Topic: Medicaid

The Status of Medicaid Expansion, and Why It Will Keep Getting Better

John Gorman

Medicaid is already the largest insurer on the planet, and the Affordable Care Act (ACA) is driving enrollment faster than anyone imagined.  But there are headwinds in covering more Americans through Medicaid, some political, some operational.  Here’s why it will continue to improve and drive expanded coverage for the uninsured — and why all insurers need to participate to remain relevant to the new American healthcare landscape.

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What’s Gained and Lost with an HHS Secretary Burwell

John Gorman

My old Clinton Administration colleague Sylvia Mathews Burwell sailed through a confirmation hearing last week.  What was expected to result in serious anti-ObamaCare fireworks and soundbite fodder for midterm campaigns ended with a whimper.  Her second confirmation hearing was yesterday, and it’s a “Washington dog isn’t barking” story.  It’s now looking like she’ll cruise through and we’ll have an unexpectedly rapid successor to the embattled Kathleen Sebelius.

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Follow the Leader: United Health Group’s Outlook on Government Health Programs

John Gorman

Ralph Giacobbe at Credit Suisse is a leading health industry analyst and is doing the best work of his career.  Today he produced a fantastic recap of his discussion with United Health Group CEO Steve Hemsley and several of his top executives.  It included some fascinating insights into the market leader’s strategy for government health programs:

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POTUS Spikes the Football, but the ObamaCare War-Game Isn’t Over

John Gorman

Last week as health insurance exchange open enrollment ended, President Obama spiked the football, announcing that 8 million people had signed up, and that the Obamacare debate is “over.”  He put an exclamation point on it: that millions more had gained coverage through Medicaid expansion and new mandates on employers.  Now, any further discussion of repealing ObamaCare was about taking coverage away from those millions of Americans.

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Member Engagement and Experience are the New Risk Adjustment

John Gorman

In this new era of Star Ratings in Medicare Advantage and Part D, where a 4+ score is now do-or-die, health plan survival comes down to two things: member engagement and the member experience.  They’re the new risk adjustment when rates in 2014-2015 will be at their lowest levels in more than a decade, and a low-quality rating is a kiss of death in government programs.  Plans that can’t evolve into kinder, gentler, more coordinated and Member-Centric service providers are already beginning to disappear.

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Lighting the Path in the Golden Age of Government-Sponsored Health Programs: Join Us for the GHG Client Forum

John Gorman

More than 300 guests will convene on May 1-2 at the Red Rock Casino in Las Vegas for the 2014 Gorman Health Group Forum, our annual strategic retreat for leaders in government-sponsored health programs. This year’s gathering promises to be the most actionable, content-packed conference you could attend on how to succeed in this new Golden Age of government business. And when the learning and planning is done for the day, we will celebrate this unique moment in health care history as only GHG can in Vegas.  Here’s what’s happening this year and why you’ve got to join us: Read more

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ObamaCare’s Winners and Losers — Consumer Edition

John Gorman

I got my start in DC some 23 years ago as a reporter, and the profession’s credo is always to “afflict the comfortable and comfort the afflicted.” ObamaCare is the story of a lifetime for enterprising journalists, and the really poignant anecdotes that can shape and move public opinion — and therefore politics — are just beginning.  Small stories will go viral in the echo chamber of 24-hour news cycles and social media in the coming weeks as enrollment and coverage begins in earnest.  Here’s how these very personal stories of what ObamaCare means to consumers will break down.

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