscher and Steven Ross Johnson  |  June 27, 2015

Hospital leaders say they're moving ahead with delivery-system reforms that keep their populations healthy now that the U.S. Supreme Court has removed uncertainty about the continuation of premium subsidies. They hope the subsidies ruling will clear the way for more states to expand Medicaid to...

Features

Health IT a key challenge for provider-owned plans

By Joseph Conn  |  June 27, 2015

There's a boomlet underway in health information technology buying, triggered by provider organizations considering or launching their own Medicare Advantage or commercial health plans.

Editorial

Editorial: The ACA's new political landscape

By Merrill Goozner  |  June 27, 2015

The healthcare industry heaved a collective sigh of relief last week after the U.S. Supreme Court upheld insurance subsidies in states using federally run exchanges. The 6-3 decision effectively puts an end to legal challenges to the Affordable Care Act.

Guest Commentary
Letters
Innovations

Innovations: Facial recognition software measures pain

By Adam Rubenfire  |  June 27, 2015

It's difficult enough for providers to assess pain levels in adult patients with the ability to describe their pain and compare it with past experiences. It's much harder in treating children or adults with dementia. But soon there may be software that can help.

Q&A
By the Numbers

Law firms, healthcare practice, 2015

June 27, 2015

Polsinelli claimed the top spot on Modern Healthcare's 2015 Healthcare Law Firms Survey, based on a blended score of healthcare lawyers employed in 2014 and AHLA membership as of April 30. Source: Modern Healthcare's 2015 Healthcare Law Firms Survey; American Health Lawyers Association. Published...

Healthcare changes yield new business for health lawyers

By Michael Sandler  |  June 27, 2015

Law firms appearing on Modern Healthcare's annual ranking of the largest healthcare law firms are awash with new business opportunities as the healthcare industry continues to transform, firm leaders say.

News Makers
Data Points

Data Points for June 29, 2015

By Modern Healthcare  |  June 27, 2015

Data Points for the week of June 29, 2015, covered the following topics: overdose reversals, life expectancy gains, obesity, the ACA and Medicare Part D

Outliers

Skinny jeans land fashion victim in hospital

By Modern Healthcare  |  June 27, 2015

Anyone who's ever had to perform acrobatic contortions to squeeze into stylish skinny jeans may want to loosen up. As one woman Down Under learned the hard way, prolonged periods of “external compression” can result in unintended muscular and neurological consequences.

Sit, stand or walk? The advice goes round and round

By Modern Healthcare  |  June 27, 2015

Should you sit or stand at your desk? Use a standing desk or treadmill desk? Outliers gets a bit bewildered by all the advice flowing from studies and health experts on the physical benefits of getting up out of that office chair.

Corrections and Clarifications

Corrections and clarifications

By Modern Healthcare  |  June 27, 2015

In the article “Trafficking school” (June 22, p. 17), the name of the program manager for Children’s Healthcare of Atlanta’s Stephanie...

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