Health Care Matters Newsletter

Get the latest from Coral Health Advisors with our weekly rundown on public health, health care trends, and policies.

Health Care Matters | September 13, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | September 13, 2024

The ongoing congressional negotiations to prevent a potential government shutdown by October 1st, new regulations strengthening mental health parity requirements, recent legal corrections regarding the FTC's non-compete rule, and updates on various health care funding and regulatory issues.

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Health Care Matters | August 30, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | August 30, 2024

The rise in state legislation targeting prior authorization, the dismissal of a Medicare Advantage overcharging plan due to industry pushback, insights from a podcast on health issues in the general election, and a discussion on designing incentive structures for value-based care.

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Health Care Matters | August 23, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | August 23, 2024

Medicare’s upcoming lower drug prices for Part D, the formation of Mosaic Health, and CMS’s new data-sharing strategy. Also payer strategies for health equity, the Preliminary ACO PC Flex Rate Book, and a new podcast on mental health crisis response.

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Health Care Matters | August 16, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | August 16, 2024

The growth of prior authorization denials in Medicare Advantage, CMS’s new Transitional Coverage for Emerging Technologies (TCET) Pathway, insights on health care spending growth targets, the 2024 Rural Health Hackathon, and how cost-effectiveness analyses might perpetuate health disparities.

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Health Care Matters | August 9, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | August 9, 2024

CMS’s FY 2025 IPPS Final Rule, which includes a 2.9% increase in hospital operating payment rates, the new mandatory Transforming Episode Accountability Model (TEAM), and CVS Health’s expansion of Oak Street Health Centers.

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Health Care Matters | August 2, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | August 2, 2024

Updates to the ACO REACH Model, North Carolina’s medical debt relief program, and new insights on the 2025 Medicare Physician Fee Schedule. Also the finalized Transforming Episode Accountability Model and recent discussions on health care bills and coverage denials.

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Health Care Matters | July 26, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | July 26, 2024

Health care costs are projected to rise 8% next year. Barriers to primary care practitioners joining Value-Based Payment models are explored. Reports on pharmacy benefit managers, a state scorecard on reproductive care, and Coral Health Advisors' certification as a woman-owned small business.

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Health Care Matters | July 19, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | July 19, 2024

The FTC's antitrust probe into DaVita and Fresenius for noncompete contracts and CMS's revised MA star ratings after judicial rulings. As well as, key insights on the proposed 2025 Medicare Physician Fee Schedule.

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Health Care Matters | July 12, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | July 12, 2024

Medicare Advantage's $50B from questionable diagnoses, evaluation reports for Vermont ACO and ACO REACH models, and the newly released 2025 Physician Fee Schedule.

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Health Care Matters | June 28, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | June 28, 2024

A federal court ruling preserving the ACA's preventive care mandate, CMS recalculating Star Ratings for Medicare Advantage plans, and quarterly reductions in coinsurance for Part B drugs. As well as, CMS's new funding opportunity for the Transforming Maternal Health Model and the latest episode of the Tradeoffs podcast discussing support for caregivers.

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Health Care Matters | June 21, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | June 21, 2024

The impact of enhanced premium tax credits on reducing uninsured rates and the potential effects of the Supreme Court decision on the Chevron doctrine for health agencies. As well as, CMS's new Innovation in Behavioral Health Model and lessons from Maryland's hospital global budgeting.

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Health Care Matters | June 14, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | June 14, 2024

Updates on AHRQ's new Health Care Extension Service, SCAN Health Plan's successful lawsuit against CMS over star ratings, and a slowdown in private equity acquisitions of smaller medical businesses. Resources on advancing health equity in value-based care, a podcast on community health workers, and an upcoming A4H Hill briefing.

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Health Care Matters | June 7, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | June 7, 2024

CMS Innovation Center's BPCI Advanced Model savings report, the 2022 Quality Payment Program performance results, and updates on advancing health equity through value-based care. As well as, responses to a CMS request for information on Medicare Advantage data, details about an upcoming virtual forum on health equity, and tips for Medicare Fraud Prevention Week.

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Health Care Matters | May 31, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | May 31, 2024

Rising tensions in provider/payer contract negotiations, the introduction of a bipartisan bill to enhance healthcare cybersecurity, insights on the ACO Primary Care Flex Model, and a report card for telehealth on the Tradeoffs podcast.

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Health Care Matters | May 24, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters | May 24, 2024

The Senate Finance Committee's white paper on Medicare physician payment reform, Vermont's new prior authorization reform bill, insights from ACO leaders on the MSSP, and an NPR segment on Black male caregivers.

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Health Care Matters|May 17, 2024
Katelyn Goupille Katelyn Goupille

Health Care Matters|May 17, 2024

New Medicare and Medicaid integration rules, Medicaid waiver extensions, and PCP payment reform. Insights on equitable health care algorithms and tune into the Longitudinal Podcast with Shannon West and Aneesh Chopra.

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