Another Pound of Flesh for Government Health Programs This Fall?
With summer drawing to a spectacular close here in Washington, it’s abundantly clear that the “train wreck” everyone’s … Read more
View ArticleWall Street Consensus: 2014 Will Be a Big Growth Year for Payers
Since returning from summer vacation I’ve been making the rounds with friends and spies on Wall Street to … Read more
View ArticleThe Shutdown Will Become the Siege of the ObamaCare Teahadists
If you’re paying any attention to the worsening drama here in DC, dig in because the calendar is … Read more
View ArticleDiagnosing the ObamaCare Glitches: Who Farted and Is Pointing at the Dog?
We’re fast approaching the end of Week 2 of Obamacare, and like the dysfunction between the Congress and … Read more
View ArticleWhat ObamaCare’s Glitches Mean for Health Plan Operations
It’s been a rough couple weeks for the launch of ObamaCare. The only thing that’s kept the Federal … Read more
View ArticleCrisis Averted for Medicare and Medicaid. Not So for ObamaCare.
So, just hours from national debt default last night, a deal was struck to reopen the government and raise … Read more
View ArticleMuch Progress on Healthcare.gov, But “Back End” Fixes Will Determine Success
Of the many, many things I gave thanks for last week, there was Jeffrey Zients, the White House … Read more
View ArticleNavigators and Agents Gone Wild
Since the October 1 launch of the ObamaCare health insurance exchanges/marketplaces, there’s been a growing din over the … Read more
View ArticleCMS announcement regarding 820 payment files and the interim process poses a...
It’s a rough road ahead for Issuers trying to get paid in the Health Insurance Marketplaces. The latest … Read more
View ArticleObamaCare’s Winners and Losers — Consumer Edition
I got my start in DC some 23 years ago as a reporter, and the profession’s credo is … Read more
View ArticleLighting the Path in the Golden Age of Government-Sponsored Health Programs:...
More than 300 guests will convene on May 1-2 at the Red Rock Casino in Las Vegas for the 2014 Gorman Health Group … Read more
View ArticleMember Engagement and Experience are the New Risk Adjustment
In this new era of Star Ratings in Medicare Advantage and Part D, where a 4+ score is … Read more
View ArticlePOTUS Spikes the Football, but the ObamaCare War-Game Isn’t Over
Last week as health insurance exchange open enrollment ended, President Obama spiked the football, announcing that 8 million people … Read more
View ArticleFollow the Leader: United Health Group’s Outlook on Government Health Programs
Ralph Giacobbe at Credit Suisse is a leading health industry analyst and is doing the best work of … Read more
View ArticleWhat’s Gained and Lost with an HHS Secretary Burwell
My old Clinton Administration colleague Sylvia Mathews Burwell sailed through a confirmation hearing last week. What was expected … Read more
View ArticleObama Administration Puts Executive Focus on — Surprise! — Execution
In Washington we say that where a President puts his prize staffers is the best indicator of his … Read more
View ArticleThe Status of Medicaid Expansion, and Why It Will Keep Getting Better
Medicaid is already the largest insurer on the planet, and the Affordable Care Act (ACA) is driving enrollment … Read more
View ArticleAetna Offers a Playbook for Evolution in the Golden Age of Government Programs
Ralph Giacobbe of Credit Suisse got another terrific “get” hosting Aetna’s management team for an insightful discussion last … Read more
View ArticleTuesday Night’s Primary Elections Were Huge. Here’s What They Mean for Our...
House Majority Leader, Eric Cantor (R-VA) is toast. Trounced in his Richmond district by a nobody Tea Bagger Tuesday … Read more
View ArticleMost, if Not All, States Will Be on the Federal Exchange by 2020
As ObamaCare launched last fall you’ll recall 16 states started their own exchanges, 7 were State/Federal partnerships (effectively … Read more
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